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Fill Out Your M 936A Form

The M 936A form is an application for an Oversize/Overweight Special Hauling Permit in Pennsylvania, designed specifically for vehicles exceeding standard size and weight limits. Completing this form accurately ensures that you obtain the necessary permission to transport oversized loads safely and legally. If you need to fill out this form, please click the button below.

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Article Structure

The M 936A form is an essential document for those seeking special hauling permits in Pennsylvania, specifically for oversized and overweight vehicles. It encompasses a range of critical information designed to ensure compliance with state regulations. This form requires applicants to specify the type of permit needed, such as a single trip, annual, or emergency, while detailing the truck's dimensions, including total weight, height, width, and length. Each application must be accompanied by precise measurements and identification numbers of the loads being transported. Furthermore, applicants must provide a valid insurance certificate, listing coverage amounts and making the Commonwealth an additional insured party. The M 936A also includes fields for route information and total miles, streamlining the process for local authorities to approve or deny permits based on safety and roadway requirements. Failure to fill out any section accurately could lead to the denial of the application, emphasizing the importance of attention to detail in the submission process. Understanding the M 936A form and its requirements can greatly facilitate the movement of oversized vehicles while adhering to state laws, hence reducing the risk of legal complications and ensuring a smoother transportation process.

M 936A Example

M-936A (11-17)

www.penndot.gov

OVERSIZE/OVERWEIGHT APPLICATION FOR SPECIAL HAULING PERMIT

''ALL LINES (EXCEPT DASHES) MUST BE COMPLETED"

PERMIT NO.:

APPLICATION ID:

TYPE PERMIT REQUESTED:	 Single Trip	 Single Trip & Return	 Annual		 Seasonal ________months
	 Emergency	 Preliminary Superload	 Final Superload _______ of _______

		NAME_________________________________________________________________________
PERMIT OFFICE________________________________
		REGISTERED NAME (Responsible Motor Carrier)
ACCOUNT NO.__________________________________		STREET_______________________________________________________________________
MOTOR CARRIER/PERMIT SERVICE		ADDRESS
FEIN/SSN______________________________________		CITY-STATE-ZIP CODE___________________________________________________________
IF NO MOTOR CARRIER ACCT. NO.		1 = IMMEDIATE PAYMENT
BILL CODE____________________________________		3 = MONTHLY BILLING			PERMIT FEE
		4 = GOVERNMENTAL
			CHECK/MO #	CHECK/MO #

GROSS WEIGHT_ __________________ (lbs.)

TOTAL WIDTH _________ (ft.) ______ (in.)

LEGAL WEIGHT		=	__________________(lbs.)	<
LEGAL WEIGHT			__________________(lbs.)	TOTAL LENGTH __________(ft.) ______ (in.)
BODY WIDTH (63A/63B)	=		(ft.)________ (in.)	<
BODY WIDTH (63A/63B)			(ft.)________ (in.)	TOTAL HEIGHT _ __________(ft.) ______ (in.)

LOAD_____________		______________________________________		_ _________________	___________________________________________
QUANTITY		(1) SERIAL ID (LAST SIX DIGITS)	(2) BOL	TYPE CODE		LOAD DESCRIPTION - BE SPECIFIC
VEHICLE #	EQUIPMENT TYPE (List Power & Drawn Units)			US DOT #	PLATE#/VIN #	STATE	# AXLES
1
2
3

TOTAL AXLE WEIGHTS___________________________________________________________________________________________________________

(LBS.)	Front Axle	2nd Axle		3rd Axle		4th Axle	5th Axle	6th Axle	7th Axle	8th Axle	9th Axle
AXLE DISTANCES (Ft. In.)_________________________________________________________________________________________________________

ORIGIN:____________________________			____________		_______________________________________________________
	COUNTY			STATE		 POINT OF INTEREST or  MILES & DIRECTION FROM INTERSECTION				MUNICIPALITY
DESTIN:_ ___________________________			____________		_______________________________________________________
	COUNTY			STATE		 POINT OF INTEREST or  MILES & DIRECTION FROM INTERSECTION				MUNICIPALITY

ROUTE NO(S):__________________________________________________________________________________________________________________

LIST EACH PROPOSED ROUTE AND DIRECTION OF TRAVEL (e.g., I-80E, I-81N)

______________________________________________________________________________________________________________________________

LIST ANY INTERIM NON-STATE ROUTES IN PARENTHESES

__________________________________________________________________________________ TOTAL MILES ______________________________

DATE MOVE BEGINS_____________________________________________ DATE MOVE ENDS_______________________________________________

APPLICANT WILLING TO ACCEPT ALTERNATE ROUTES?  NO  YES	IF YES: _____________ ADDITIONAL MILES.
VENDOR NAME_______________________________________________	FAX PERMIT TO________________________________________________
(WALK-IN APPLICANTS: LEAVE BLANK)	(WALK-IN APPLICANTS: LEAVE BLANK)

Complete this section and attach a certificate of insurance if account number is not provided above [See 67 PA Code, §179.7(a) and (b)]

Insurance Company_ ___________________________________________________________ Agent Phone No. ___________________________________

Policy No(s) _ _____________________________________________________

Effective Period(s)_ ___________________________________ providing:

(a)Commonwealth is added as an additional insured for property damage and personal injury, and

(b)Insurance covers public liability and property damage in the amounts of at least $250,000 per person and at least $1,000,000 per occurrence.

I have read the reverse of this form and hereby certify that the data submitted is correct to the best of my knowledge and belief, that the load is nondivisible, that satisfactory arrangements have been made with the proper authorities to travel all roads and cross over and under all structures not under the jurisdiction of the Department of Transportation, that required insurance will be in effect until permit expires and that the driver will be provided with a copy of both the issued permit and Department Form M-938.

NAME OF APPLICANT (PRINT)

SIGNATURE OF APPLICANT

DATE APPLIED

TIME APPLIED

PHONE NO.

