Print
72-HOUR CHARTER SCHOOL BUS TRIP PERMIT APPLICATION
MV2449 7/2005 Wisconsin Department of Transportation
SB-CT
FEE CALCULATION Base Fee
Applicant Name Print or Type Home Address Business Address City, State, ZIP Code
WI #
Area Code Telephone #
# Permits Requested TOTAL FEE ENCLOSED
x
The undersigned certifies the individual or firm applying for the permit(s) agrees to abide by the regulations pertaining to this operation on Wisconsin highways under a 72-Hour Charter School Bus Trip Permit in accordance with s.341.26(7) Wis. Stats.
FEE REMITTANCE Make remittance payable to Registration Fee Trust in the amount of $10.00 for each permit requested.
X
(Applicant or Authorized Official of Firm)
GENERAL INSTRUCTIONS 72-hour trip permits are available for school buses. In lieu of obtaining permanent registration credentials, you may purchase a 72-hour charter school bus trip permit for intrastate operations only on Wisconsin highways. Each permit costs $10. Upon receipt of the proper remittance, the number of trip permits requested will be forwarded. Each permit must be typewritten with all required information completely filled out. Part 1 is to be carried in the school bus driver compartment and must be displayed to law enforcement officers upon request. Part 2 is to be retained by the carrier and Part 3 needs to be mailed to Wisconsin Department of Transportation, SB Permit Unit PO Box 7911, Madison, WI 53707-7911. Each permit is valid for 72 hours from date of certification and is absolutely invalid if handwritten or erased. Charter school bus trip permits are not transferable and can be used only by the carrier to whom the permit is issued. No permit can be purchased or remain in force unless insurance is on file with this department in compliance with s.194.41 Wis. Stats.