IFTA Client Questionnaire

Company Name*

State Where Company is Registered*

IFTA Jurisdiction State*

Number of Trucks*

IFTA #*

DOT #*

Federal EIN*

Motor Carrier #

Fleet One Account #

KY IFTA #

NM IFTA #

Street Address City State Zip Code

Phone #*

Vehicle ID Number*

Vehicle Description*

Vehicle Year*

Vehicle Make*

Vehicle Model*

Vehicle License Plate*

Vehicle VIN#*

NY IFTA Permit #

User ID*

Password*

Bank Name*

Bank Routing #*

Bank Account #*

Acct Type*

Checking

Savings

Please indicate that you have reviewed your information and verified the numbers are correct!*

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