EMAIL ADDRESS

PERMIT RESTRICTIONS:

DEPARTMENT USE ONLY

RIGHT OF APPEAL

Applicants may appeal a denial of a permit by the Department under 2 PA C.S. Sections 501-508, 1 PA Code Part II and Chapter 491, by submitting a written request for a hearing within 30 days after service of the document containing the denial, to the Administrative Docket Clerk, Office of Chief Counsel, 400 North Street, 9th Floor, Harrisburg, Pennsylvania 17120-0096. A filing fee as prescribed under Chapter 491,made payable to the ''Commonwealth of Pennsylvania,'' shall accompany each request.

PERMIT FEES

Application made in person or by mail shall be accompanied by a certified check or money order in the prescribed amount, however, company checks are acceptable from persons having a valid Account Number. Applicants are encouraged to obtain an account number.

•	General Issuance Fee (plus 4 cents per ton-mile for overweight)	$36 (If < 14' in width)
•	Mobile Home or Similar Oversize Trailer, Modular Unit or Undercarriage	$41 (If < 14' in width)

$75 (If > 14' in width) $80 (If > 14' in width)

•For other fees, see Chapter 19 of the Vehicle Code and Department Regulation 179.9.

•In addition to the General Issuance Fee above, a ton-mile fee is assessed on all weight in excess of the registered gross weight. To compute this fee, fill in the correct amounts from the front of the application (i.e., Gross Weight, Legal Weight, Total Miles).

Gross Weight

Legal Weight (-)

Difference (=)

Difference converted to WHOLE TONS (divided by 2000) (Always convert to the next highest whole ton)

Total Distance	(x)
Ton-Mileage	(=)
at 4 cents per ton-mile	(x)
Ton-Mile Fee	(=)

(''Legal Weight'' is the registered gross weight or legal gross weight, whichever is less.)

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PENNSYLVANIA COUNTIES AND CODES

Adams	01	Berks	06	Cambria	11	Clarion	16
Allegheny	02	Blair	07	Cameron	12	Clearfield	17	Cumberland	21	Monroe	45
Armstrong	03	Bradford	08	Carbon	13	Clinton	18	Cumberland	21	Monroe	45
Armstrong	03	Bradford	08	Carbon	13	Clinton	18	Dauphin	22	Montgomery	46
Beaver	04	Bucks	09	Centre	14	Columbia	19	Dauphin	22	Montgomery	46
Beaver	04	Bucks	09	Centre	14	Columbia	19	Delaware	23	Montour	47
Bedford	05	Butler	10	Chester	15	Crawford	20	Delaware	23	Montour	47
								Elk	24	Northampton	48
			ENGINEERING DISTRICTS					Erie	25	Northumberland	49
			ENGINEERING DISTRICTS					Fayette	26	Perry	50
								Forest	27	Philadelphia	67
								Franklin	28	Pike	51
								Fulton	29	Potter	52
								Greene	30	Schuylkill	53
								Huntingdon	31	Snyder	54
								Indiana	32	Somerset	55
								Jefferson	33	Sullivan	56
								Juniata	34	Susquehanna	57
								Lackawanna	35	Tioga	58
								Lancaster	36	Union	59
								Lawrence	37	Venango	60
								Lebanon	38	Warren	61
								Lehigh	39	Washington	62
								Luzerne	40	Wayne	63
								Lycoming	41	Westmoreland	64
								McKean	42	Wyoming	65
								Mercer	43	York	66
								Mifflin	44

CONTACTS

For current contact information for Permit Offices, visit our website at: www.penndot.gov>Doing-Business>Permits>Hauling Information

HOW TO COMPLETE GENERAL APPLICATION FORM M-936A

Completing PA Permit Application Form M-936A

Following are detailed instructions for completing a Permit Application (Form M-936A). All fields underscored with solid lines must be completed. All fields underscored with dashed lines should be completed where applicable if information is known (e.g., from this guide or a recent similar permit). If any information is incomplete, inaccurate or inconsistent, the application will be denied, so be sure to review each application for completeness, accuracy and consistency before submitting it to

PENNDOT.

PREVIOUS PERMIT NO.: Complete only if a previous permit was issued within the past 30 days and is similar (particularly the routing) to the application being submitted.

APPLICATION ID: PENNDOT will assign the Application ID upon processing of the application data. This number should be used to identify any application processed by the Department.

TYPE PERMIT REQUESTED: Indicate the type of permit being requested by checking each applicable box and completing each applicable blank.

PERMIT OFFICE: 3-digit number (e.g., 070). List the Permit Office organization number where application is being submitted (e.g., where movement on State Routes in PA starts or ends).

ACCOUNT NO.: List the 6-digit account number under which the applicant is registered with the Central Permit Office (see Department Regulation 179.4). If applicant is not registered, enter N/A.

❏Unregistered applicants must apply in person or by mail and must include an Insurance Certificate (see “INSURANCE” below) and a certified check, cashier’s check or money order with their application. To obtain an account number to apply online, visit our web site at www.penndot.gov>Doing-Business>Permits>Hauling Information for hauling account registration forms. Online applications are processed faster than any other application method. All applicants are encouraged to apply via APRAS WEB.

FEIN/SSN: List the FEIN (Federal Employer Identification Number) of the Responsible Motor Carrier. If an applicant is self- employed, has no FEIN, and has no contract with a responsible motor carrier, list the Social Security Number. The FEIN must always be the Responsible Motor Carrier’s FEIN (do not use the FEIN or social security number of a Permit Service).

BILL CODE: List 1-digit code from the menu below:

1 = Unregistered applicants. Before a permit can be issued under this Bill Code, a payment must be received in the correct amount. The Permit Fee will be determined at the time of issuance. Therefore, applicants paying any ton-mile fees with a certified check, cashier’s check or money order are encouraged to wait until the permit is approved before obtaining the certified check, cashier’s check or money order. Provide the Check Number(s) in the space(s) provided. Cash is not acceptable.

3 = Registered applicants. Account # must be entered. PENNDOT’s Central Office will invoice each account monthly. 4 = Governmental.

NAME: List complete name of the responsible motor carrier (e.g., owner, lessee or sub-lessee of a motor vehicle - not the owner of the load, any drawn vehicle or any other person).

STREET: List applicant’s complete street address or P.O. Box.

CITY/STATE/ZIP CODE: List applicant’s municipality, State and Zip Code.

