Forms

    For your convenience the most common used or referenced forms are linked below.A more complete list of forms is available on the IowaDOT.gov site.

    Client Forms

    Escrow Account Application - Iowa DOT Form 441069 (IowaDOT.gov): This form facilitates the creation of an escrow account to manage your tax obligations.

    New Carrier Checklist (IowaDOT.gov): Get a complete list of what you is needed and what will be required to apply for and keep in good standing an IRP or IFTA account.

    Processing Agent Application - Iowa DOT Form 442061 (IowaDOT.gov): Application for authorization to process IRP and/or IFTA business on behalf of motor carriers. Note: Power of Attorney document required

    Record Retention Requirements - Iowa DOT Form 442069 (IowaDOT.gov): As part of IFTA compliance, operators must maintain records of fuel purchases and mileage for at least four years to meet IFTA audit requirements. By signing this form, you acknowledge your responsibility to maintain accurate records of fuel purchases and mileage for four years, as required by IFTA regulations.

    IFTA Forms

    IFTA Application Instructions: Learn more about IFTA, who has to have it and what the requirements are to receive and maintain an IFTA license.

    IFTA License Application - Iowa DOT Form 441041 (IowaDOT.gov): This form is used to apply for an IFTA license, which authorizes you to report and pay fuel taxes across multiple jurisdictions. The application requires details about your business, including the physical address in Iowa. A $10 application fee and $0.50 for each set of IFTA decals are required.

    IRP Forms

    Claim for Refund - Form 411047 (IowaDOT.gov): Submit this form to determine eligibility for a refund of registration fees of $10 or more

    Claim for Refund on Apportioned Vehicle - Iowa DOT Form 441021 (IowaDOT.gov): Submit this form to determine eligibility for a refund of a vehicle's registration fees of $10 or more

    IRP New Account Application - Iowa DOT Form 442068 (IowaDOT.gov): Also known as Schedule G, this application must be filled out, signed, and submitted to the Iowa DOT.

    IRP Vehicle Schedule - Iowa DOT Form 442015 (IowaDOT.gov): If not filing the information online, this form must be completed when transferring, adding, or removing a vehicle.

    Heavy Highway Vehicle Use - Tax Form 2290 (IRS.gov):  Vehicles registered at 55,000 pounds or more must provide current verification of Heavy Vehicle Use Tax Form 2290.

    Unified Carrier Registration (UCR) Form (IowaDOT.gov): UCR is a federal program that requires annual registration with a participating state for commercial motor vehicle operators such as interstate carriers, brokers, freight forwarders, and leasing companies.

    Iowa Department of Transportation Motor Carrier Services

    Mailing Address:PO Box 10382, Des Moines, IA 50306-0382

    Physical Address:6310 SE Convenience Blvd., Ankeny, IA 50021

    Email: [email protected]Phone: 515-237-3268Fax: 515-237-3225Website: Iowa DOT Motor Carriers