| Electronic Funds Transfer Declaration |
96-0335 |
For motor carriers to request electronic transfers for IFTA, UST, and supplier accounts. |
| Electronic Records Access Bond |
96-0308 |
For an applicant for monthly purchase of electronic motor vehicle records to authorize a surety bond for noncompliance. |
| Electronic Third Party Adjustment Authorization |
96-0415 |
To initiate a refund or correcting bank deposit to MVD. |
| Endocrinologist Annual Evaluation Diabetes Waiver |
40-1510 |
This form must be submitted annually for individulas who need to renew a previously issued intrastate commercial driver license medical waiver for diabetes. |
| Endocrinologist Evaluation Arizona Intrastate |
40-1506 |
This Endocrinologist Evaluation form is part of the initial Diabetes Waiver Package 40-1505 |
| Endocrinologist Quarterly Evaluation |
40-1508 |
This form is completed by endocrinologists to report quarterly on individuals who have been issued an intrastate commercial driver license medical waiver for diabetes |
| Envelope Permit Application |
96-0289 |
To transport nonspecific and nonreducible vehicle or cargo. |
| eSign for Minors |
40-5905 |
|
| Estimated Mileage Declaration - Schedule G |
96-0291 |
Supplement to the Apportioned Registration Application, 70-0502. |
| Exporter Refund Application |
96-0159 |
For a licensed fuel exporter to request refund of fuel taxes paid on fuel shipped or diverted to another state in bulk by truck. |
| Exporter Refund Summary Schedule |
96-0159A |
Summary of the Exporter Refund Worksheets, in support of Exporter Refund Application. |
| Exporter Refund Worksheet |
96-0159B |
To compile fuel exports for a specific type of fuel and destination. The total will be transferred to the Exporter Summary Schedule, in support of Exporter Refund Application, 96-0159. |
| Film Record Request |
96-0515 |
For an authorized third party provider to request microfilm copies. |
| For Hire Certificate |
96-0148 |
To certify that a 12,000 lb or less vehicle is used for transporting people, packages or property for compensation, and upon payment of a light motor carrier fee, is exempt from DOR transaction privilege tax on the activity of transporting for hire. |
| Foreign-Based IFTA Tax Credit Refund Application |
96-0158 |
For an International Fuel Tax Agreement (IFTA) carrier based outside of Arizona to claim the 2 cents per gallon tax refund for fuel purchased in Arizona, but consumed in another state. |
| Forest Products Use Fuel Refund Application |
96-0425 |
To request a refund on taxes paid on fuel purchased in compliance with the Arizona Commerce Authority, Healthy Forest Enterprise Incentives Program. |
| FRP Apportioned Registration Application |
70-0502 |
For a motor carrier to apply for apportioned registration, or renew or make changes to an existing account. |
| Fuel Refund Equipment List |
96-0161 |
To list the equipment upon which a refund application is made. |
| Fuel Supplier Bond |
96-0153 |
For an applicant for a motor vehicle fuel supplier license to authorize a surety bond for noncompliance. |
| Fuel Supplier Tax Report |
Tax 120 |
** Not a PDF file ** Microsoft Excel spreadsheet ** used as a monthly tax report for Arizona fuel suppliers. |