PERMIT FEE: The Permit Fee will be determined at the time of issuance. The permit fee is the sum of the issuance fee and any ton-mile, escort or other established fees (e.g., $1 wire fee). See reverse of Form M-936A for the formula used to compute ton-mile fees. Permit issuance fees are non-refundable and mileage-based fees are non-refundable on used Permits.

GROSS WEIGHT: List total combined weight of the vehicle or combination and nondivisible load, in pounds. Gross Weight must be equal to the sum of all stated axle weights.

If Gross Weight exceeds either 136,000 pounds or Department Regulation 179, Table 8-1 combination general gross weight limits, applicants must also submit a Supplemental Application, Form M-936AS.

LEGAL WEIGHT: List Registered Gross Weight (in pounds) as it appears on the motor vehicle registration (i.e., owner’s) card. The maximum registered Gross Weight in PA is 80,000 pounds for combinations.

Visit our web site at www.penndot.gov>Doing-Business>Permits>Hauling Information

TOTAL LENGTH: List maximum overall operating length of the vehicle or combination and nondivisible load, in feet and inches.

TOTAL WIDTH: List maximum overall operating width (excluding mirrors) of the vehicle or combination and nondivisible load, in feet and inches. Manufactured Housing roof eaves must be included in the Total Width.

BODY WIDTH (63A/63B): Field only needs to be completed for Load Types 63A and 63B. List just the body width, not including eaves, door knobs, etc.

TOTAL HEIGHT: List the maximum overall operating height of the vehicle or combination and nondivisible load, in feet and inches.

Load Information:

Quantity: List the precise number of loads to be transported under the Permit. If none, list “0” as the Quantity.

If requested, the applicant will need to provide details on Form M-936AM on the sizes of each load whenever more than ONE load is identified on the application (e.g., boats, beams, empty tanks), to help Permit Office staff to decide whether the additional articles constitute an oversize/overweight divisible load.

Serial Id: List at least the last six digits of the load serial number, if there is any load. In the rare event that a serial number has

less than six digits, use leading zero(s). If the load has no serial number, list the load bill of lading number (e.g., BOL#: 013579

or WO#: 024680) for each article being transported. If there is no bill of lading number or other shipping document, list hand- painted 6-digit identification number of the load. For example, list serial number for modular unit section or unregistered vehicle being hauled (e.g., 12345A) and the bill of lading number for steel plates.

Type Code: Select from the general Type Code menu below.

34. . . . . .Excess Damage (overweight) Combination – Annual – Not obtainable thru a Permit Service – No refunds 35A . . . .Crane (self-propelled) < 100,000 lbs – Seasonal – Not obtainable thru a Permit Service – No refunds

35B . . . .Crane (self-propelled) > 100,000 lbs – Seasonal – Not obtainable thru a Permit Service – No refunds

37A . . . .Float/Flat Glass (overweight) 5-axle Combination – Annual - Not obtainable thru a Permit Service – No refunds 38A . . . .Waste Coal (overweight) Combination - Annual - Not obtainable thru a Permit Service – No refunds

38B . . . .Beneficial Combustion Ash (overweight) Combination - Annual - Not obtainable thru a Permit Service – No refunds 38C . . . .Limestone (overweight) 6-axle Combination - Annual - Not obtainable thru a Permit Service – No refunds

39. . . . . .Refined Oil (overweight in bulk) Combination - Annual - Not obtainable thru a Permit Service – No refunds

40. . . . . .Construction Equipment (over width) Combination - Annual/Blanket - Not obtainable thru a Permit Service - No refunds

41. . . . . .Particleboard/Fiberboard (overweight) Combination – Annual - Not obtainable thru a Permit Service – No refunds

42A . . . .Building Structural Components Combination – < 80,000 lbs - Seasonal - Not obtainable thru a Permit Service

– No refunds

42B . . . .Building Structural Components Combination – > 80,000 lbs - Seasonal - Not obtainable thru a Permit Service – No refunds

43. . . . . .Wooden Structures (oversize) Combination – Annual - Not obtainable thru a Permit Service – No refunds

44. . . . . .Live Domestic Animals (overweight) Combination - Annual - Not obtainable thru a Permit Service – No refunds

45. . . . .Animal Feed/Grain (overweight in bulk) Combination - Annual - Not obtainable thru a Permit Service – No refunds

46. . . . .Special Mobile Equipment (overwidth on freeways) Hauling or Towing Combination - Annual - Not obtainable thru a Permit Service – No refunds

48. . . . . .Special Mobile Equipment (overweight axles) – Driven - Annual - Not obtainable thru a Permit Service – No refunds

50A . . . .Course of Manufacture – Raw Milk (overweight) – Combination - Annual - Not obtainable thru a Permit Service – No refunds

50B . . . .Course of Manufacture – Hot Ingot/Hot Box (overweight) Combination – Annual – Not obtainable thru a Permit Service

– No refunds

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50C . . . .Course of Manufacture – Flat Rolled Steel Coils or Slabs (overweight) Combination – Annual – Not obtainable thru a Permit Service – No refunds

50D . . . .Course of Manufacture – Road Tested Crane (overweight) Special Mobile Equipment driven – Annual – Not obtainable thru a Permit Service – No refunds

50E . . . .Course of Manufacture – Raw Coal (overweight) Combination - Annual – Not obtainable thru a Permit Service – No refunds

50F . . . .Course of Manufacture – Raw Milk/Raw Coal - < 1 Mile – (overweight) Combination – Annual – Not obtainable thru a Permit Service – No refunds

50G . . . .Course of Manufacture – Raw Water (overweight) 6-axle Combination – Annual – Not obtainable thru a Permit Service

– No refunds

50H . . . .Course of Manufacture – Pulpwood/Chips (overweight) 5-axle Combination – Annual – Not obtainable thru a Permit Service – No refunds

50I . . . . .Course of Manufacture - Cryogenic Liquid (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

50J. . . . .Course of Manufacture – Pulpwood/Chips (overweight) 6-axle Combination – Annual – Not obtainable thru a Permit Service – No refunds

50K . . . .Course of Manufacture – Milk (except Raw Milk) (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

