Application for the CTAC Tow List

Application for the CTAC Tow List
Towing Company Name:
Towing Company Email Address:
example@example.com
Daytime Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Nighttime Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Owners Name:

First NameLast Name
Additional Owners?
Co-owners Name:

First NameLast Name
Current Commercial Vehicle Towing Rotation List Status
I am applying my company for the CTAC Tow List
I am applying my company for the

Does your coverage provide the following?
I acknowledge that Insurance coverage must be in compliance as outlined and a valid COI on file before approval
Certificate of Liability Insurance listing "MS Department of Public Safety, CTED-CTAC Division" as the certificate holder *See Rule 9 of the manual to verify all COI requirements have been met and see example below on certificate holder name

Cancelof

I acknowledge that all invoices my company issues for all non - consensual heavy duty commercial tows will include all required details as outlined in Rule 9 as well as all of the below appeals notice within the red box and that a copy of the invoice will be on file before approval can be made
Current Invoice - *See Rule 8 of the manual to verify all invoice requirements. If they are not yet met please note on your invoice of your current status in making your updates

Cancelof

I acknowledge TIMS certifications must be on file before approval
Upload of TIMS Certifications or a statement that the TIMS certifications process has been started

Cancelof

Rows	Yes
True rubber track loader and attachments (or immediate access to)
Grapple bucket
Bucket
Sweeper
Forks
Rubber‑tracked 10,000 lb minimum mini excavator with hydraulic thumb (or immediate access to)
Dump trailer or roll‑off container with a total capacity of 60 yards (or immediate access to)
48’ Landoll‑style sliding axle trailer with winch
48’ refrigerated or dry van trailer
Tandem‑axle truck to pull a trailer
Tower lighting (or immediate access to)
Single‑axle 5th‑wheel dolly or heavy‑duty truck dolly

Ultra Heavy Wrecker - Min 35 Ton

Rotator Wrecker - Min 50 Ton

True rubber track loader and attachments (or immediate access to)
Grapple Bucket
Bucket
Sweeper
Forks
Rubber-tracked 10,000 lb. minimum mini excavator with hydraulic thumb(or immediate access to)?
Dump trailer or Roll-off container with a total capacity of 60 yards (or immediate access to)
48’ Landoll style sliding axle trailer with winch?
48’ Refrigerated or Dry Van Trailer?
Tandem axle truck to pull a trailer?
Tower lighting (or immediate access to)?
Single axle 5th wheel dolly or heavy-duty truck dolly?

Sign and Submit
I confirm, by signing below, that I hereby attest to that the information made herein is true and correct and all owners, drivers and employees, in part or whole, are listed and that CTAC will be notified of any changes in contact information, drivers/employees or ownership via email.
Date

MonthDayYear
Date
I confirm, by signing below, that I have read, understand and will comply with the rules and regulations for owners and operators of towing companies in the State of Mississippi as stated in the MS Commercial Vehicle Towing Manual.
This is necessary for your company to be considered for approval to be placed on the CTAC Tow List for the previously specified Law Enforcement Agencies.

I also acknowledge that removal from the CTAC Tow List may occur due to violations of any rules and regulations established by CTAC.
I also confirm that, as the owner/operator, I have read and understand the MS Commercial Vehicle Towing Manual.
Signature
Date

MonthDayYear
Date
Version 1.3 4.12.2026
Should be Empty:

Wrecker/Rotator Information