Indiana MC-CCP

This article is a detailed guide that explains what the Indiana MC-CCP Form is, how to file it, and provides clear, line-by-line instructions for completing every field.

The Indiana MC-CCP Form, officially known as the Credit Card Authorization Form, is a crucial document issued by the Indiana Department of Revenue’s Motor Carrier Services (MCS) Department. This form allows motor carriers to pay for various MCS transactions—such as registrations, permits, and renewals—using a credit or debit card. It is designed to ensure secure, efficient payment processing and must be submitted together with the relevant paperwork or bill to the appropriate MCS section. The form enforces strict payment rules: you cannot combine payments for multiple MCS sections in a single transaction, and only one payment method is allowed per submission. Every credit card payment processed through this form is subject to a processing fee of $0.40 plus 1.96% of the total transaction amount. The cardholder’s signature is required to authorize the payment, ensuring compliance and security. By standardizing the payment process, the MC-CCP Form helps both the Department and motor carriers maintain accurate records and streamline financial transactions across Indiana’s motor carrier industry.

How To File The Indiana MC-CCP Form

Filing Requirements And Process

  • Submit the completed MC-CCP Form along with your paperwork or bill to the correct MCS section handling your transaction.
  • Follow the instructions and fax numbers provided on the form’s second page to ensure your documents reach the right department.
  • Do not combine payments for different MCS sections; each transaction requires its own form and payment.
  • Only one payment type (credit or debit card) is allowed per transaction.
  • Processing fees apply: $0.40 plus 1.96% of the total amount charged.
  • The cardholder’s signature is mandatory for authorization.
Completing The Indiana MC-CCP Form

Completing The Indiana MC-CCP Form

Business Information Section

FieldHow To Complete
Legal NameWrite the full legal name of the sole proprietor, partnership, or corporation responsible for payment.
DBA NameEnter your “Doing Business As” name if different from the legal name; if not applicable, write “N/A”.
Name on Credit CardFill in the exact name as it appears on the credit or debit card you are using for payment.

Contact Information Section

FieldHow To Complete
AddressProvide the complete mailing address of the credit card account holder, including street and number.
City, State, ZIP CodeEnter the city, state abbreviation, and ZIP code for the address above.
Telephone NumberList the main business phone number with area code for contact regarding this transaction.

Government Registration Numbers Section

FieldHow To Complete
USDOT/IOA NumberEnter your US DOT number or Indiana Operating Authority number. If new, write “N/A”.
FHWA/MC NumberProvide your Federal Highway Administration or Motor Carrier number, or “N/A” if not applicable.
TID Account NumberInput your Taxpayer Identification account number, or “N/A” if you do not have one yet.

Registration And Fleet Information Section

FieldHow To Complete
IRP Account NumberEnter your International Registration Plan account number, or “N/A” if not applicable or new.
Fleet NumberProvide the fleet number for your IRP account, or “N/A” if not applicable or new.
Transaction NumbersList the transaction number(s) for IRP renewal or other MCS transactions, or “N/A” if new.
Reg. YearSpecify the registration year for the payment, or “N/A” if not applicable or new.

Payment Information Section

FieldHow To Complete
Card Type SelectionCheck the box for Mastercard, Visa, or Discover to indicate your card type.
Account NumberEnter your full credit card number in the spaces provided (four groups of four digits).
Expiration DateFill in the card’s expiration month and year in MM/YY format.
CVV CodeProvide the three-digit security code from the back of your card.
AmountState the total amount to be charged, including the processing fee.
Put on File / One-time UseIndicate if you want the card information kept on file for future use or used for this transaction only.

Authorization Section

FieldHow To Complete
Cardholder’s SignatureThe cardholder must sign here to authorize the payment and agree to the processing fee.
EmailProvide an email address for confirmation or communication about the transaction.
Processing Fee AgreementBy signing, you agree to the $0.40 plus 1.96% processing fee for the transaction.

Important Tips For Filing

  • Double-check all information before submitting to avoid delays or rejection.
  • Submit the form and supporting documents together to the correct MCS section.
  • Keep copies of all forms and receipts for your records.
  • Do not combine payments for different MCS sections or use multiple payment types in one transaction.

Key Takeaway:
Completing the Indiana MC-CCP Form accurately and following these step-by-step instructions will ensure your payment is processed smoothly and your motor carrier services are not delayed.

Summary Table: Indiana MC-CCP Form Fields

SectionField NameRequired Action/Entry
Business InfoLegal NameFull legal name of business/entity
DBA NameTrade name or “N/A”
Name on Credit CardName as it appears on card
Contact InfoAddressCardholder’s mailing address
City, State, ZIP CodeCity, state, ZIP for address
Telephone NumberMain business phone number
Registration NumbersUSDOT/IOA NumberUS DOT/IOA number or “N/A”
FHWA/MC NumberFHWA/MC number or “N/A”
TID Account NumberTID account number or “N/A”
Registration/Fleet InfoIRP Account NumberIRP number or “N/A”
Fleet NumberFleet number or “N/A”
Transaction NumbersTransaction number(s) or “N/A”
Reg. YearRegistration year or “N/A”
Payment InfoCard Type SelectionCheck Mastercard, Visa, or Discover
Account NumberFull card number
Expiration DateCard expiration date
CVV CodeCard security code
AmountTotal amount to charge
Put on File/One-time UseSelect payment preference
AuthorizationCardholder’s SignatureCardholder’s signature
EmailEmail address
Processing Fee AgreementAgreement to processing fee (by signing)
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