50L. . . . .Course of Manufacture - Eggs (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

50X . . . .Course of Manufacture – Nonhazardous liquid Glue (overweight) Combination – Annual – Not obtainable through a permit service – No Refunds

51A . . . .Course of Manufacture - < 8’ 6” wide (oversize) Unloaded Combination - Annual – Not obtainable thru a Permit Service – No refunds

51B . . . .Course of Manufacture - < 12’ wide (oversize) Single Truck or Combination - Annual – Not obtainable thru a Permit Service – No refunds

51C . . . .Course of Manufacture - > 12’ wide (oversize) Single Truck or Combination - Annual – Not obtainable thru a Permit Service – No refunds

51D . . . .Course of Manufacture – Basic Oxygen Furnace Lances (over length) Combination – Annual – Not obtainable thru a Permit Service – No refunds

51E . . . .Course of Manufacture - < 9’ wide (oversize) Single Truck or Combination – Annual – Not obtainable thru a Permit Service – No refunds

52A . . . .Highway Crossing (oversize/overweight) Unloaded Special Mobile Equipment – Annual – Not obtainable thru a Permit Service – No refunds

52B . . . .Highway Crossing (legal size/legal weight) Unloaded Special Mobile Equipment – Annual – Not obtainable thru a Permit Service – No refunds

52C . . . .Highway Crossing (legal – 2 or more trailers) Combination - Annual – Not obtainable thru a Permit Service – No refunds

52D . . . .Highway Crossing (oversize/overweight truck) Single Truck - Annual – Not obtainable thru a Permit Service – No refunds

52E . . . .Highway Crossing (oversize/overweight) Combination - Annual – Not obtainable thru a Permit Service – No refunds 53. . . . . .“Tracked” Vehicle Crossing (oversize/overweight) Unloaded Special Mobile Equipment – Single Trip

54A . . . .Quarry Equipment – Across highway – Unloaded Special Mobile Equipment - Annual – Not obtainable thru a Permit Service – No refunds

54B . . . .Quarry Equipment – Along highway - Unloaded Special Mobile Equipment - Annual – Not obtainable thru a Permit Service – No refunds

55. . . . . .Utility Construction Equipment (oversize/overweight) Unloaded Special Mobile Equipment – Seasonal – Not obtainable thru a Permit Service – No refunds

56A . . . .Containerized Cargo (overweight) Combination (1 – 15 permits) - Annual – Not obtainable thru a Permit Service – No refunds

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56B . . . .Containerized Cargo (overweight) Combination (16 - 50 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56C . . . .Containerized Cargo (overweight) Combination (51 - 100 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56D . . . .Containerized Cargo (overweight) Combination (101 - 150 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56E . . . .Containerized Cargo (overweight) Combination (151 - 200 permits) - Annual – Not obtainable thru a Permit Service – No refunds

56F . . . .Refrigerated Meat Products (overweight) 6-axle Combination - Annual – Not obtainable thru a Permit Service – No refunds

57A . . . .Emergency Move (public safety criteria) (drawn) Single Truck or Combination – Single Trip

57B . . . .Emergency Move (public safety criteria) (driven) Unloaded Special Mobile Equipment – Single Trip

58A . . . .Governmental Move (government motor vehicle) (drawn) Single Truck or Combination – Single Trip or Annual 58B . . . .Military Convoy – Single Truck or Combination – Seasonal

58C . . . .Military “Certified” (drawn) Single Truck or Combination – Single Trip 58D . . . .Government Agency (drawn) Single Truck or Combination – Annual

58E . . . .PennDOT Contract (drawn) Single Truck or Combination – Seasonal or Annual 58F . . . .Governmental Holiday Tree – Combination – Single Trip

58G . . . .Governmental “Paint Truck” – Single Truck – Annual

58H . . . .Governmental Agency (drawn) Unloaded Special Mobile Equipment – Annual

58J. . . . .General Governmental (driven) Unloaded Special Mobile Equipment – Single Trip 59A . . . .Radioactive Material - Lead Cask (loaded) Combination – Single Trip

59B . . . .Radioactive Material - Lead Cask (empty) Combination – Single Trip 59C . . . .Radioactive Transfer Cask (empty) Combination – Single Trip

60. . . . . .Building (built on-site) or “Antique” Diner - Single Truck or Combination – Single Trip

61. . . . . .Dozer (hauled) Combination – Single Trip

62. . . . . .Boat (hauled) Single Truck or Combination – Single Trip

63A . . . .Mobile Home (oversize trailer – no load) Combination – Single Trip

63B . . . .Modular Housing Unit (load-residential use) Combination – Single Trip 63C . . . .Modular Housing Undercarriage (trailer) Combination – Single Trip

64. . . . . .Super Load ( > 201,000 lbs, > 160’ long, > 16’ wide) - Applicants must be registered and apply through PennDOT’s Automated Permit Routing Analysis System (APRAS) Web. Applicants cannot apply thru a Permit Service. “How

to Complete an Application Package for a Super Load Permit” guide is available on www.penndot.gov>Doing- Business>Permits>Hauling Information

65A . . . .Motor Vehicle – Unloaded Special Mobile Equipment – Single Trip

65B . . . .Crane with Boom – Unloaded Special Mobile Equipment – Single Trip 65C . . . .Crane – Unloaded Special Mobile Equipment – Single Trip

66. . . . . .Vehicle – Oversize Nondivisible Load – Single Truck – Single Trip 66A . . . .Vehicle – (Oversize) Empty Truck – Single Truck – Single Trip

67A . . . .Combination – Load – General (nondivisible) Combination – Single Trip 67B . . . .Combination – Crane (nondivisible) Combination – Single Trip

67C . . . .Combination – Excavator (nondivisible) Combination – Single Trip 67D . . . .Combination – Loader (nondivisible) Combination – Single Trip 67E . . . .Combination – Paver (nondivisible) Combination – Single Trip

67F . . . .Combination – Scraper (nondivisible) Combination – Single Trip 67G . . . .Combination – Truck (nondivisible) Combination – Single Trip

