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Applying for an E-ZPass MA account streamlines the toll-paying process for Massachusetts drivers, offering a seamless travel experience on toll roads. Tailored specifically for privately owned or leased 2-axle, 4-tire vehicles, the application process for an E-ZPass MA transponder is straightforward, with detailed guidance provided for personal information, vehicle details, and toll payment options. Potential applicants should be aware that this particular application excludes operators of vehicles with more than four tires or those bearing commercial, livery, taxi, or combination license plates, who are instead directed to inquire about a Commercial Business Account. The application prompts individuals to provide personal contact information, select a PIN for secure account management, and designate preferences for receiving monthly statements. It also requires listing each vehicle to be associated with the account, including make, model, and license plate details, followed by a choice among various account replenishment options aiming to cater to diverse user preferences. A notable section underlines the importance of reading the terms and conditions associated with the account, emphasizing the commitment of applicants to adhere to these stipulations upon the use of the E-ZPass system. Overall, the E-ZPass MA application form encapsulates all necessary steps to ensure users can efficiently manage their travel tolls, thereby encapsulating a blend of convenience, security, and regulatory compliance.

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www.mass.gov/ezpassma

1-877-627-7745

APPLICATION FOR INDIVIDUAL E-ZPASS MASSACHUSETTS ACCOUNT

Please note, this Application is for privately owned or leased 2-axle,

Mail or Fax application to:

E-ZPass MA Customer Service Center

4-tire vehicles only. Operators of vehicles with more than 4 tires, or

27 Midstate Drive

vehicles with livery, taxi, combination (plates) or other commercial license

Auburn, Massachusetts 01501-1839

plates should call toll-free 1-877-627-7745, Option 3, then Option 7, to

FAX: 1-508-786-5222

receive a Commercial Business Account Application.

To join online visit www.mass.gov/ezpassma

PLEASE PRINT CLEARLY

Personal

Information

Statement

Options

(check only one)

Vehicle

Information

IMPORTANT ➞

As it appears on your vehicle registration

REQUIRED - 4 DIGIT PERSONAL PIN NUMBER

 

 

 

 

 

 

 

 

 

➞

IMPORTANT

 

 

AUTHORIZED ALTERNATIVE CONTACT

 

 

 

 

 

 

 

 

 

 

(Select any 4 numbers to access your account information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

online or over the phone)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST NAME

 

 

 

 

 

FIRST NAME

 

 

 

 

MI

 

 

EMAIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME PHONE

 

WORK PHONE

 

 

 

CELL PHONE

 

 

 

 

 

 

FAX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please do not send a monthly account

 

 

Please e-mail a link to my monthly account

Please mail a monthly account statement to the address listed above.

statement; I can use the on-line Account

 

 

statement each month. I have provided my

I understand that there is a $2.00 monthly fee for this service and

Manager to access my statement.

 

 

e-mail address above.

 

 

 

 

 

I authorize E-ZPass MA to deduct this fee from my E-ZPass MA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

account each month.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List all vehicles that will be using your E-ZPass MA transponders.

 

 

 

 

 

 

Reminder Please remember to always update your account with any

Please note that you must list at least one vehicle for each transponder requested.

 

 

 

 

changes or additions to vehicle(s) or personal information.

LICENSE PLATE NO.

PLATE TYPE

 

STATE

 

 

 

 

 

MAKE & MODEL OF VEHICLE

 

 

 

 

 

YEAR

INDICATE IF LEASED VEHICLE

(Reference Vehicle Registration)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transponder(s)

Please indicate the number of transponders you are requesting.

 

 

(Maximum 4 transponder(s) per account)

TRANSPONDERS REQUESTED

Toll Payment Options (check only one)

OPTION B Direct Payment from Checking Account

By Choosing Option B: You hereby authorize E-ZPass MA to initiate debit entries from your checking account to automatically replenish your E-ZPass MA account whenever the account balance falls below the Low Balance threshold. This authorization is to remain in full force and effect until E-ZPass MA has received written notification of its termination in such time and in such manner as to afford E-ZPass MA reasonable opportunity to act on it.

OPTION B

$ 20

OPENING ACCOUNT BALANCE

Checking Account Routing NumberChecking Account Number (If easier attach a voided check from your checking account)

OPTION C Direct Payment from Credit/Debit Card

By Choosing Option C: You hereby authorize E-ZPass MA to initiate debit entries from your credit/debit card listed below to automatically replenish your account whenever the account balance falls below the Low Balance threshold. This authorization is to remain in full force and effect until E-ZPass MA has received written notification of its termination in such time and in such manner as to afford E-ZPass MA reason- able opportunity to act on it.

