Indiana Form IOA-T (State Form 57867) is the Intrastate Operating Authority Acknowledgement for Carrier Tariff or Schedule Publication, a mandatory form used by motor carriers operating within Indiana who need to submit tariff or schedule publications to the Indiana Department of Revenue for regulatory approval and supervision. This form serves as a formal acknowledgement that the carrier entity understands and complies with Indiana Code provisions related to tariff and schedule publication requirements, specifically IC 8-2.1-22 and the administrative rules outlined in 45 IAC 16, which govern how motor carriers must structure, file, and publish their tariffs and schedules. When a carrier submits this form, they are certifying that they have reviewed the applicable legal requirements, that their attached tariff or schedule submission meets those requirements, and that they understand the Indiana Department of Revenue has the authority to regulate and supervise their tariffs, schedules, service standards, safety practices, operational methods, and hours of operation. The form also serves as a legal acknowledgement that the Department may reject any non-compliant submission and require the carrier to re-file or re-issue the publication, and that failure to comply may result in amendment, suspension, or revocation of the carrier’s operating authority. This form must be completed carefully because incomplete submissions in Section 1 or Section 2 will be returned to the sender, delaying the approval process and potentially affecting the carrier’s ability to legally operate under the proposed tariff or schedule.
How To File Indiana Form IOA-T
Filing Form IOA-T requires careful completion of all required sections and submission to the Indiana Department of Revenue’s Motor Carrier Services division. The form must be submitted only to the Indiana Department of Revenue, not to any other agency or office. You have two submission options: standard mail or overnight/express mail. For standard mail submissions, send the completed form to Indiana Department of Revenue, Motor Carrier Services, P.O. Box 6075, Indianapolis, IN 46206-6075. For overnight or express mail submissions, use the physical address: Indiana Department of Revenue, Motor Carrier Services, 7811 Millhouse Road, Suite M, Indianapolis, IN 46241-9612. Before mailing, verify that both Section 1 and Section 2 are fully completed, as any missing information will cause the form to be returned to you. If you have questions about the form or the filing process, contact Motor Carrier Services at 317-615-7200, then choose option 3, followed by option 1.

How to Complete Indiana Form IOA-T
Section 1: Applicant Entity
Full Legal Name
Enter the complete legal name of the carrier entity that is submitting the tariff or schedule publication. This must be the exact legal name as registered with the state, not a trade name, DBA name, or shortened version. If your company is a corporation, LLC, partnership, or other formal entity, use the full registered business name including any designations like “Inc.,” “LLC,” “Corporation,” or “Co.” Do not use personal names unless the carrier operates as a sole proprietorship under the individual’s legal name. This field is mandatory and leaving it blank will result in the form being returned.
Section 2: Acknowledgement And Signature
This section contains critical legal acknowledgements that you must read and understand before signing. By signing this section, you are making three specific acknowledgements and accepting certain legal consequences.
First Acknowledgement
The first bullet point requires you to acknowledge that the Indiana Department of Revenue (referred to as “the Department”) has regulatory and supervisory authority over the tariffs, schedules, service quality, safety standards, operational methods, and hours of operation for every motor carrier that falls under the provisions of Indiana Code 8-2.1-22. This means you understand the Department has legal power to oversee and enforce compliance with state regulations governing how you operate your carrier business.
Second Acknowledgement
The second bullet point requires you to acknowledge that your entity has thoroughly reviewed the Indiana Code provisions that cover tariff and schedule publications for motor carriers, specifically IC 8-2.1-22, and that the tariff or schedule submission you are attaching to this form conforms to those legal provisions and meets the form and content requirements established in the administrative rules at 45 IAC 16. You are certifying that you have done your homework, reviewed the law, and believe your submission complies.
Third Acknowledgement
The third bullet point requires you to acknowledge that the Department has discretionary authority to reject any tariff or schedule that does not comply with the statutory provisions in IC 8-2.1-22 or the administrative regulations in 45 IAC 16, and that the Department may, for reasons it considers sufficient, direct you to re-file or re-issue your publication. You are also acknowledging that if your submission is rejected, the publication becomes void and this rejection may subject your carrier’s operating authority to amendment, suspension, or revocation under Indiana Code. This is a serious acknowledgement because it means non-compliance can jeopardize your legal authority to operate.