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67H . . . .Combination – Load – Miscellaneous Vehicle (nondivisible) Combination – Single Trip 67J. . . . .Combination – Oversize Built-up (nondivisible) Combination – Single Trip

68A . . . .Miscellaneous - Scraper Drawn Piggyback - Combination – Single Trip 68B . . . .Miscellaneous – Towed Vehicle(s) - Combination – Single Trip

68C . . . .Miscellaneous – Towed Mobile Unit - Combination – Single Trip

68D . . . .Miscellaneous – Manufactured Building Unit - Combination – Single Trip

68E . . . .Miscellaneous – Crane & Boom Dolly - Special Mobile Equipment – Single Trip

68F . . . .Miscellaneous – Movement of Load “After” Citation – Single Truck or Combination – Single Trip 68G . . . .Miscellaneous – Oversize/overweight Semitrailer (empty) – Combination – Single Trip

68J. . . . .Miscellaneous Construction Equipment – Combination – Single Trip

NOTE: Use the Load Type Code having the lowest numerical value if more than one Code is applicable.

Description: List description of load. (e.g., crane, backhoe and transformer).

VEHICLE INFORMATION:

Vehicle #: List each vehicle in sequential order. For example: a combination consisting of a truck tractor (vehicle #1), a jeep dolly (vehicle #2) and a semi-trailer (vehicle #3) requires three separate lines of vehicle information.

Equipment Type: For each vehicle, list the type of the vehicle (For example, the first vehicle would be a truck, a truck tractor or an SME. The second vehicle would typically be a semi-trailer, a trailer or a jeep dolly.)

Plate#/VIN #: For each vehicle, list the license plate number. List last six digits of the VIN-serial number only if the vehicle is exempt from registration in PA under Section 1302 of the Vehicle Code (e.g., oversize special mobile equipment, mobile home or oversize trailer).

State: For each vehicle, list the State in which licensed. If the vehicle is unlicensed, enter N/A.

#Axles: For each vehicle, list the total number of axles (including the steering axle).

An axle is defined as “load-bearing” wheels in a transverse line across the full width of a vehicle. Thus, a “lift-axle” that is not bearing weight is not an axle.

A single axle is “any axle located over 8 feet (2.438 meters) from another axle” or located less than 40 inches (1.016 meters) from another axle (Federal interpretation). “Split-axle” configurations are still single axles by definition and, therefore, do not qualify as tandem axles for additional weight. “Slightly offset axle” configurations that are located less than 40 inches (1.016 meters) from another axle are still single axles by definition and, therefore, do not qualify as tandem axles for additional weight. By definition, an axle group is “a group of axles in which every axle is located within 8 feet (2.438 meters) of another axle”.

Tracked vehicles are not authorized to travel along the highway. A permit will not be issued for a vehicle with other than pneumatic tires to operate along the highway.

TOTAL AXLE WEIGHTS: List each axle weight (front to rear) of vehicle or combination. Sum of all axle weights must equal stated Gross Weight.

If any axle weight exceeds 27,000 pounds or Department Regulation 179, Table 8-2 combination axle weight limits, applicant must also submit a Supplemental Application, Form M-936AS.

In the rare event that a combination has more than nine axles and Form M-936AS is not being submitted, continue the axle information on Form M-936AM.

AXLE DISTANCES: List the actual distances, in feet and inches, from the center of each axle to the center of the previous adjacent axle (front to rear).

ORIGIN INFORMATION:

County: List the county within which movement upon a PA State highway starts.

State: List PA if beginning within PA. List the bordering state if movement begins outside PA. List PA Turnpike if movement begins in PA on the PA Turnpike.

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Point Of Interest: A Point of Interest is a private driveway from which permitted movements frequently begin and which has been identified in the Department’s Roadway Management System (RMS). If a Point of Interest has been established, list it here.

Miles & Direction: If a point of interest has not been entered, list the exact location where movement begins in PA, using reference points identified on the Official State Highway Transportation Map. Also list the miles (to nearest tenth of a mile), the direction, and the closest intersection before the State Route (.5 mile before River Rd on SR 22). If beginning at a state border or an intersection of a state highway and a non-state highway, list a distance of zero miles.

Municipality: Leave this field blank unless you are sure movement begins within the municipal boundary.

DESTINATION INFORMATION:

County: List the county within which movement upon a PA State highway ends.

State: List PA if ending within PA. List the bordering state if movement ends outside PA. List PA Turnpike if movement ends in PA on the PA Turnpike.

Point Of Interest: A Point of Interest is a private driveway at which permitted movements frequently end and which has been identified in the Department’s Roadway Management System (RMS). If a Point of Interest has been established, list it here.

Miles & Direction: If a point of interest has not been entered, list the exact location where movement ends in PA, using reference points identified on the Official State Highway Transportation Map. Also list the miles (to nearest tenth of a mile), the direction, and the closest intersection after the State Route (.5 mile after River Rd on SR 22). If ending at a state border or an intersection of a state highway and a non-state highway, list a distance of zero miles.

Municipality: Leave this field blank unless you are sure movement ends within the municipal boundary.

ROUTE NO(S): List all proposed routes (and direction of travel) upon which the movement may traverse. To request a return trip, include proposed return routes on Form M-936AM.

Use the most direct limited access highways wherever possible, then multi-lane numbered traffic routes, then two-lane numbered traffic routes, using 4-digit “quad” SR (State Route) numbers (e.g., SR 2001) only when necessary with consideration given to vehicle weights, dimensions, turning capabilities, construction projects, condition of pavements and bridges, horizontal and vertical curves, highway grades, intersection turning radii, railroad crossings and other highway features. Permitted vehicles/loads will not be routed from point “A” to point “B” (e.g., drop-off) and continue to point “C” under one single-trip permit.

List 4-digit “quad” SR (State Route) numbers only (e.g., SR1234) when there is no traffic route number.

List interim non-PA State Routes such as a Turnpike “gate number”, a local road and other non-PA State roads in [parentheses] to provide continuity of routing between authorized State Routes. Do not use parentheses in the route section for anything other than routes that are not PA State highways (e.g., use (parentheses) around bridges or highways owned by cities, counties, townships, the Turnpike, railroads or another state). For example, do not show an SR exit number in parentheses. List SR exit numbers in “quotes.”