 

PLEASE CHECK ONE:

MC

VISA

DISC

AMEX

 

 

 

Credit/Debit Card Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPIRATION (Month/Year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPTION D Manual Account Replenishment (If mailing application, please include initial payment)

 

 

Customers Choosing Option D are required to maintain a sufficient pre-paid balance in their account. At some locations, you will see a yellow

 

 

“Low Balance” light in the designated lane when your E-ZPass MA account balance falls below the low balance threshold; this yellow “Low

 

 

Balance” light indicates that you will need to replenish your account by mailing a check or making a payment at one of the E-ZPass MA Customer

 

 

Service Centers. If your account falls below $0.00 you will be issued a toll violation. A Pay-By-Plate MA invoice will be issued for travel on

 

 

the Tobin Bridge. Cash Payments: Cash preferred customers can replenish their E-ZPass MA accounts using self-service kiosks with cashier

 

 

assistance at retail cash payment locations. A convenience fee for each E-ZPass payment will be charged.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorization

I have read the information on this application, including the terms and conditions. I authorize payment as

 

 

selected, and certify that all information contained in the application is true and accurate.

 

IMPORTANT ➞

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER SIGNATURE REQUIRED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW E-ZPASS WORKS

E-ZPass provides customers with electronic toll collection through the use of a transponder. As you pass through a designated E-ZPass lane, the transponder is read, a green “Thank You” light is flashed, and your toll transactions are recorded in your E-ZPass account.

OPTION C

$ 20

OPENING ACCOUNT BALANCE

OPTION D

$ 20

OPENING ACCOUNT BALANCE

 

Clerk ID

❏ Gift Certificate

 

❏ Cash

$:

Acct#:

 

 

 

E-ZPass MA use

 

 

 

 

 

 

 

❏ ACH-Prepaid

❏ Credit Card

❏ Check

 

 

Date

 

Tag#

 

 

 

 

 

 

 

 

only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03/2015

The Massachusetts Department of Transportation (“MassDOT”) establishes these terms and conditions that govern the use of the Electronic Toll Collection (“ETC”) E-ZPass system and require that account holders/customers accept these terms and conditions.

Use of the E-ZPass system is limited to customers who join the E-ZPass program and maintain their account in good standing. An E-ZPass customer in “good standing” means a customer who: (1) submitted a completed E-ZPass application to MassDOT’s E-ZPass MA Customer Service Center; (2) affixed the transponder(s) in accordance with the instructions provided; (3) maintains their account current, with sufficient balance at all times to pay for all E-ZPass transactions; and (4) uses the E-ZPass system in accordance with the E-ZPass Program Agreement and MassDOT’s regulations.

The following terms and conditions supersede any terms and conditions you may have previously received. These terms and conditions, together with your application, constitute the E-ZPass Program Agreement. Please read all of the terms and conditions and the entire application prior to using an E-ZPass transponder. When a transponder assigned to you is used, you agree as follows:

1. TERMS

a)MassDOT may, at any time, suspend or terminate your E-ZPass account, and/or electronically deactivate your E-ZPass transponder(s) for violation of applicable laws, regulations, or the terms and conditions of the E-ZPass Program Agreement. You shall remain and be liable for payment of all fines, penalties, costs, fees, and any other monies owed pursuant to the terms of this agreement and any applicable law.

b)MassDOT reserves the right to reject any E-ZPass application.

c)If any of the terms of this agreement are declared or found to be illegal, unenforceable or void, then MassDOT and

the E-ZPass customer shall be relieved of all obligations under that term. The remainder of the agreement shall be enforced to the fullest extent permitted by law.

2. TRANSPONDER USAGE

a)You agree that the E-ZPass transponder(s) remains the property of MassDOT. This is required for manufacturer warranty purposes, and to establish a mechanism for the proper disposal of an inoperable transponder once you return it to MassDOT.

b)You agree to affix the E-ZPass transponder(s) in the vehicle(s) in accordance with the instructions provided and to use the transponder(s) only in the vehicles that you have listed on your application, and updated as neces- sary. Failure to do so may subject you to a Violation Fine, a Video-Toll (“V-Toll”) Administrative Fee, or an invoice from the Pay By Plate (“PBP”) All Electronic Toll (AET) system at the PBP toll rate that is established by MassDOT.

c)You agree that you may not use any designated E-ZPass lane unless the vehicle is properly equipped with an E-ZPass transponder and that vehicle has been listed on or added to your account.

d)You acknowledge that you are required to enter and exit all toll plazas through a designated E-ZPass lane. Oth- erwise, you will be required to pay your toll in cash at a designated cash toll booth, except if the vehicle is a Two Axle Commercial Vehicle. Two Axle Commercial vehicles are required to have a transponder and use a designated E-ZPass lane in accordance with 700 CMR 7.03(9) and these Terms and Conditions.

