CDOT Form 100 "Transport Permit Application" - Colorado

What Is CDOT Form 100?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2010;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of CDOT Form 100 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 100 "Transport Permit Application" - Colorado

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TRANSPORT PERMIT APPLICATION
COLORADO DEPARTMENT OF TRANSPORTATION
Applicant Contact Name:*
Fax to: 303-757-9719
4201 East Arkansas, Suite 290
Denver, CO 80222
Phone 1-800-350-3765 or 303-757-9539
Applicant Contact Phone:*
SELECT ONE: *
Annual:
Single Trip:
Special:
SELECT THE
OS Annual $250
OS $250
OW $250
OS $30 ___OW/OSOW $30 +$10 per axle
PERMIT TYPE
OW Annual $400
Non-divisible
OSOW $250
THAT IS NEEDED
OSOW Annual $400
Quad Non-Interstate (OW only)
Other Permit: **
Non-Interstate Quad $500
OW $30 + $20 per axle
Company Fleet
Non-Interstate Tandem/Triple $500
Tandem/Triple Non-Interstate (OW only)
Utility Fleet
LVC $250
Non-Interstate Tandem/Triple 6-month $250
LVC Fleet
OWD
Annual permit holders: check if Rules booklet and maps needed
** See website for prices - www.cotrip.org select link for Truckers
Requested Start date for permit:*
Payment method:*
Cash
Check
Escrow Account Name ___________________
Account #
Delivery method:*
Credit Card
Visa
MasterCard
Walk-in
Mail to address below
Credit Card no.: _______________________________________________________
Fax Permit To:*
Expiration date: _______________________________________________________
E-mail Permit To:*
Name of Cardholder:
Applicant and/or Company Name (print):*
Telephone:*
Applicant Address (print Street/PO Box, City, State, Zip);*
Person submitting application:*
Shipment consists of:*
Vehicle VIN (last eight (8) characters only):*
Unit #
Mobile Home Loads Only*
Annuals only*
Total miles to operate
Serial Number:*
this year
Make of vehicle:*
Model Year:*
Tax Authentication Number:*
CDOT Fleet #
(Company, LVC, NIOWD)
CDOT Longer Vehicle Combination #
County being moved from:*
(LVC):
Width (in feet & inches):*
Overall Length (in feet & inches):*
Height (actual) (in feet & inches):*
Front Overhang:* Rear Overhang:*
Gross Weight (in pounds):*
No. of Axles:*
Trailer Length (in feet & inches):*
Distance first to last axle (self
propelled units - in feet & inches):*
Required for OW vehicles/loads (record the axle spacing between axle numbers):*
lbs.
I
I
I
I
I
I
I
I
I
Ft'-in"
1
2
3
4
5
6
7
8
9
Axles
lbs.
I
I
I
I
I
I
I
I
I
Ft'-in"
10
11
12
13
14
15
16
17
18
Axles
Start point in Colorado (required for Single Trip and Special permits):*
End point in Colorado (required for Single Trip and Special permits):*
Route requested (will be verified by CDOT):*
I declare under penalty of perjury in the second degree, and any other applicable state or federal laws, that the statements made on this document are true and complete to the
best of my knowledge. There will not be a refund for Extra-Legal Transport Permits which are issued by the Dept. of Transportation anytime after 24 hours from the issued
time printed on the permit. Consideration for refunds within the first 24 hours will be based on, but not limited to, the time the permit has been active, permit start date,
origin/destination of trip, and route of travel. Permits may be transferred to another vehicle for the time remaining on the permit, providing carrier submits a written explanation
for transfer and after CDOT considers and accepts the reason. Please be advised your rights to refunds for this transaction must be sought first through CDOT prior to
contacting your credit card company.
Applicant Signature (Required):*
Date:*
*Required fields
CDOT Form #100 (01/10)
TRANSPORT PERMIT APPLICATION
COLORADO DEPARTMENT OF TRANSPORTATION
Applicant Contact Name:*
Fax to: 303-757-9719
4201 East Arkansas, Suite 290
Denver, CO 80222
Phone 1-800-350-3765 or 303-757-9539
Applicant Contact Phone:*
SELECT ONE: *
Annual:
Single Trip:
Special:
SELECT THE
OS Annual $250
OS $250
OW $250
OS $30 ___OW/OSOW $30 +$10 per axle
PERMIT TYPE
OW Annual $400
Non-divisible
OSOW $250
THAT IS NEEDED
OSOW Annual $400
Quad Non-Interstate (OW only)
Other Permit: **
Non-Interstate Quad $500
OW $30 + $20 per axle
Company Fleet
Non-Interstate Tandem/Triple $500
Tandem/Triple Non-Interstate (OW only)
Utility Fleet
LVC $250
Non-Interstate Tandem/Triple 6-month $250
LVC Fleet
OWD
Annual permit holders: check if Rules booklet and maps needed
** See website for prices - www.cotrip.org select link for Truckers
Requested Start date for permit:*
Payment method:*
Cash
Check
Escrow Account Name ___________________
Account #
Delivery method:*
Credit Card
Visa
MasterCard
Walk-in
Mail to address below
Credit Card no.: _______________________________________________________
Fax Permit To:*
Expiration date: _______________________________________________________
E-mail Permit To:*
Name of Cardholder:
Applicant and/or Company Name (print):*
Telephone:*
Applicant Address (print Street/PO Box, City, State, Zip);*
Person submitting application:*
Shipment consists of:*
Vehicle VIN (last eight (8) characters only):*
Unit #
Mobile Home Loads Only*
Annuals only*
Total miles to operate
Serial Number:*
this year
Make of vehicle:*
Model Year:*
Tax Authentication Number:*
CDOT Fleet #
(Company, LVC, NIOWD)
CDOT Longer Vehicle Combination #
County being moved from:*
(LVC):
Width (in feet & inches):*
Overall Length (in feet & inches):*
Height (actual) (in feet & inches):*
Front Overhang:* Rear Overhang:*
Gross Weight (in pounds):*
No. of Axles:*
Trailer Length (in feet & inches):*
Distance first to last axle (self
propelled units - in feet & inches):*
Required for OW vehicles/loads (record the axle spacing between axle numbers):*
lbs.
I
I
I
I
I
I
I
I
I
Ft'-in"
1
2
3
4
5
6
7
8
9
Axles
lbs.
I
I
I
I
I
I
I
I
I
Ft'-in"
10
11
12
13
14
15
16
17
18
Axles
Start point in Colorado (required for Single Trip and Special permits):*
End point in Colorado (required for Single Trip and Special permits):*
Route requested (will be verified by CDOT):*
I declare under penalty of perjury in the second degree, and any other applicable state or federal laws, that the statements made on this document are true and complete to the
best of my knowledge. There will not be a refund for Extra-Legal Transport Permits which are issued by the Dept. of Transportation anytime after 24 hours from the issued
time printed on the permit. Consideration for refunds within the first 24 hours will be based on, but not limited to, the time the permit has been active, permit start date,
origin/destination of trip, and route of travel. Permits may be transferred to another vehicle for the time remaining on the permit, providing carrier submits a written explanation
for transfer and after CDOT considers and accepts the reason. Please be advised your rights to refunds for this transaction must be sought first through CDOT prior to
contacting your credit card company.
Applicant Signature (Required):*
Date:*
*Required fields
CDOT Form #100 (01/10)