Permission must be obtained from local authorities for the use of all local roads and streets, which are listed in [brackets] on the permit.

Unless otherwise provided in the law or Department Regulation 179, a permit shall be valid only for a single trip in one direction between the two points designated. The permit does not authorize a return trip unless requested (on Form M-936AM) and specifically indicated on the permit.

The Department may authorize scheduled detours off a limited access highway of up to 1 mile (total) for service or rest, when requested on the application and specifically indicated on the permit. For example: I‑83 N, I-81 N, “Exit 27” TR39 W, 0.5 mile & return, I-81 N. See Department Regulation 179.10(9).

Consistent with Section 6104 of the Vehicle Code, Permit Office staff may request a route survey (See Form M‑936ARS) from applicants certifying that routes have been surveyed for excessively oversize movements, including:

❏Super Loads (required);

❏16 foot wide manufactured housing units on non-limited access highways;

❏Bridge vertical clearance disputes;

www.penndot.gov>Doing-Business>Permits>Hauling Information

❏Construction project lateral clearance disputes;

❏Excessively long (e.g., more than 100 feet) movements involving turns in urban areas.

TOTAL MILES: List estimated total number of miles traveled -- in one direction -- on PA State Routes only. Do not include mileage of non-PA State Routes such as the Turnpike or local roads in this field. The permit fee will be based on actual miles to be traversed. If requesting a return trip, list estimated total number of miles traveled -- on return trip only -- on Form M-936AM in the Return Trip Miles section.

DATE MOVE BEGINS: List the date on which the move is scheduled to begin in PA. Restricted holiday travel periods cannot be entered as move begins dates (except authorized emergencies). Permits will only be issued up to one week in advance due to changes to the road and bridge infrastructure.

DATE MOVE ENDS: PENNDOT will determine the date on which the move must end, which is five authorized weekdays after the move begins date for single-trip permits.

WILLING TO ACCEPT ALTERNATE ROUTES & ADDITIONAL MILES: Enter a check in the box --

❏NO or

❏YES -- indicating your willingness to accept alternate routes for a single-trip permit (YES is recommended for single-trip permits and required for other permits). If yes is checked, list the number of additional miles you will accept (100 miles is recommended). If an applicant is not willing to accept alternate routes for a single-trip permit and the applicant’s proposed routes are unacceptable, the application will be denied. If an applicant is willing to accept alternate routes and the applicant’s proposed routes are unacceptable but no acceptable route can be found within the designated additional miles, the application will be denied. If the application is for other than a single-trip permit, the applicant must be willing to accept alternate routes (e.g., seasonal and annual permits are subject to re-analysis and re-route due to changes to the road and bridge infrastructure over the time a permit is valid).

VENDOR NAME: If Account # is provided (see “Account Number” above), an applicant may list the fax vendor service over whose lines you decide you want the permit to be faxed. The permit fee will be increased by $1 if an applicant requests the permit to be faxed, in accordance with Department Regulation 179.9(e)(3), to offset costs incurred by the Department. The fax vendor will assess additional fees for this service.

FAX PERMIT TO: If Account # is provided (see “Account Number” above), list fax number where you decide the permit will be faxed. Applicants must identify fax machines with automatic call pick-up only.

INSURANCE:

A Motor carrier with Account # (see “Account Number” above) is required to have a current Certificate of Insurance on file with the Central Permit Office and, therefore, does not have to complete these fields -- unless specifically requested by Permit Office staff.

Applicants that do not list a valid Account Number (see above) must complete these fields and attach a copy of their Certificate of Insurance to each Form M-936A Application.

Permit Services must provide, upon request, current Insurance Certificates to verify insurance coverages. The Certificate must show the following:

❏Duration: Insurance is in effect while individual Permit is valid.

❏Amount:

•$250,000 per person (public liability and property damage) and

•$1,000,000 per occurrence (public liability and property damage). NOTE: $1,000,000 combined single limits is acceptable.

❏Type: Occurrence-based insurance (not claims based).

❏Additional Insured: Commonwealth of PA must be added as ‘additional insured’ for property damage and personal injury, in the above amounts. Central Permit Office, PO Box 2671, Harrisburg, PA 17105-2671 may be listed as the certificate holder. ‘Certificate holder’ is not the same as ‘additional insured’ and application will be denied if certificate does not name Commonwealth of PA as ‘additional insured’.

www.penndot.gov>Doing-Business>Permits>Hauling Information

A current “Certificate of Insurance” for each pilot car shall be open to inspection, verifying all insurance coverage required under Department Regulations 179.7(a) and (b) are in effect.

CERTIFICATION:

Review the certification statement and, if true, print/type the name of the applicant, write applicant’s signature, list date, time, phone and email address in the space provided at the bottom of the Form:

❏Name of Applicant - Printed name of person signing application.

❏Signature of Applicant - Signature of person completing application (i.e., applicant contact).

❏Date Applied - Date application submitted.

❏Time Applied - Time application submitted.

❏Phone No. - Applicant contact’s Phone No.

❏Email address – Applicant contact’s email

The driver must sign any single-trip Permit on the “Driver’s Signature” line before the move begins, to verify the permit, vehicle(s) and any load were inspected and are in good order.

DEPARTMENT USE ONLY: Do not enter any information in this section.

PENNDOT staff cannot anticipate whether or when an application may be approved or denied until their reviews are completed and a final decision is made. All applications are processed initially by APRAS. While about four of every five applications are processed automatically by APRAS in about one minute, one of every five applications requires manual review. Applications are manually processed by PENNDOT staff in the order analyzed by APRAS, normally within one full workday.

www.penndot.gov>Doing-Business>Permits>Hauling Information

Get M 936A PDF Form

Form Characteristics

Fact Name	Details
Form Purpose	The M-936A form is used to apply for a special hauling permit for oversize or overweight vehicles in Pennsylvania.
Governing Laws	This form is governed by the Pennsylvania Vehicle Code and Department Regulation 179.
Application Requirements	All lines, except the dashes, must be completed. Missing information can result in denial.
Permit Fees	Fees vary based on the type of permit and weight. For example, the general issuance fee starts at $36.