e)When traveling on the Massachusetts Turnpike’s ticket system (interchanges west of Route 128/I-95) and a point of exit, but no point of entry, is registered for the E-ZPass transaction, or upon the posting of a V-Toll at point of exit, you agree that the E-ZPass system will use the entry point that is farthest from the point of exit when calculating the toll amount. You may only contest the toll amount in writing to the Customer Service Center in accordance with Section 6 below. If the toll is reduced, your E-ZPass account will be credited the amount of the reduced toll.

f)You agree that you will comply with the posted speed limit. You are advised and you agree that exceeding the posted speed limit will subject you to fines and penalties and/or termination of your E-ZPass account.

g)You agree to obey all applicable federal and state laws and regulations governing the use and operation of Mass- DOT’s facilities and the E-ZPass Program. Failure to do so may result in fines and penalties and/or termination of your E-ZPass account.

h)You agree to pay all costs associated with the use of the E-ZPass transponder(s) assigned to you.

i)You agree to obey all signage, postings and signal messages in the E-ZPass lanes. You agree that you will not use the E-ZPass lane after you have received a message in the lane to “CALL E-ZPass” (signifying that a violation has occurred) until you have contacted the Customer Service Center and verified that your E-ZPass account is in good standing. Failure to do so may result in additional costs, fines and penalties. This message will not be displayed on a roadway that has AET.

j)MassDOT may enter into reciprocal agreements with other agencies. If your E-ZPass transponder(s) is used at any toll facility, parking facility or other facility accepting E-ZPass as a payment mechanism you agree that all charges incurred in connection with the use of your E-ZPass transponder(s) will be charged to your account and that you are responsible for all such charges.

k)In accordance with 700 CMR 7.03(9), Two Axle Commercial Vehicles, as defined in MassDOT’s regulations, op- erating on certain ways where MassDOT assesses a toll are required to use E-ZPass to pay tolls and must enter and exit all toll plazas through a designated E-ZPass lane, where applicable. Two Axle Commercial Vehicles are not allowed to pass through a manual lane and are not allowed to pay cash at a cash toll booth on certain non- AET ways, unless there is no designated E-ZPass lane in operation at the time the vehicle passes through the toll interchange. You acknowledge and agree that any use of the manual lanes or PBP system to attempt to pay cash for a toll on certain ways is in violation of this provision by such Two Axle Commercial Vehicles and is prohibited. The registered owner of any such Commercial Vehicle may be subject to fines and penalties under MassDOT’s regulations, other applicable laws, and/or for breach of these Terms & Conditions. You agree that if you are in violation of this provision, you shall pay any such assessed fines and penalties.

l)A roadway or facility that has All Electronic Tolling (“AET”) does not have designated E-ZPass lanes and any lane

may be used by an E-ZPass account holder.

3. LOST/STOLEN AND DEFECTIVE TRANSPONDERS

a)You agree that you will notify the Customer Service Center immediately if your transponder(s) is lost or stolen. You agree that you are responsible for any costs associated with any and all uses of the E-ZPass transponder(s) assigned to your account prior to such notification. The replacement fee for lost or stolen transponder(s) is equal to the amount of the Transponder Fee and Transponder Administrative Fee applicable as of the replacement date.

b)Defective E-ZPass transponders must be brought or sent to a Customer Service Center for testing and evaluation.

At the discretion of MassDOT, defective E-ZPass transponders may be replaced free of charge. If the E-ZPass transponder shows signs of misuse or abuse you will be required to pay a fee per 3(a) above.

4. YOUR E-ZPASS ACCOUNT

a)You authorize MassDOT to access and charge all costs associated with the use of your E-ZPass transponder(s) to the credit/debit card listed on your application or your bank account, as applicable.

b)You authorize MassDOT to access and charge all fees associated with your participation in the E-ZPass Program and associated use of a transponder to your E-ZPass account and to the credit/debit card, bank account, or other chosen method of replenishment for your account. The Fee(s) authorized hereunder include, but are not limited to, transactional, administrative, periodic administrative (i.e. monthly, yearly, etc.), and any other type of fee(s), as may be set and assessed at MassDOT’s discretion from time to time without prior written notice. Information relating to such fees and a current Fee Schedule may be obtained by contacting the Customer Service Center or online at www.mass.gov/ezpassma. If you close your E-ZPass account, such fees will not be refunded, except as otherwise determined by MassDOT from time to time on the Fee Schedule.

c)You acknowledge that MassDOT may review periodically the activity in your account and adjust your replenish- ment amount, if applicable, to more accurately reflect the average monthly charges and fees incurred by you.

