Complete all applicable fields.

Principal place of business (P.O. Box is not acceptable):
Is this address a residence?
Vehicle garaging point (P.O. Box is not acceptable):
Is this address a residence?
Mailing address (if it’s different from the principal place of business):
Is this address a residence?
Drop files here or
Max. file size: 50 MB.
    Select the type of business organization.
    Submit one copy of the required document.
    Name Title/Role Ownership Interest Actions
         
    There are no Entries.

    Maximum number of entries reached.

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    Max. file size: 50 MB.
      Name: Address: Ownership Interest: Actions
           
      There are no Entries.

      Maximum number of entries reached.

      Does the applicant, owner of or any of its principals presently hold a certificate from this Department ? This includes a certificate to drive for a Transportation Network Company, like Uber or Lyft.
      Has the applicant or any of its principals ever held a certificate from this Department that was suspended or revoked?
      Has the applicant or any of its principals ever held a license or certificate from any other state or federal regulatory agency?
      Has any license or certificate issued to applicant or any of its principals ever been suspended or revoked by the United States Government, this State or any State or Territory?
      Are there any charges or complaints now pending against applicant or any of its principals before any court, regulatory body or government agency?

      Download a copy of the balance sheet here. (opens in new tab)

      Drop files here or
      Max. file size: 50 MB.
        Describe each motor vehicle owned or leased by the applicant.
        Year of Manufacture: Manufacturer: Type of Vehicle: Manufacturer’s Rated Seating Capacity: Owned or Leased Actions
                 
        There are no Entries.

        Maximum number of entries reached.

        I will pay the fee:

        Pay fee online: Pay Transportation Oversight Division fees (opens in new tab)