New Mexico Weight Distance Form - New Mexico Weight Distance

Carrier Info Confirm Your Official Representative
Vehicle Details Add Vehicles
Payment Info Pay to Complete Registration

Carrier Information

Step 1 - 3

Who is Filing the Form*

Your USDOT*

Email Address*

Business Phone*

Year of Registration?

2023

Are You the Owner of the Company?

Yes No

Is Your Business a Sole Proprietorship?

Yes No

Do you Have a NMWD Account?

Yes No

Don't have a UCR Certificate? Get yours at UCR.online

Mailing Address is the Same as Physical Address

Mailing Address

Vehicle Details

Step 2 - 3

VIN*

License Plate*

Issued State*

Vehicle Year*

Make*

Model*

Unit#*

GVW(Combined Weight)(26,001lbs and above)*

Truck Status*

No.	Make & Model	Licence Plate#	GVW	Action
START ADDING VEHICLE
Total Cost: $

Payment Information

Step 3 - 3

Order Details

Vehicle Total	:
Total Cost	:	$

Billing Address

New Billing Address

Billing Address Same as Physical Address

Billing Address Same as Mailing Address

Street

City

State*

Zipcode

I certify that I am the authorized holder and signer of the credit card reference above. I certify that all information above is complete and accurate.

I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the “TOTAL COST” field. I understand this is only for up to this amount on the date listed below in the "DATE SIGNED" field. If additional charges are going to be authorized a new form will have to be completed.

The “TOTAL COST” includes all Federal, State and Local Government fees.

I hereby, acknowledge and agree that after the charges are authorized a DOT Operating Authority agent is assigned in 15 minutes to run the order. Once the agent is assigned the charges become non-refundable.

I agree with the Terms and Conditions

Name of person signing

Title

Official Representative

Date signed

06/09/2023

Signature

Canvas is not supported.

New Mexico Weight Distance Tax (WDT) Form