d)You shall not assign the obligations or benefits of this agreement without the express written consent of MassDOT or the Customer Service Center.

e)If you have selected “Automatic Account Replenishment” as the payment method for your E-ZPass charges, you agree that you are responsible for providing the Customer Service Center with a credit/debit card in good stand- ing (i.e., valid, not expired and below the maximum balance), a banking account with sufficient funds, or a positive balance in your manual replenishment account, at all times to cover the costs and fees associated with your use of the ETC transponder(s).

f)If you have selected “Manual, Credit/Debit, or Bank Account Replenishment” as the payment method for your E-ZPass charges and your balance falls to or below $0.00 you will be subject to the issuance of a Violation Fine and account termination. In lieu of account termination you may be allowed to retain your E-ZPass account,

provided any outstanding balance is paid in full and you enroll in an automatic account replenishment payment method which includes use of a valid credit/debit card or bank account.

g)You acknowledge and agree that MassDOT shall not pay any interest on any E-ZPass account pre-paid balance or any transponder deposit.

h)You acknowledge and agree that you will be charged a fee for each returned check for your E-ZPass Program account.

i)You certify that all information contained in your E-ZPass application is true and accurate. You agree to notify im- mediately the Customer Service Center if any of the information contained in your application changes, including but not limited to, changes to address, credit/debit card, bank account information, and vehicle and license plate information. Failure to do so may subject you to additional fines and fees.

j)Administrative fees may be billed directly to your account. You may contest the imposition of said administra- tive fees in writing to the Customer Service Center within sixty (60) days of the disputed charge. If the fee is rescinded, your E-ZPass account will be credited the amount of the rescinded fee.

k)Unpaid balances due to MassDOT may be turned over to a collection agency for enforcement and collection activities along with any other legal action that MassDOT is authorized to pursue to recover such monies owed.

5.VIOLATIONS AND “VIDEO TOLL” (V-TOLL) FEES

a)In cases where your E-ZPass transponder is not read, but an image of the vehicle’s license plate is captured in the lane and the license plate information for the vehicle is listed in your account, the appropriate toll amount shall be deducted from your account by use of the video image, referred to herein as a “video toll” or “v-toll.” A Video Toll (“V-Toll”) Administrative Fee shall also be applied to your account.

b)You acknowledge and accept that you are required to maintain your E-ZPass account in good standing at all times and that if your account balance falls to or below $0.00 you will be subject to a fine and penalties for unauthorized use of the ETC lane under 700 CMR 11.00 et. seq and 700 C.M.R. 7.04 et. seq.

c)You agree that in the event your account falls to or below $0.00 due to an expired or rejected credit card, an insuf- ficient bank account balance or an insufficient pre-paid balance and you proceed through an E-ZPass lane, you are in violation of the E-ZPass Program Agreement and MassDOT regulations, and you are subject to a violation and penalties under700 C.M.R. 11.00 et. seq. and 700 C.M.R. 7.04 et. seq.

d)Any use of an E-ZPass lane by a vehicle that is not listed on an E-ZPass account; an E-ZPass account not in good standing; or an invalid member of E-ZPass is prohibited, and the registered owner of any such vehicle is subject to a fine and penalties under MassDOT regulations. Any E-ZPass account holder who is not in good standing and travels on an AET roadway will be subject to the PBP process and will receive an invoice and the toll shall be at the PBP toll rate.

e)If you rent or lease a vehicle and receive an E-ZPass violation you are advised that under Massachusetts Law, MassDOT must issue a violation to the registered owner of the vehicle (the rental or leasing company). You agree that, upon receipt of the name and address of the renter/lessee along with sufficient proof or such rental or lease, MassDOT may issue the violation to the renter/lessee. You agree that you, as the renter/lessee will be liable for any violation issued to the license plate associated with your rented or leased vehicle during the term of your rental or lease agreement. MassDOT has no obligation or liability whatsoever in any rental or leasing agreement.

f)You are advised and acknowledge that violation enforcement cameras are used in the E-ZPass and AET lanes. You agree that if you are issued a violation for unauthorized use of the ETC System you are required to adhere to MassDOT’s regulations 700 CMR 11.00 et. seq. and 700 C.M.R. 7.00-7.12 et. seq. for the payment or appeal of any viola- tions. Under MassDOT’s regulations you must pay or appeal in writing any violation issued to you within sixty (60) days. You are advised and acknowledge that cameras are also used in the AET lanes for the purpose of PBP invoicing.

g)Failure to pay or appeal violation fines within the time period and in the manner described on the violation notice may result in additional Violation Administrative/Late Fees, the termination of your account, the non-renewal of your driver’s license and vehicle registration by the Registry of Motor Vehicles (RMV), and an RMV Non-Renewal “Mark- ing Fee,” along with any other legal action that MassDOT is authorized to pursue to recover such monies owed.

h)You agree that the information provided to, or contained in your E-ZPass Account can be used by MassDOT in any

administrative or legal proceeding by MassDOT to collect any monies owed by you to MassDOT.

