KENTUCKY TRANSPORTATION CABINET DIVISION OF MOTOR CARRIERS FORHIRE AUTHORITY

For-Hire Authority Vehicle Add On

Kentucky Transportation Cabinet

Division of Motor Carriers

FOR-HIRE AUTHORITY VEHICLE ADD ON

TC 95-607

11/2011

MAIL TO:

PO Box 2007, Frankfort KY 40602-2007

Phone: (502)564-1257 Fax: (502)564-4138 8:00 am – 4:30 pm EST

Walk-ins: 8:00 am – 4:00 pm EST

http://transportation.ky.gov/Motor-Carriers

For Year:

Kentucky Intrastate For-Hire Authority (K) Number: K		(If you do not know this number, please
leave blank.)

List any of the licenses your company currently maintains:


Kentucky Highway Use Tax (KYU) License:

Kentucky Intrastate Tax (KIT) License:

Department of Transportation (DOT) Number:

Company Address:

Check here if new address

Physical Address:

Include street names (Drive, Road, etc.) or apartment # -- NO PO BOXES.

City:

State:

Zip Code:

Mailing Address:

List address if different than above (include PO Box here).

City:

State:

Zip Code:

FEE:

My company has Kentucky Intrastate For-Hire Authority and hereby requests authority for
	additional vehicles x $10.00 = $	0.00	.

A fee of $10.00 per vehicle is required payable to Kentucky State Treasurer.


Authorized Company Representative Signature		Date

Office Use Only
Account Code:

( )
Telephone Number of Authorized Company Representative			31 0.00

If using overnight delivery services, please send to: Division of Motor Carriers, 200 Mero Street, Frankfort, KY 40622.