Oversize load permit application

Applicant Information

Company

Contact Person

Mailing Address

Phone Number

Fax Number

Load Details

Vehicle Description

Object(s) being Moved

Dimensions of Load

Length (L)

Width (W)

Height (H)

Date(s) of Move

Date(s) of Move
	Date(s) of Move	Item weight

more items

Time(s) of Move

Check all that apply

Describe Proposed Route

Please attach a copy of the map.

Ministry Approval Required?

Yes

If Yes, contact MOTI to complete their approval process for Ministry Roads. MOTI approval is required where the proposed route includes Ministry roads. Please refer to the Oversize Load Permit Application map to verify road jurisdiction.

Safety Requirements

Beacons

Signs Front

Signs Rear

Clearance Lights

Pilot Cars

Flags

Attachments

Please upload the following required documents:

Map of Proposed Route and/or Road Closures
Insurance Certificate ($2,000,000 coverage, City of Courtenay as additional insured, 30-day cancellation notice)
City of Courtenay or Inter-Community Business License
Traffic Control Plan (pilot cars, clearance lights, flags, etc.)
Signage Approval Request (letter format identifying locations for temporary traffic control signage)

Maximum 6 files.
32 MB limit.
Allowed types: txt, rtf, odf, pdf, doc, docx, ppt, pptx, xls, xlsx.

Applicant Signature

Sign above

Date