6. DISPUTES/REFUNDS

In accordance with Section 169 of Chapter 25 of the Acts of 2009, the time permissible for an account holder to dis- pute an overcharge of the electronic toll system is three (3) years from the time of the overcharge. If you dispute any overcharge to your ETC account you agree to notify the Customer Service Center in writing at 27 Midstate Drive, Auburn, MA 01501, within such period. MassDOT will investigate the dispute and will make a good faith determination of whether an adjustment is warranted. You agree that the good faith determination of MassDOT with regard to your dispute shall be final and binding upon you.

7. DISCLAIMER

a)MassDOT shall have no responsibility or liability to you for any loss, cost, expense or damage to you, any pas- sengers or your vehicle, arising out of your failure to comply with any laws or regulations, or any terms and condi- tions of the E-ZPass Program Agreement, or out of your misuse or abuse of an E-ZPass transponder, or failure to follow instructions for the use and operation of E-ZPass transponder(s).

b)Under no circumstances shall MassDOT have any liability for any consequential, indirect, special, incidental, or punitive damages of any kind arising out of your participation in the E-ZPass or PBP Program.

c)Except for its obligations under paragraph 3 (b) above, MassDOT makes no representations or warranties, ex- press or implied, with respect to the merchant ability or fitness for a particular purpose or any other reason with respect to E-ZPass transponders and/or the E-ZPass Program.

d)Except as otherwise specified herein, MassDOT shall have no liability or obligation of any kind what so ever arising out of a) your use of or the performance of the E-ZPass transponder, b) any defect or malfunction of an E-ZPass transponder or any defect or malfunction in any E-ZPass lane, or c) the failure of any E-ZPass lanes to operate at any time or the unavailability of any E-ZPass lanes at any toll plaza.

e)MassDOT does not warrant that there will be any E-ZPass lanes, or that any particular number of E-ZPass lanes will be available at any toll plaza, or that E-ZPass will be available at any other facilities.

f)You agree to indemnify, defend, and hold harmless MassDOT from and against any and all damage, loss, cost,

expense, or liability relating to, arising from, or as a result of the use or performance of the E-ZPass transponder.

8. COLLECTION EXPENSES

You agree to pay MassDOT’s costs, including attorneys’ fees, required to enforce the terms and conditions of the E-ZPass Program and the collection of monies in connection with the use of your E-ZPass transponder(s).

9. NON-DISCLOSURE

In accordance with the provisions of G.L. c. 6C, Section 13 (a), MassDOT and the Customer Service Center shall hold all customer account information confidential, except as otherwise authorized for MassDOT administrative and legal proceedings.

10. GOVERNING LAWS

The E-ZPass Program Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any legal proceeding arising out of or under the E-ZPass Program Agreement shall be brought in Superior Court, Suffolk County in Boston, Massachusetts.

11. TERMINATION

You may terminate this agreement at any time by returning your transponder(s) to the Customer Service Center. Transponders should be returned in person or by first class prepaid mail. Transponders will remain the property of MassDOT under all circumstances. Upon termination of this agreement and return of your transponder(s), your account balance will be refunded to you. All outstanding charges will be deducted prior to refund.

12. MODIFICATIONS

MassDOT may change the “E-ZPass Program Terms and Conditions” at any time by giving customers notice thereof. The terms and conditions shall become effective seven (7) days after such notice has been given. No written notice is required, and you hereby waive any requirement that written notice be provided. Such notice may be given through any means, including, but not limited to, advertising such notice in the media, posting such notice on message boards along MassDOT’s toll roadways, posting such notice on the MassDOT website, or otherwise, as determined by MassDOT. If you have provided an electronic mailing address to MassDOT with your application, you authorize that such notice may be provided by sending such notice to that electronic mail address, in MassDOT’s discretion.

