KENTUCKY TRANSPORTATION CABINET DIVISION OF MOTOR CARRIERS ADDITIONAL KIT

Additional KIT/IFTA Decal Request

NAME (printed)

OWNER OR AUTHORIZED SIGNATURE

Kentucky Transportation Cabinet

Division of Motor Carriers

ADDITIONAL KIT / IFTA DECAL REQUEST

TC 95-608

08/2016

MAIL TO:

PO Box 2007, Frankfort, KY 40602-2007

OVERNIGHT DELIVERIES:

200 Mero Street, Frankfort, KY 40622

Phone (502) 564-1257 8:00 a.m. – 4:30 p.m. EST

Walk-ins 8:00 a.m. – 4:00 p.m. EST

Website: drive.ky.gov

Please send to:

Fax: 502-564-4138

Please keep a copy for your records.

USDOT/Registrant Number

Company Name

Phone #

Check the appropriate decal box below and fill out corresponding information:

(KIT) Kentucky Intrastate Tax

KIT/USDOT Number:

Number of Decal Sets:

(IFTA) International Fuel Tax Agreement

IFTA License Number: KY

Number of Decal Sets:

Check the reason for this request:

Vehicle Add Lost Decals Never Received Decals Other

Please list all VIN’s and combined licensed weights:

Number	Full Complete Vehicle Identification Number (VIN)	Combined Licensed Weight (must be 26,001 lbs or above or 3 or more axles)
1.
2.
3.
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5.
6.
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20.

(If more than 20 decals are needed, please use another form.)