TCP APPLICANT INFORMATION REQUESTED ▼

COMPANY INFORMATION*

BUSINESS NAME:full name*
Business Name can be a Corporation (Inc) Name, Limited Liability Company (LLC) name, or Individual name (owner-operator or partnership); but MUST NOT include TAXI or MEDICAL in business name.

TYPE OF ENTITY:
LLC C-Corp S-Corp Partners Owner-Operator Other

BUSINESS STATE: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
 DATE FORMED:    CORPORATION#:STATE CORPORATION OR LLC #.
                             (LLC, Corporation, Partnership or Individual-Owner-Operator)
FEDERAL TAX ID#::  (Tax-ID#  required for LLC, C-Corp, Partnership, etc)*  OR
OWNER'S SSN: (Social Security# - or TaxID requires for Owner-Operator)*
FICTITIOUS NAME:dba
                               (marketing name used to sell your services - not legal name)
 
TCP BUSINESS TYPE:
- Limo Service - Tour Bus - Car Service - Livery Service - Van Service - Charter Bus - Other Charter
WHAT TYPE OF TCP SERVICE DO YOU WANT TO OPERATE (PROVIDE)?
Remember, all TCP-Services are pre-arranged. You must charge for Time of use or by Mileage or by Time and Mileage, depending on arrangement.►
DESCRIBE OTHER:TCP Service
---------------
If you have any employee (even office workers and or dispatchers or non-managing llc-members) you must establish and maintain WORKERS' COMPENSATION INSURANCE.
I HAVE EMPLOYEES: YES    No

BUSINESS CONTACT (OFFICER/OWNER) INFORMATION:
BUSINESS OWNER: (an officer of Corp, CEO of LLC or Owner)
TITLE(must be Owner, President, CEO)*
OWNER'S/CEO SSN: (or company TaxID)
OWNER'S DRIVER LIC:    DL ISSUE STATE:  DL EXPIRES:
E-MAIL ADDRESS: P/S ACTUAL EMAIL ADDRESS*

PHYSICAL LOCATION OF BUSINESS (WHERE YOUR DOCUMENTS ARE KEPT)*

BUSINESS ADDRESS   SUITE/UNIT #: 
CITY:  COUNTY: 
STATE:  ZIP CODE:
BUSINESS PHONE#:

TERMINAL ADDRESS = Location where you keep your Vehicle:

TERMINAL ADDRESS:
     CITY: 
COUNTY:    STATE:  ZIP CODE:
TERMINAL PHONE#:

MAILING ADDRESS IF DIFFERENT FROM BUSINESS ADDRESS

MAILING ADDRESS:if different from office
CITY:   STATE:
COUNTY:   ZIP CODE:
 

VEHICLE (EQUIPMENT) DESCRIPTION:
SAFETY  CONTACT:
WHO IN YOUR COMPANY IS RESPONSIBLE FOR SAFETY & VEHICLE MAINTENANCE

STATE REGISTERED: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
                                     CA or OTHER STATE?
PLATE #:
               COMMERCIAL PLATE IF AVAILABLE
VIN NUMBER - VIN# = REQUIRED
VEHICLE ID# (VIN#):*
                                    VIN NUMBER IS USUALLY 17-CHARACTERS LONG FOR MOST US-MADE
                                    VEHICLES: MAY BE DIFFERENT FOR FOREIGN CARS. LETS START WITH
                                    ONE CAR AND ADD MORE LATER = ITS EASY!
NUMBER OF SEATS:
                                  (how many passengers, include driver)
                                  Any vehicle carrying more than 10 persons including the driver
                                  requires CHP Inspection; and must be operated by a  driver
                                  possessing a "Class B or Class A"  or better class 
                                  driver  license (DL).

VEHICLE TYPE:
SEDAN (CAR) LIMO (STRETCH) SUV SUV (STRETCH) VAN BUS SW - StationWagon MOTORBIKE RICKSHAW Other Auto Equipment
(SELECT ONE) KEY TO VEHICLE TYPE: LIMO = Stretch Limo; CAR = Sedan; BUS = Motor-coach/Bus; VAN = Any Van; SUV = Any SUV; SW = Station Wagon.

ABOUT YOUR EQUIPMENT!
HOW DO YOU PLAN TO GET YOUR VEHICLE?
VEHICLE MAY BE OWNED, FINANCED OR LEASED BY THE PARTY APPLYING FOR THE TCP LICENSE. Remember to tell "car-seller or dealership" you need to register the car for commercial use (commercial registration is needed to obtain a PUC-decal or Livery-Plate). NO RENTAL-CARS!

THE FOLLOWING INFORMATION WILL BE USED TO MAKE YOUR BUSINESS ESTIMATES REQUIRED BY THE PUC:

VEHICLE IS:
Owned Financed Leased
BY APPLICANT (select one)

MODEL YEAR: (say 19_ _; 20_ _; etc.)

STRETCH INCHES:

(say  70", 120" or 180", etc.
All Stretched Limousines, Luxury Cars/Sedans or SUVs)
LIVERY PLATE:   YES   NO
                              ABOUT LIVERY PLATE OR DECALS:
                               Special DMV Livery-Plate is required in California to operate a limousine seating
                               10 or less passenger including the driver. You will be issued a special "Decal" by
                               the PUC for vehicles that seat more than 10 passengers including the driver. Either
                               case Applicants are required to produce a commercial registration from the DMV:
                               Limousines may be standard or stretched Sedans or SUVs.
                                   Only ask for commercial registration from the DMV (not livery plate) at the outset
                                   of the application process: you must show vehicle title of ownership and or title-
                                   holder's permission to get a commercial registration.

HANDICAP ACCESS: YES    NO

CA NUMBER:  (if issued)
(CA# - to be inspected and issued by CHP if more than 10 passengers including driver)

DRIVER INFORMATION:*

REF: PUC GENERAL ORDER 157-D Part 5.01/ THE ONLY PEOPLE THAT MAY DRIVE FOR YOU ARE...

LICENSE STATE: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
DRIVER LICENSE:(Driver License No. - DL)
DATE OF BIRTH: (DOB)
DRIVER'S NAME:First, Middle, Last
 DL CLASS:    ENDORSEMENT SPAB, P = Passenger ...

DL EXPIRES:
Tour-Bus (vehicles carrying more than 10 passengers including
the driver) must possess "Class B or Class A"  or better DL.

REQUESTER#:Your DMV "Pull Notice Contract#"
Did you get your DMV Requester# already? If not, we will get you one. You are required to use your PIN# to pull your driver's DMV records. For public safety, always screen your drivers through the dmv     

  DRUG TEST PROGRAM (CONSULTANT INFORMATION):
   You must have a Drug-Program Consultant at the time of the Application. We may find you a Consultant from the PUC List, if you have not already chosen one. This consultant will be testing your drivers on a random basis for alcohol and other controlled substances such as drugs for public safety and the side benefit of protecting your company.

CONTACT:   TITLE:
Company Name:
Address:   STE#:
CITY:
STATE: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming   ZIP CODE:
TELEPHONE:  FAX:
E-mail: