Vehicle Permit Extension Request Form
Submit your request to extend your existing vehicle permit. Please provide accurate information for timely processing.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Existing Permit Number
*
Current Permit Expiration Date
*
-
Month
-
Day
Year
Date
Vehicle Make
*
Vehicle Model
*
Vehicle Plate Number
*
Reason for Extension
*
Upload Supporting Documents (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Extension Request
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