IRP Registration Services | IRP Arizona

Carrier Info Confirm Your Official Representative
Vehicle Details Add Vehicles
Required Documents Documents required to Complete Form
Payment Info Pay to Complete Registration

Carrier Information

Step 1 - 4

Who is Filing the Form*

Email Address*

Business Phone*

Mobile* Same as Business Ph

State of Operation*

Application Type*

Start Date*

Business Type*

USDOT*

Individual Carrier Opertaion Details

Individual Owner Information*

SSN*

Name*

Details of the Carrier You Operate Under*

USDOT*

Proof of Association

Name (First & Last)*

Title*

SSN*

Owner's Name (First & Last)*

Position*

SSN EIN

Are you responsible for Safety inspection?*

Yes No, Safety inspection are carried out under different USDOT

USDOT*

TIN*

Do you have an existing account with IRP?

Yes No

Carrier Information

DBA - | EIN -

Physical Address

Mailing Address is the Same as Physical Address

Mailing Address*

Vehicle Details

Step 2 - 4

GVW - Fully loaded (Above 26,000lbs)*

Owned Leased

Total No. of Axles: With Trailer*

No. of Axles Without Trailer: *

Select Vehicle Document*

Have you registered for HVUT? Yes No

Do you want to Enter Milage Record Manually? Yes No, I want to upload Milage Record

Upload Milage Report

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No.	Vehicle Doc Type	GVW	Total No. Axles	Action
START ADDING VEHICLE
Total Cost: $

Required Documents

Step 3 - 4

Note: If you don't have these documents prepared, you can skip this step for now. We'll send you an email with a list of any documents that we still need from you before we can process your order.

Company Documents

Letter from IRS (Form: SS4, IRS-147C)

Article of Organization

UCR

Owner ID Proof

Upload Valid Driver's Licence

Address Proof

1st Proof of Address

2nd Proof of Address

Payment Information

Step 4 - 4

Order Details

Vehicle Total	:
Total Cost	:	$

Billing Address

New Billing Address

Billing Address Same as Physical Address

Billing Address Same as Mailing Address

Street

City

State*

Zipcode

I certify that I am the authorized holder and signer of the credit card reference above. I certify that all information above is complete and accurate.

I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the “TOTAL COST” field. I understand this is only for up to this amount on the date listed below in the "DATE SIGNED" field. If additional charges are going to be authorized a new form will have to be completed.

The “TOTAL COST” includes all Federal, State and Local Government fees.

I hereby, acknowledge and agree that after the charges are authorized a DOT Operating Authority agent is assigned in 15 minutes to run the order. Once the agent is assigned the charges become non-refundable.

I agree with the Terms and Conditions

Name of person signing

Title

Official Representative

Date signed

12/10/2023

Signature

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IRP Registration Form

Note: If you don't have these documents prepared, you can skip this step for now. We'll send you an email with a list of any documents that we still need from you before we can process your order.