This document is a renewal application for an International Fuel Tax Agreement (IFTA) license issued by the Utah State Tax Commission. It requests information such as the applicant's name, address, telephone number, IFTA and IRP numbers. The applicant is asked to indicate if they are canceling their IFTA license and provide the cancel date. They must also enter the calendar year for which they are renewing and the number of decal sets needed. The total amount due is calculated by multiplying the number of decal sets by the $4 price per set. The applicant agrees to comply with IFTA requirements and certifies the information is accurate before signing and dating. Instructions are provided about the IFTA license

1. Clear form
Utah State Tax Commission
TC-937
93781 Utah IFTA Renewal
Application and Decal Request Rev. 10/08
9998
Name and address
Business name Telephone no.
CANCEL IFTA License (Cancel date: ____________)
If you have ceased operations, check quot;CANCEL IFTA Licensequot; IFTA account number U.S. DOT number
IRP number
and enter the cancel date and provide explanation on back. UT-
Year
Enter the calendar year (Jan - Dec) for
which you are renewing.
Utah State Tax Commission
IFTA Renewal 1. Enter the number of decal sets needed
210 N 1950 W
$4.00
2. Price per decal set
SLC UT 84134-8135
$
3. Total amount due (multiply line 1 by line 2)
Corrections/Explanations
Applicant agrees to comply with reporting, payment, record keeping, and license display requirements as specified in the International Fuel Tax
Agreement. The applicant further agrees that the base jurisdiction may withhold refunds due if applicant is delinquent on payment of fuel taxes due any
member jurisdiction. Failure to comply with these requirements shall be grounds for revocation of license in all member jurisdictions.
Applicant certifies that to the best of his or her knowledge, the information is true, accurate, and complete and any falsification subjects him or her to
appropriate civil and/or criminal sanction of the base jurisdiction.
Applicant's signature Date signed
X
Detach here and submit coupon
Payment Coupon for IFTA Renewal/Decal Request, TC-937PC
TC-937PC Rev. 10/08
I
Due Date mmddyyyy
Tax Type Period Ending mmddyyyy
IFTA Account Number
IFTA UT- F
T
A
00
Amount Paid
UTAH STATE TAX COMMISSION
210 N 1950 W Make check or money order payable to the Utah State Tax
Commission. Do not send cash. Do not staple check to
SLC UT 84134-0520 this coupon. Detach stub from check.

2. 90000
Renewal Application IFTA License
Complete and return the entire renewal application to When you receive your new IFTA license it will show the
renew your IFTA license and decals. Return with payment mailing address and business address listed on our IFTA
within 10 days. Account will not be renewed unless all account file. A copy of the license must be kept in the cab
returns are filed and paid in full. of each IFTA-qualified vehicle.
Enter the number of decal sets needed for the company
IFTA Decals Display
identified on this IFTA renewal. Base the number of decal
Each IFTA-qualified vehicle is required to display two
sets on the number of units owned or leased by this
decals, one on each side of the vehicle cab.
company and that will be accounted for on this company's
IFTA Fee Requirement
IFTA return. These IFTA decals may only be used on units
A fee of $4 per set of decals (2 decals) is required. Please
reported on this company’s IFTA return.
enclose a check for the total amount due. Make your check
Additional decals purchased must be tied to additional
payable to the Utah State Tax Commission and return with
units purchased or leased by this company or used to
this form.
replace unusable decals. Additional decals can be
NOTE: If you have any questions about your IFTA renewal
requested on form TC-934.
or need forms, contact the Tax Commission by calling
Federal ID (FEIN/EIN): Use the federal ID number
(801) 297-6800 or toll-free 1-888-251-9555 or access the
assigned by the federal government. This number is the
Tax Commission's web site at motorcarrier.utah.gov.
IFTA/Special Fuel User License number. Due to privacy
issues, we discourage the use of Social Security Numbers. If you need an accommodation under the Americans with
Disabilities Act, contact the Tax Commission at (801) 297-
Changes - Incorrect Information or Business Name or
3811 or Telecommunication Device for the Deaf (TDD)
Ownership Changes
(801) 297-2020. Please allow three working days for a
If there is a business name change or if the information is
response.
incorrect, make the corrections above. If there is an
ownership change, you must complete a new application, Signature is required on front. Application will be
TC-69MC. rejected without the signature.
Changes - Address and Telephone
If there is an address or telephone number change, make
the corrections above.
Please Note: If you travel in Utah only, your account will be changed to Special Fuel User (SFU). You will
be sent a permit for SFU and requested decals.