Motor Carrier Forms

SB201 – Washoe County Index Tax on Gasoline/Gasohol and Special Fuels
Senate Bill 201, effective January 1, 2010, changed the annual indexing of gasoline in Washoe County to be based on a rolling 10-year average of the changes in the Producer Price Index (PPI) instead of the Consumer Price Index (CPI). The bill also added the federal and state taxes for gasoline and special fuel to the list of taxes to be indexed for Washoe County. ‘Special fuel’ includes diesel, liquefied petroleum gas (LPG), compressed natural gas (CNG), and emulsion of water-based, hydrocarbon fuel (A55). Prior to passage of SB201, there was no separate county tax on special fuel. See the Fuel Tax Rate Matrix FY10 | FY11.

New Temporary Trip Permit Requirements
Out of state commercial vehicles with a Combined Gross Vehicle Weight Rating of 10,001 pounds or more are now required to get a temporary registration permit. All carriers are now required to get permits before entering Nevada.

Permits - a list of vendors and general information.
Tip Sheet - single page Q&A
AB 372 Notice and FAQs - formal notice and detailed requirements
Motor Carrier Newsletter - summary of all 2009 legislation affecting carriers

Diesel Emissions
Nevada-based diesel vehicles up to 14,000 pounds GVWR require annual emissions testing as of July 1, 2009. This applies to all initial registrations and renewals regardless of any expiration date. See Diesel Emissions.

Oversize and Overweight Permits
The Nevada Department of Transportation website is your best source for current information and the latest route restrictions on your over-sized and overweight vehicle permits. NDOT no longer uses bulk mail to update restrictions or instructions. See:

POTENTIAL FUEL TAX EVASION REPORT
Do your part to make sure everyone pays their fair share. Report potential fuel tax evasion online or by calling the Motor Carrier Audit Team at (775) 684-4634.

UCR REGISTRATION
If you operate any truck or bus in interstate commerce, you must register with the federal Unified Carrier Registration (UCR) program. Nevada is a non-participating state and does not offer this service. However, Nevada-based carriers must comply with UCR. You must register with a participating state. Online registration is available at www.ucr.in.gov or see UCR Contacts.

User Renewal Information and Forms

2011 Renewal Newsletter

All renewal paperwork must be postmarked or received at a Motor Carrier branch office, on or before December 1st.

Failure to adhere to this deadline will subject your company to non-compliance fines from $100 - $500, and possible loss of installment privileges. This fine is in addition to any other progressive sanctioning fines for prior delinquency violations.

Renewal paperwork is not considered received without all of the proper documentation supporting the renewal. Your cooperation is appreciated.

USDOT Number Notice (mc018)

Heavy Vehicle Use Tax Notice (mc022)

Overweight/Overlength Permit Letter (mc085)

Overweight Permit Fee Calculator

IRP Estimated Mileage Formula - 2011 (mc004) Legal Size

IRP Estimated Mileage Formula - 2010 (mc004) Legal Size

Colorado Schedule (mc007)

Schedule G - Estimated Mileage (mc015)

Credential Return Receipt (mc021)

IRP Registration Certification (mc040)

Account Information Verification (mc374)

Registrant-Taxpayer Responsibilities (mc076)

Power of Attorney (mc078)

IRS Heavy Vehicle Use Tax (Form 2290)

Farmer/Rancher Affidavit (VP-159)

Payment Authorization (VP-205)

User Licensing

IRP/Apportioned Vehicle Registration Manual (mc050)

All forms in this section are fill-in PDF.

IRP Training Videos - WMV files from IRPonline.org | English | Spanish | French

IRS Publication 4521 E-File for Excise Taxes | Notice 1374 Imported Heavy Vehicle Notice

IRS Heavy Vehicle Use Tax (Form 2290)
This is required if your Gross Combined Vehicle Weight Rating as registered with the DMV is 55,000 lbs. or over. Form 2290 is renewed every year on July 1st.

Intrastate Commerce Authority Application (mc208)
For those who will be transporting property within the State of Nevada only.