Guidelines on Utilizing M 936A

Filling out the M 936A form requires careful attention to detail to ensure all necessary information is provided. This form must be completed accurately, as any mistakes may result in delays or denials of the application. Following the detailed steps below will assist in properly filling out the application.

Begin with the previous permit number: Enter this only if a similar permit was issued within the last 30 days.
Write the application ID: This will be assigned by PENNDOT after processing your application.
Select the type of permit: Check the applicable boxes for the permit type you are requesting.
Input the permit office number: This is a 3-digit number identifying where you are submitting the application.
Provide your account number: Enter your 6-digit registration number or indicate N/A if unregistered.
List your FEIN or SSN: Include the Federal Employer Identification Number or, if self-employed, your Social Security Number.
Choose the bill code: Indicate the appropriate 1-digit code that corresponds with your payment method.
Type your name: Clearly write the name of the responsible motor carrier.
Include your complete address: List your street address, city, state, and ZIP code.
Compute and input the gross weight: List the total weight of your vehicle and load in pounds.
Record the legal weight: Provide the registered gross weight as it appears on your vehicle registration.
Measure the total length: Enter the overall length of the vehicle or load in feet and inches.
Measure the total width: Enter the maximum width (excluding mirrors) in feet and inches.
Determine the total height: List the height of the vehicle or load in feet and inches.
Document load information: Specify the quantity of loads, serial ID, type code, and detailed load description.
Identify the origin: Provide the details of the starting point, including county and state.
Specify the destination: Include the details of the endpoint, such as county and state.
List the proposed routes: Write down each proposed route and the corresponding direction of travel.
Total miles: Indicate the total distance of the travel.
Set dates: Record the start and end dates for the move.
Answer alternate routes: Indicate if you are willing to consider alternate routes.
Provide vendor information: Include the vendor’s name and where to fax the permit.
Insurance information: Complete this section and attach a certificate of insurance if you do not have an account number.
Sign the application: Print your name, sign, and date the application.
Finally, include your contact details: Provide your phone number and email address for communication.

What You Should Know About This Form

What is the M 936A form and what is its purpose?

The M 936A form is an application for a special hauling permit used in Pennsylvania. It is specifically designed for oversize and overweight loads. This form allows motor carriers to legally transport loads that exceed standard weight and dimension limits on Pennsylvania's roads. Completing this form is crucial for ensuring compliance with state regulations and for the road safety of all travelers. The application must include accurate information about the load, the vehicle, and the intended route to prevent potential legal issues or delays.

How do I complete the M 936A form?

Completing the M 936A form requires careful attention to detail. All fields underscored with solid lines must be filled out completely. In case you have previously been issued a similar permit within the last 30 days, indicate that by citing the previous permit number. Be sure to specify the type of permit you are requesting—whether it’s a single trip, annual, or another category. Make sure that the gross weight of the load and the dimensions are correctly filled, as inaccuracies can lead to the application being denied. If you are applying without an account number, you will need to include an insurance certificate and payment along with the application.

What types of permits can I request using this form?

The M 936A form allows for various types of permits, including single trip permits, annual permits, and seasonal permits. You can also apply for preliminary superload permits when you expect to carry exceptionally heavy or wide loads. It is essential to select the appropriate type based on your specific hauling needs. Each type may have different requirements and fees, so ensure that you select the one that fits your situation best.

What information do I need to provide about the load on the M 936A form?

When specifying your load on the M 936A form, you should include detailed information such as the total weight, dimensions (length, width, and height), and a clear description of the load. Additionally, you will need to list the quantity of loads, any serial identification numbers or bill of lading numbers, and the vehicle details, including the number of axles and their weight distribution. This precise data helps permit officials assess the impact of the load on the roadway system and ensures that necessary routing or escort arrangements can be made.

What happens after I submit my application for an M 936A permit?

After submitting your application, the Pennsylvania Department of Transportation (PennDOT) will review it for completeness and compliance with regulations. If everything is in order, you will receive your permit. If issues arise, such as missing information, the application may be denied. In that case, you can appeal the decision within a designated timeframe by submitting a written request for a hearing. It’s important to be mindful of application processing times, especially if you have a scheduled move.

Common mistakes

Filling out the M-936A form can be a daunting task, and it's easy to make mistakes that could delay your application. One common error is failing to complete all required fields. The form emphasizes that all lines must be filled out, excluding the dashes. Incomplete applications often lead to immediate rejections, so it’s crucial to ensure every section is addressed. Skipping any part of the application may result in delays, so take your time and review each line carefully.

Another frequent mistake involves using an incorrect or outdated Account Number. If you have previously registered for an account, it is essential to include the correct 6-digit number. New applicants should note that if they don’t have an account number, they must apply in person or via mail and include necessary documents. Double-check that you're using the most current account number to prevent complications in processing your application.

An inaccuracy in reporting weight measurements is also a critical error that can lead to application denial. It's important to list the Gross Weight, Legal Weight, and other relevant dimensions correctly. Be sure that the Gross Weight equals the total of all stated axle weights. Mistakes in these figures can trigger immediate disqualification, so taking the time to verify these numbers is vital.

Additionally, many applicants overlook the need to specify the proper type of permit being requested. Each permit type has specific checkboxes, and failing to indicate the correct category— like Single Trip, Annual, or Emergency—can lead to unnecessary delays. Ensure that all necessary boxes are checked and are in line with the nature of the permit you wish to obtain.

Omitted or inaccurate location details can also derail an application. It’s necessary to list the correct origin and destination, including county and state. If you plan on taking an interim non-state route, you should mention that as well. Good planning includes double-checking this information to reflect your intended travel route accurately.

Another common mistake is not providing adequate insurance certification when required. Those without a registered account must attach a certificate of insurance. A failure to include this crucial document can significantly slow down the approval process, leading to potential fine or penalties during transport.

Lastly, neglecting the applicant’s signature or date can completely halt processing. The last section of the form requires the printed name, signature, date, and contact details of the applicant. Missing this vital step may render an otherwise complete application void, so don’t forget to sign and date your application before submission.