Effective as of December 2014

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Document Attributes

Fact Number Fact Name Description
1 Eligible Vehicles The application is for private or leased 2-axle, 4-tire vehicles only. Operators of other types of vehicles should contact E-ZPass MA for a Commercial Business Account Application.
2 Contact Information E-ZPass MA Customer Service Center can be reached at 1-877-627-7745 and applications can be mailed or faxed to 27 Midstate Drive, Auburn, Massachusetts 01501-1839 (FAX: 1-508-786-5222).
3 Personal Information Requirement Applicants must provide full name, address, email, phone numbers, and their choice of statement options. Additionally, they must create a 4-digit PIN for account access.
4 Vehicle Information Listing At least one vehicle must be listed for each transponder requested. Information required includes license plate number, plate type, make and model of the vehicle, and year.
5 Toll Payment Options Options include direct payment from checking account, direct payment from credit/debit card, and manual account replenishment, each with a $20 opening account balance requirement.
6 Account Terms and Conditions Agreement includes obligations like proper transponder usage, maintaining sufficient account balance, and compliance with speed limits and regulations under the governing law of the Commonwealth of Massachusetts.
7 Governing Law The E-ZPass Program Agreement and disputes under it are governed by the laws of the Commonwealth of Massachusetts, with legal proceedings to be brought in Superior Court, Suffolk County in Boston, Massachusetts.

How to Fill Out E Zpass Ma Application

After filling out the E-ZPass MA Application form, the submitted information will go through a review process by the E-ZPass MA Customer Service Center. If accepted, you will be enrolled into the E-ZPass program, receiving a transponder for your vehicle. This transponder allows for electronic toll collection as you pass through designated E-ZPass lanes, simplifying your travel and toll payments. Make sure to keep your account information updated to ensure smooth usage and avoid penalties.

Steps to Fill Out the E-ZPass MA Application Form:

  1. Visit the official website provided on the form and review the information regarding different account options.
  2. Print the application form clearly in blue or black ink, ensuring legibility throughout.
  3. In the "Personal Information" section, enter your last name, first name, and middle initial, followed by your email address.
  4. Provide your complete street address, including city, state, and zip code.
  5. Enter your contact information accurately: home phone, work phone, cell phone, and fax number (if applicable).
  6. Under "Statement Options," choose one about receiving your monthly account statement and check the relevant box.
  7. In the "Vehicle Information" section, list all vehicles that will use the E-ZPass, including license plate number, plate type, state, make & model of the vehicle, and year. Indicate if any listed vehicle is leased.
  8. Specify the number of transponders you are requesting in the transponder section (maximum of 4 per account).
  9. For "Toll Payment Options," select your preferred method of toll payment - Option B for Direct Payment from Checking Account, Option C for Direct Payment from Credit/Debit Card, or Option D for Manual Account Replenishment. Provide the necessary bank or card details based on your selection.
  10. Read the authorization statement carefully, agreeing to the terms and conditions.
  11. Sign the application form in the designated area and date it to confirm your understanding and agreement.
  12. Mail or fax your completed application to the address or fax number provided at the top of the form.

Ensure to review all entered information for accuracy before submission to avoid any issues with your application processing. Following the successful processing of your application, you will receive your E-ZPass transponder and can start enjoying the benefits of quicker, electronic toll payments.

More About E Zpass Ma Application

  1. Who is eligible to apply for an E-ZPass MA account?

    The application is designed for individuals owning or leasing privately owned 2-axle, 4-tire vehicles. Operators of vehicles with more than 4 tires, or those possessing livery, taxi, combination plates, or other commercial license plates, should contact the E-ZPass MA Customer Service Center for information on applying for a Commercial Business Account.

  2. How can I apply for an E-ZPass MA account?

    Individuals can apply by mailing or faxing the application form to the E-ZPass MA Customer Service Center located at 27 Midstate Drive, Auburn, Massachusetts 01501-1839. Fax submissions can be sent to 1-508-786-5222. Alternatively, individuals can apply online by visiting www.mass.gov/ezpassma.

  3. What information is required to complete the E-ZPass MA Application?

    • Personal Information: Full name, Email, Street Address, Phone numbers, and a 4-digit Personal Identification Number (PIN) you select for account access.
    • Vehicle Information: License plate number, plate type, state, vehicle make & model, and year. Indicate if the vehicle is leased.
    • Toll Payment Options: Choice of direct payment from a checking account, direct payment from a credit/debit card, or manual account replenishment.

  4. Is there a fee for monthly E-ZPass MA account statements?

    Customers opting to receive a mailed monthly account statement will incur a $2.00 monthly fee, deducted directly from their E-ZPass MA account. Alternatively, customers can choose to access their statements online or receive an email link to their statements without any charge.

  5. How many transponders can I request on my account?

    Individuals are allowed to request a maximum of 4 transponders per E-ZPass MA account, with at least one vehicle listed for each requested transponder.

  6. What should I do if my E-ZPass transponder is lost or stolen?

    It is important to immediately notify the E-ZPass MA Customer Service Center if your transponder is lost or stolen. You will be responsible for any tolls incurred prior to notifying the center. A fee equivalent to the Transponder Fee and Transponder Administrative Fee, as applicable at the date of replacement, will be charged for replacing a lost or stolen transponder.