Surety Bond to Secure Performance under NRS Chapters 360A, 365, 366, 482, 590 & 706 (mc035)

Trip Fuel and Distance Record
For drivers to log fuel purchases and distances traveled.

GPS Recordkeeping Certification (mc373)

To be completed prior to implementation of GPS for IRP/IFTA purposes.

Credential Return Receipt (mc021)
To surrender IRP and IFTA documents for cancellation.

Duplicate License Plate Application for Motor Carriers (mc061)
To order replacement plates with the same currently registered number.

Lost Stolen or Mutilated License Plate Affidavit (vp202)

Overlength/Overweight Permit Replacement Form (mc087)
To replace lost or stolen OWL permits.

Carrier Change of Address Application (mc032)

Payment Authorization (VP-205)
Authorizes DMV to charge your credit or debit card for license or registration fees.

Power of Attorney (mc078)
Authorizes others to act on the registrant's behalf.

Farmer/Rancher Affidavit (VP-159)
Used to adjust registration fees on large farm vehicles.

Overweight Permit Fee Calculator
Fees by weight and number of months needed.

Public Weighmasters
A list of approved weighmasters in Nevada.

Applications For all IRP registrations, IFTA permits and non-apportioned registrations. New carriers must register with the Federal Motor Carrier Safety Administration. See FMCSA New Entrant Background Information and Online Registration and the IRP and IFTA manuals.
	IRP/Apportioned Vehicle Registration Manual (mc050)
	Registration Application Checklist (mc090)
	Instructions for Completing Applications (mc031)
	Licensing Application - Schedule A (mc011) Legal Size
	Vehicle Application - Schedule B (mc003) Legal Size
	Mileage and Weight Application - Schedule C (mc006) Legal Size
	Nevada IRP Estimated Mileage Formula - 2011 (mc004) Legal Size
	Nevada IRP Estimated Mileage Formula - 2010 (mc004) Legal Size
	IRP Member Jurisdiction Information (mc005)
	Schedule G - Estimated Mileage (mc015)
	IRP Registration Certification (mc040) Certifies locations. Must be completed with initial registration and renewal.
	Supplemental Governmental Services Tax Affidavit (mc010) To declare areas of operation for specific vehicles.
	Motor Carrier Application for Governmental Services Tax Exemption (mc024) For Nevada Native American Tribal Members residing on tribal lands.
	Colorado Schedule (mc007) Required with IRP registration applications and renewals from firms which travel in Colorado.
	Registrant/Taxpayer Responsibilities (mc076) Certifies that taxpayer is aware of various requirements.


User Tax Return/Refunds	Forms Help \| Back To Top

Tax Rates are available from the
International Fuel Tax Association

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Contact Motor Carrier and tell us how to improve our services. Click on a link below.

SPECIAL FUEL AGREEMENTS
All purchasers of dyed diesel and clear kerosene must sign agreements on the uses of these fuels. The forms are available below or from your supplier or dealer.

Taxpayer's Bill of Rights for Taxes on Fuels (mc034)

Nevada IFTA Tax Return (mc366 & mc366a)
For filing quarterly Fuel Tax returns. Includes the Return and Schedule 1. Note: Check "Auto Rotate and Center" when printing this form.

IFTA and Nevada Special Fuel User Tax Return Instructions (mc366i)
Instructions for the mc366 Tax Return and mc366a Schedule 1. Note: Check "Auto Rotate and Center" when printing this form.

Idaho Tribal Fuel Purchases | Worksheet (mc019) | Information and Notice (mc019a)
Certain Idaho fuel stations no longer charge state tax at the pump.

Nevada IFTA Recordkeeping Requirements and Checklist
A summary of Nevada laws and IFTA requirements on recordkeeping.

Trip Fuel and Distance Record
For drivers to log fuel purchases and distances traveled.

Special Fuel Tax Refund Request | Form (mc045d) | Instructions (mc045di)
To obtain refunds on fuel used by government and in off-road equipment, power take offs, etc.
Note: You must request this refund using this form and not on an IFTA tax return. See the Notice.

