MISSISSIPPI DEPARTMENT OF TRANSPORTATION (66-05) P 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section 1, enter your USDOT Number, MC or MX Number, FF Number, and contact details including your legal name and email address. Ensure that the information matches what is on file for your USDOT number.
3. Proceed to Section 2 and check all applicable classifications such as Motor Carrier or Broker. This helps define your business type.
4. If applicable, complete Section 3 regarding fees due for brokers and freight forwarders. Enter the amount due based on your classification.
5. In Section 4, indicate the number of motor vehicles you operate. Choose between Option A or B based on how you report vehicle counts.
6. Refer to Section 5 for the fee table and calculate the total amount due based on the number of vehicles reported in Section 4.
7. Finally, complete Section 7 by signing and dating the form to certify that all information provided is accurate.

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