  7. How can I terminate my E-ZPass MA account?

    To terminate your account, you must return your transponder(s) to the E-ZPass MA Customer Service Center either in person or by pre-paid first-class mail. Upon account termination and the return of your transponder(s), any remaining account balance will be refunded after the deduction of any outstanding charges.

Common mistakes

  1. Not printing clearly is a common mistake. It is crucial to fill out the application with clear and legible handwriting. Unclear information can lead to processing delays or errors in setting up the account.

  2. Choosing more than one statement option often happens. Applicants must select only one option for receiving their monthly statement. Choosing multiple options can lead to confusion and might result in not receiving the account statements properly.

  3. Omitting the vehicle information section is another frequent error. Every vehicle that will use the E-ZPass MA transponders must be listed, including its license plate number, plate type, state, make, model, and year. Failure to list all vehicles could result in toll violations.

  4. Applicants sometimes forget to sign the application. A signature is required to process the application. An unsigned application will not be processed, causing delays in receiving the E-ZPass MA transponder.

  5. Entering incomplete or incorrect payment information for toll payment options can lead to issues with account replenishment. Whether choosing a checking account, credit/debit card, or manual account replenishment, ensuring that all the information provided is accurate and complete is essential for successful account management.

Documents used along the form

When filling out the E-ZPass MA Application form, you may need to provide additional forms or documents, either to satisfy the application requirements or to ensure all related needs are met. Below are six common documents that are often used alongside the E-ZPass MA Application:

  • Vehicle Registration Document: This confirms the ownership of the vehicle and provides necessary details like make, model, and year. It's essential for verifying the vehicle(s) you plan to use with your E-ZPass transponder.
  • Proof of Insurance: While it may not be directly required for the E-ZPass application, having proof of your vehicle's current insurance policy is often needed when handling any vehicle-related documentation.
  • Valid Driver’s License: A copy of your valid driver's license is often required to verify your identity and ensure the accuracy of the personal information submitted with your E-ZPass application.
  • Bank Statement or Voided Check: If you choose the option to have tolls automatically deducted from your checking account, a recent bank statement or a voided check will likely be needed to confirm your bank account information.
  • Credit/Debit Card Information: For those who prefer the automatic toll charges to be applied to a credit or debit card, having this information ready will be necessary to set up your payment option.
  • Authorization Form for Automatic Payments: If your toll fees are going to be paid through automatic deductions from a bank account or credit card, completing an authorization form to permit these transactions is typically required.

Gathering these documents ahead of time can streamline the process of applying for an E-ZPass MA account. Ensuring you have the appropriate documentation ready when you start your application can help avoid delays and ensure your account is set up quickly and correctly.

Similar forms

  • Vehicle Registration Application: Like the E-ZPass MA Application, a Vehicle Registration Application requires personal information, vehicle details, and, often, payment information for processing fees. Both forms necessitate accurate and up-to-date information about the applicant and the vehicle, ensuring that records are current for administrative purposes.

  • Credit Card Authorization Form: Similar to the toll payment options section of the E-ZPass MA Application, a Credit Card Authorization Form gathers payment information and authorization to charge for services. Both documents outline how charges will be handled and require the customer's consent to process payments automatically, underlining the importance of financial consent and security.

  • Commercial Business Account Application: This form, referenced within the E-ZPass MA Application for those with vehicles not fitting the standard criteria, shares similarities in its purpose to set up a payment account linked to specific vehicles. Both require detailed information about the entity or individual applying, vehicle information, and method of payment to enable service use.

  • Driver's License Application: Sharing parallels with the E-ZPass MA Application, a Driver's License Application collects personal identification, residency information, and, in many cases, a method to pay the application fee. Both are essential for utilizing certain services (driving on public roads or using toll lanes) and require state verification of personal information.

  • Leasing/Rental Car Agreement: Much like the E-ZPass MA Application necessitates vehicle information, including if the vehicle is leased, a Leasing or Rental Car Agreement documents the terms under which a vehicle is loaned out, including identification and payment information. Both involve contractual agreements regarding the use of a vehicle, although for different primary services.