Exempt Fuel Analysis Worksheet (mc45)
Microsoft Excel spreadsheet and instructions for calculating exemptions.

Farmer/Rancher Gasoline Tax Refund Permit Application (mc058)
To apply for a refund permit.

Farmer/Rancher Gasoline Tax Refund Request (mc059)
To file for a refund after a permit has been obtained. Includes the mc059a rate matrix.

Farmer/Rancher Gasoline Tax Refund Request Tax Rate Matrix (mc059a)
Fuel tax rates by county.

Power of Attorney (mc078)
Authorizes others to act on the registrant's behalf.


Fuel Suppliers/Dealers	Forms Help \| Back To Top
Download and complete each needed form individually. Some forms are legal size. See How to Print Legal Size Forms.

Motor Fuels and Special Fuels Handbook (mc036)

Online Trading Partner Agreement (mc074)

ACH Vendor/Miscellaneous Payment Enrollment Form (adm810)
To enroll in the Vendor Express Program for ACH payments.

Power of Attorney (mc078)
Authorizes others to act on the registrant's behalf.

Taxpayer's Bill of Rights for Taxes on Fuels (mc034)

Fuel Dealer Complaint Form (mc083)
For consumers who wish to file a complaint against a retail station dispensing LPG or CNG.

ATTENTION PURCHASERS OF DYED SPECIAL FUEL OR CLEAR KEROSENE:
All purchasers of dyed special fuel or clear kerosene must complete the appropriate form below. In addition, access to dyed special fuel pumps or bulk tanks must be controlled and restricted. If you have any questions, please contact the Fuel Industry Team at (775) 684-4711 ext. 2.

DYED DIESEL IS NOT AUTHORIZED FOR USE IN VEHICLES TRAVELING ON THE HIGHWAY
Please see LCB File R008-06, NRS 366.085 and NRS 366.203(4) for specific allowances regarding Special Mobile Equipment incidentally operated on the highway.

Statement of Acknowledgement and Intended Use of Dyed Special Fuel (mc025)
For special fuel purchasers to declare their intended use of dyed fuel.

Statement of Acknowledgement and Intended Use of Clear Kerosene (mc371)
Specifies that clear kerosene will be used for home heating only.

Fuel Industry Change of Business Information (mc048)

Letter

File Your
Tax Return
Online!!

Contact
Carmen Shipman
for details.
(775) 684-4610

Start Here

Surety Bond to Secure Performance under NRS Chapters 360A, 365, 366 & 590 (mc035 - fill-in)

Application for Motor Fuel Licensing (mc042)

Renewal Application for Motor and Special Fuel Supplier Licensing (mc042a - fill-in)

FY 2011 Fuel Tax Rates and Washoe County Indexed Tax | 2010

Fuel Supplier/Dealer Tax Return (mc038)

Disbursement Summary (mc038ds)

Receipt Summary (mc038rs)

Schedule of Disbursements (mc038d)

Schedule of Receipts (mc038r)

1a - Indexed Taxes - FY 2010

Gasoline Tax Refund Request (mc045g)

Worksheets

1a - Indexed Taxes - FY 2009

The Petroleum Products Discharge Cleanup Fee will be collected by the State of Nevada in FY 2011. This fee was collected in FY 2010.

2 - Petroleum Products Fees

3 - Jet Fuel Tax

4 - Aviation Fuel Taxes

5 - Other Inventories

Fuel Exporter Certificate (mc093 - Fill-In)

Industry Calculation Worksheet

Worksheet (Excel Format)

The Industry Calculation Worksheet can not be submitted in lieu of the actual tax return. Submitting this worksheet in lieu of the actual return will deem the filing delinquent subject to penalties and interest. This worksheet is provided to aid the tax filer in properly calculating supplier/dealer taxes due.

Special Fuel Dealers

Fuel Dealer Tax Return (mc072)

Fuel Dealer Application (mc071)

Fuel Dealer Handbook - (mc070)

Surety Bond to Secure Performance under NRS Chapters 360A, 365, 366 & 590 (mc035)

Power of Attorney (mc078)
Authorizes others to act on the registrant's behalf.