By avoiding these common pitfalls, you can enhance your chances of a smooth application process for the M-936A form. Every detail counts, so take your time to review and confirm that everything is correct before submission.

Documents used along the form

The M-936A form is critical for securing special hauling permits for oversized or overweight vehicles. When submitting this form, applicants may also need to prepare and submit additional documents. Each document serves a specific function in ensuring compliance with transportation regulations.

Supplemental Application Form M-936AS: This form is required when a gross weight exceeds certain limits. It provides additional details necessary for processing the permit.
Certificate of Insurance: This document verifies that the applicant has the necessary insurance coverage, protecting against liabilities during transportation. It must include specific coverage amounts and note the Commonwealth as an additional insured.
Bill of Lading (BOL): The BOL includes detailed information about the load being transported, including quantity and identification numbers. It's essential for tracking and verifying the lawful movement of freight.
Vehicle Registration Document: This document confirms that the vehicle is legally registered and provides information on its registered gross weight. It is essential for determining if the vehicle complies with weight limits.
Route Map: A detailed map outlining the proposed travel route enhances clarity. It helps permit officials evaluate the safety and feasibility of the proposed route for oversized or overweight loads.

By preparing these documents, applicants increase the likelihood of a smooth approval process for their special hauling permits. Each document complements the M-936A and provides necessary information for adherence to legal requirements in transportation.

Similar forms

Form M-936AS: This is a Supplemental Application for overweight permits. It is used when gross weight exceeds certain limits, similar to how the M-936A requests detailed weight information for permit applications.
Form M-938: Known as the "Permit Issuance Instruction," this form provides guidelines related to the issued permits. Like M-936A, it includes essential information needed for compliance and proper routing.
Form M-300: This form is utilized for registration and renewal of oversize/overweight transport vehicles. Both forms require accurate vehicle and load specifications to ensure proper processing.
Form M-939: This document is for applications related to special hauling permits for agricultural vehicles. Similar to M-936A, it caters to specific industry regulations and includes load and route specifications.
Form M-930: This is an application for a transport permit for hauling logs and timber products. Like the M-936A, it emphasizes the importance of complete and accurate load information and route plans.
Form M-935: This form is for special permits related to construction materials transport. Both documents share a focus on the dimensions and weight of the loads to avoid road damage and ensure safe travel.
Form M-931: This is the application for permits concerning heavy construction equipment transport. Similar to M-936A, it requires extensive details about vehicle dimensions, ensuring regulatory compliance.
Form M-932: This permits the transport of non-motorized vehicles in specific conditions. It shares the same need for exact measurements and routing as found in the M-936A application.

Dos and Don'ts

When filling out the M 936A form for a special hauling permit, it’s essential to be thorough and accurate to prevent delays or rejections. Here’s a helpful list of things to keep in mind:

Do complete all fields with solid underlines.
Do double-check for accuracy before submitting your application.
Do use a certified check or money order if you are an unregistered applicant.
Do specify the type of permit clearly by checking the corresponding boxes.
Do provide the total gross weight and ensure it matches your axle weights.
Don't leave any field blank that is required.
Don't submit incorrect or inconsistent information as this leads to denial.
Don't use cash; it is not an acceptable form of payment.
Don't forget to attach an insurance certificate when needed.
Don't assume the permit fee will be the same if you’ve applied before; check current fees.

Following this list while completing the M 936A form can increase your chances of a smooth, successful application process.

Misconceptions

When it comes to the M 936A form for obtaining an oversize/overweight permit in Pennsylvania, there are several misconceptions that can lead to confusion or errors in the application process. Here are seven common misunderstandings explained:

All fields are optional. Some people believe that they can skip fields that they don’t think are necessary. However, every field that has a solid underline must be completed. Missing information could result in a denial.
The M 936A form is only for trucks. This form can be used for various types of vehicles and loads, not just trucks. Whether you’re hauling heavy machinery or oversized materials, this permit applies as long as the load doesn't meet legal size and weight limits.
I don’t need insurance if I’m registered. Even if you have a registration number, liability insurance is required. This must include specific coverage for public liability and property damage with the Commonwealth of Pennsylvania listed as an additional insured.
Any mistake can be fixed after submission. Unfortunately, mistakes can lead to an immediate denial of the permit. It’s essential to double-check all entries for thoroughness and accuracy before sending in the application. Once submitted, the application cannot be altered.
Permits are issued immediately. Many assume they will receive their permits right away. However, it often takes time for processing, especially if there are any questions about the application or if additional information is needed.
Payment is required only after the permit is approved. In reality, payment must accompany the application if the applicant is unregistered. Registered applicants are billed monthly, but for unregistered ones, this upfront payment is necessary.
All loads can be combined on one application. While it may seem convenient to list multiple loads, if you have more than one type of load, you will need to provide details on another form. This ensures that each load conforms to weight and sizing regulations.

Understanding these misconceptions can help in navigating the permit application process more smoothly. Always ensure that you follow the guidelines provided in the instructions associated with the M 936A form to avoid common pitfalls.

Key takeaways

Complete All Required Fields: Ensure that all lines on the form, except for the dashed ones, are filled out completely. Missing information can lead to immediate denial of the application.
Previous Permit Information: Provide the previous permit number only if a similar permit was issued within the last 30 days. This helps streamline the application process.
Permit Type Selection: Clearly mark the type of permit needed, whether it’s a single trip, annual, seasonal, or emergency permit. This prevents confusion and expedites processing.
Accurate Weight Entry: Enter the gross weight and legal weight precisely. The gross weight should equal the sum of the axle weights, ensuring no discrepancies.
Correct Fee Calculation: Be prepared to calculate the permit fee based on the gross weight and total miles, particularly if overweight. Fees vary depending on the specifics of the request.
Safety and Compliance: Acknowledge by signing that arrangements with the relevant authorities are in place. This is crucial for legal compliance when moving oversized loads.
Insurance Requirements: If the applicant does not have an account number, include a certificate of insurance. The insurance must cover specific liabilities including property damage.
Urgent Communication: If there are questions or issues with the application, timely communication is essential. Including your phone number and email provides avenues for quicker resolution and updates.

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