Self-Registration

Please complete the required fields and click the Submit button to initiate your new user registration request.
Once registered, you will be able to immediately use the site and take advantage of its benefits, including online routing and full system issuance.
Note: * Indicates required field.

Registration Type*

Company (or owner name if individual)*

Address*

City*

State*

Zip*

USDOT Number

Federal Tax ID Number

Contact Name*

Contact Email Address*

Phone*

Fax

Permit Delivery Preference*

User Login

To acquire a user account, please enter a login name, your email address, your first name and your last name below. All fields are required.

User Name*

User Email*

First Name*

Last Name*

Escrow Account Registration

For those companies who order a large volume of permits on a daily basis, GotPermits.com offers the option to pay through the use of an escrow account. The escrow account holds a pre-funded balance of funds under your company name for use in the payment of permit fees. This eliminates the need to re-enter credit card information for each permit application. Please read and understand the following terms and conditions.Please select the box next to the acknowledgement statement if you agree with the following conditions and will adhere to the conditions in applying an escrow account. Instructions on how to fund the escrow account will be emailed to the account email address. If you cannot or will not comply with the following statements, you will not be registered for an escrow account.

I accept the terms and conditions of the escrow agreement

Government Agency

Check the checkbox if you are a Government Agency

Government Agency

Insurance Information

Self-Insured

Company*

Policy Number*

Phone*

Expiration Date*

Self-Registration

User Login

Escrow Account Registration

Government Agency

Insurance Information

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