ACH Vendor/Miscellaneous Payment Enrollment Form (adm810)
To enroll in the Vendor Express Program for ACH payments.

Fuel Exporters and Transporters

Fuel Exporter Report - mc038e	Instructions	Report	Schedules - Legal Size
Fuel Transporter Report - mc038t	Instructions	Report	Schedule - Legal Size

Biodiesel/Alternative Fuels

Biodiesel Producer/User Application and Instructions (mc367)
Application for a license to adapt/modify fuel products to use alternatives such as vegetable oil or syntroleum.
Biodiesel Producer/User Self Reporting Form (mc368)

HazMat & Amber Light Permits

These permits are issued by the Nevada Highway Patrol. Call (775) 684-4622.
Hazardous Materials Transportation Permit Application Long Form
Hazardous Materials Transportation Permit Application Short Form for Annual Renewal
Amber Light Permits
	Application for a Flashing Amber Light Permit (NHP19) For authorization to use amber lights on 5 or fewer vehicles.
	Application for a Blanket Amber Light Permit (NHP19A) For authorization to use amber lights on 6 or more vehicles.
Note: Overdimensional Permits are issued by the Nevada Department of Transportation. Call (800) 552-2127.

Commercial Driver License

HME Appeals and Waiver Information

See Commercial Driving Schools for a list of schools licensed by DMV.

Commercial Driver License Handbook - 1.3 MB
For Commercial Driver License US DOT exam requirements.

Commercial Driver Application (CDL-02) - Legal Size
For an original Nevada CDL. Must be submitted in person at a DMV office.

CDL Qualification of Drivers (CDL 043)
Lists requirements under federal law.

Physical Examination Form (FMCSA-649) - 9 pages
For Commercial Driver License US DOT exam requirements.
Current license holders who are filing only an updated physical may mail this form to the nearest CDL Office or deliver it in-person at any CDL or Full Service Office.

Nevada Commercial Driver Instruction Permit Affidavit (CDL-15)
Ensures permit holders are aware of certain restrictions.

CDL Certification for Waiver of Skills Tests (CDL-04)
For active-duty military members only.

Commercial Medical Waiver Application and Medical Evaluation (CDL-42)
To apply for a waiver of restrictions on certain medical conditions.

Notification of Conviction (CDL-05)
To notify the Department of out-of-state traffic violations.

HAZMAT ENDORSEMENTS
Commercial drivers applying for or renewing a Hazardous Materials endorsement are subject to fingerprinting and a background check. See Hazardous Materials Endorsements.

HME Application and Renewal General Information
A summary of the new hazardous materials endorsement requirements.

HME Industry Notice/Application Procedure
Steps involved in obtaining a hazmat endorsement.

Third Party Certifiers - Private Firms & Government Non-Firefighter

Third Party General Information Sheet (CDL-40)
Requirements for private firms to become a third party CDL certifier.

Third Party Certifier Application (CDL-28)
Must be completed by each individual who will be a third party CDL certifier.

Third Party Company Application (CDL-25)
To apply for or renew a firm's status as a third party CDL certifier.

Third Party Company Agreement (CDL-26)
Conditions third party CDL certifiers must adhere to.

CDL Third Party Change Notice (CDL-24)
To change address, drop certification or delete a certifier.

Third Party Certifiers - Driving Schools

Third Party School Application (CDL-30)
To apply for or renew a driving school's status as a third party CDL certifier.

Third Party School Agreement (CDL-29)
Conditions third party driving schools must adhere to.

Third Party School Certifier Application (CDL-31)
Must be completed by each individual who will be a third party CDL certifier.

Third Party Certifiers - Government Firefighter

Non-Commercial Class A/B Certification Program General Information (DLD-15)
Requirements for Fire Departments and similar agencies to become third-party certifiers.

Non-Commercial Class A/B Third Party Certifier Application (DLD-26)
Must be completed by each individual who will be a third party certifier.

Non-Commercial Class A/B Third Party Certifiers Change Notice (DLD-16)
To delete a certifier or department and to report a change of address or other information.

How to Print Legal Size Forms