Note About Public Disclosure
There is an important note stating that this form may be subject to public disclosure by the Department in certain necessary circumstances, such as when responding to an Indiana Access to Public Records Act request (commonly called an “APRA” request) or when ordered by a court. This means the information you provide on this form is not necessarily confidential and may become publicly available.
Signature
After reading and understanding all three acknowledgements and the public disclosure note, sign your name on the signature line. The person signing must have the legal authority to bind the applicant entity. If you are an officer, owner, or authorized representative of the carrier entity, you may sign. If you are signing on behalf of a corporation or LLC, ensure you have proper authorization from the board of directors or operating agreement.
Date
Enter the date you are signing the form. Use a standard date format such as month/day/year or spell out the month to avoid confusion.
Printed Name
Print your full legal name clearly and legibly. This should match the signature you provided and should be the name of the individual signing, not the entity name (which you already provided in Section 1).
Section 3: Attorney Information
This section is optional and should only be completed if an attorney prepared this form on behalf of the carrier entity. If you completed the form yourself or had a staff member complete it, leave this entire section blank.
Signature Of Attorney
If an attorney prepared the form, the attorney should sign on this line. The attorney signature is separate from the applicant signature in Section 2.
Printed Name Of Attorney
The attorney should print their full legal name clearly on this line.
Address
The attorney should provide their complete mailing address, including street address, city, state, and ZIP code. This should be the attorney’s office address or the address where they prefer to receive correspondence related to this filing.
Attorney Number
Enter the attorney’s bar number or license number issued by the Indiana Supreme Court. Every attorney licensed to practice in Indiana has a unique attorney number, and this should be entered exactly as it appears on their bar card or license.
Telephone Number
Provide the attorney’s office telephone number, including area code. Use a direct line if available, or a main office number where the attorney can be reached.
Email Address
Enter the attorney’s professional email address. This should be an address the attorney checks regularly, as the Department may use it for correspondence related to the tariff or schedule submission.
What Happens After You Submit Form IOA-T
Once you submit the completed Form IOA-T along with your tariff or schedule publication, the Indiana Department of Revenue’s Motor Carrier Services division will review your submission for completeness and compliance with applicable statutes and regulations. If Section 1 or Section 2 is incomplete, the form will be returned to you immediately without review of the attached tariff or schedule. If the form is complete but the attached tariff or schedule does not comply with IC 8-2.1-22 or 45 IAC 16, the Department may reject the publication and direct you to revise and resubmit it. If your submission is approved, your tariff or schedule will be accepted for publication and your operating authority will reflect the approved rates and services. Keep copies of all submitted materials and any correspondence from the Department for your records.
Common Mistakes To Avoid When Completing Form IOA-T
Do not use trade names or DBAs in Section 1—use only the full legal entity name. Do not leave the signature or date fields blank in Section 2, as this will cause automatic rejection. Do not sign the form if you have not actually reviewed the code provisions and confirmed your tariff or schedule complies—signing constitutes a legal certification. Do not complete Section 3 unless an attorney actually prepared the form. Do not submit the form to any address other than the two provided Motor Carrier Services addresses. Do not assume your tariff or schedule will be automatically approved simply because you submitted Form IOA-T—the Department retains discretion to reject non-compliant publications.
Who Must File Form IOA-T
Any motor carrier operating within Indiana (intrastate) that is required to file or publish tariffs or schedules under IC 8-2.1-22 must file Form IOA-T when submitting those tariffs or schedules to the Indiana Department of Revenue. This typically includes common carriers, contract carriers, and other for-hire motor carriers providing transportation services within Indiana state boundaries. If you are unsure whether your carrier operation requires tariff or schedule publication, consult the statutes at IC 8-2.1-22 or contact Motor Carrier Services for guidance before preparing your submission.