Dos and Don'ts

Filling out the E-ZPass MA Application form can seem straightforward, but it's important to pay attention to the details to ensure a smooth process. Here are things you should do, as well as a few pitfalls to avoid:

  • Do read through the entire application form before starting to fill it in. This ensures you understand all the requirements and have all necessary information handy.
  • Do check the correct options for statement delivery. Whether you prefer email notifications or traditional mail, selecting the right option can save you time and ensure privacy.
  • Do choose the most convenient toll payment option for you. Whether it's direct payment from a checking account or using a credit/debit card, the right choice can streamline your toll payments.
  • Do list all vehicles accurately that will use the E-ZPass. Remember to include each vehicle’s license plate number, make, and model to avoid issues at the toll.
  • Do sign the application form. An unsigned application is incomplete and can delay the processing of your E-ZPass MA account.
  • Don't forget to create a Personal Identification Number (PIN) for your account. This 4-digit number is crucial for managing your account online and over the phone.
  • Don't omit your email address if you prefer receiving electronic statements. This is essential for receiving monthly statements and other notifications.
  • Don't neglect to read the terms and conditions. Understanding your obligations and rights as an E-ZPass holder is essential for a hassle-free experience.
  • Don't attach a voided check without ensuring all account information is correct and legible. Mistakes here can lead to payment issues down the line.

Properly completing the E-ZPass MA Application form is the first step towards seamless travel on Massachusetts’ toll roads. By following these do’s and don’ts, you’re ensuring that your application is processed efficiently, setting you up for a smooth journey ahead.

Misconceptions

Many people have misconceptions about the E-ZPass MA application process which can lead to confusion and errors when trying to obtain an E-ZPass. Here is a list of common misconceptions and the truths behind them:

  • Any vehicle type can apply using the standard application: The standard E-ZPass MA application is specifically for privately owned or leased 2-axle, 4-tire vehicles only. Operators of vehicles exceeding these specifications, including commercial, livery, taxi, and combination plates, must pursue a different application process.
  • Personal Identification Number (PIN) selection is optional: Choosing a 4-digit personal PIN number is a crucial step in the application process. This PIN allows secure access to account information both online and over the phone.
  • Vehicle information is optional unless requesting a transponder: Listing at least one vehicle for each transponder requested is mandatory. This ensures that the transponders are properly associated with specific vehicles for accurate toll collection.
  • Email address is only required for email communication preference: While it is crucial for selecting email statements, providing an email address can also enhance the efficiency of communication for account management and support.
  • All toll payment options require an upfront payment: While initial payments are required for certain replenishment options to start the account, the options distinguish between automatic replenishments from a bank account or credit/debit card and manual account replenishment.
  • A transponder is not necessary for E-ZPass lane access: A properly mounted transponder is indeed necessary for E-ZPass lanes to accurately register tolls. Vehicles without a recognized transponder may be subject to fines or violation charges.
  • E-ZPass accounts do not require maintenance: E-ZPass MA account holders are responsible for keeping their account information, including vehicle and payment information, up to date to avoid unnecessary fees or interruption of service.

Clarifying these misconceptions can help ensure a smooth application process and a proper understanding of how the E-ZPass system operates. Keeping information current and comprehending the requirements and conditions of the E-ZPass MA program will enable users to make the most of its conveniences.

Key takeaways

Filling out the E-ZPass MA Application form is essential for individuals looking to utilize electronic toll collection in Massachusetts efficiently. Here are seven key takeaways to ensure a smooth process and prevent common mistakes:

  • Eligibility is specific: This application is designed exclusively for private or leased vehicles that have 2 axles and 4 tires. Owners of vehicles that do not fit this description, such as those with more than four tires or vehicles used for commercial purposes, should seek a Commercial Business Account Application instead.
  • Accuracy is crucial: Applicants must print clearly, ensuring that all personal and vehicle information provided matches the details on the vehicle registration document. This includes the vehicle make, model, year, license plate number, and state.
  • Monthly statement preferences: You have options for receiving your monthly statement – electronically via email, through the postal service with a $2.00 monthly fee, or not at all, by accessing statements through the online account manager. Choose the option that best fits your needs.
  • Transponder request limits: There is a maximum of four transponders available per account, which should align with the number of vehicles listed on your application that will use E-ZPass MA.
  • Payment options are flexible: Applicants can choose between automatic deduction from a checking account or credit/debit card and manual account replenishment. Each option requires maintaining a sufficient balance to cover toll costs, with a $20 opening account balance requirement.
  • Maintaining account accuracy: Keeping your account updated with any changes in vehicle information or personal contact details is vital. Failure to do so could lead to unnecessary complications or toll violations.
  • Read and understand terms and conditions: Before submitting the application, it is important to review the terms and conditions provided by the Massachusetts Department of Transportation (MassDOT). These include obligations regarding transponder usage, account maintenance, and the penalties for any violations or misuse of the service.

Remember, using the E-ZPass MA correctly starts with a properly filled-out application. It not only simplifies your toll payments but also helps you avoid potential fines and ensures a smooth travel experience on Massachusetts' toll roads.

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