Louisiana Department of Transportation and Development
P.O. Box 94042
Baton Rouge, Louisiana 70804-9042
Attention: Truck Permits Section
Fax Number: 225-377-7108
Application for:

A Form
(Oversize Only)
Customer Information
Issued to (Company Name): Customer I.D. Number:
Address: Street
City, State & Zip

Phone Number:
Fax Number: Email Address:
Complete name and address if mailed to other than above:
Number of Forms
$10 per form
Payment Info (if applicable):
Payment type: Visa MasterCard American Express
Card Number: Expiration Date:
Name on Credit Card: Phone # of Cardholder:
Card Verification Value(CVV2):
(CVV2 is the 3-digit number found on the the back of your card/ On AMEX cards, it is 4 digit on the front of the card)

Contact Person: Date:03/25/2019


Submit the Request