Owner Operator Registration

Company Information
Company Name
EIN (Leave Blank if None)
Company Type*

CorporationLLCPartnershipSole Proprietorship
Contact First Name*
Contact Last Name*
Title (i.e. Owner, Member, President, Vice President, Treasurer, Director, etc)*
Company Phone Number*
Company Email*
Company Address*
City*
State*
Zipcode*
County*
Different Mailing Address?
Company Mailing Address*
City*
State*
Zipcode*
County*

Principal(s) of Company
Same as Company Contact
Principal First Name*
Principal Last Name*
Title (i.e. Owner, Member, President, Vice President, Treasurer, Director, etc)*
Ownership Percentage %*
Social Security No.*
Principal Email*
Cell Phone Number*
Principal Address*
City*
State*
Zipcode*
Additional Owners?
Principal #2 First Name*
Principal #2 Last Name*
Principal #2 Title (i.e. Owner, Member, President, Vice President, Treasurer, Director, etc)*
Principal #2 Ownership Percentage %*
Principal #2 Social Security No.*
Principal #2 Email*
Principal #2 Cell Phone Number*
Principal #2 Address*
Principal #2 City*
Principal #2 State*
Principal #2 Zipcode*
Additional Owners?
Principal #3 First Name*
Principal #3 Last Name*
Principal #3 Title (i.e. President, Vice President, Treasurer, Director, etc)*
Principal #3 Ownership Percentage %*
Principal #3 Social Security No.*
Principal #3 Email*
Principal #3 Cell Phone Number*
Principal #3 Address*
Principal #3 City*
Principal #3 State*
Principal #3 Zipcode*
Additional Owners?
Principal #4 First Name*
Principal #4 Last Name*
Principal #4 Title (i.e. President, Vice President, Treasurer, Director, etc)*
Principal #4 Social Security No.*
Principal #4 Email*
Principal #4 Ownership Percentage %*
Principal #4 Cell Phone Number*
Principal #4 Address*
Principal #4 City*
Principal #4 State*
Principal #4 Zipcode*
Please upload Driver's License for All Business Owners*

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Fleet Information
US DOT Number (If already exist)
MC Number (If already exist)
Operation Distance*

INTERstate (travel in multiple states)INTRAstate (travel in one state only)
Number of Trucks*
Number of Trailers (enter 0 if none)*

IRP Required Documents

All documents must show the name and address of only one of the principal owners. If there are multiple owners, please provide documents for the owner with majority share of the company. **Vehicle Title, Equipment/Truck Certificate of Insurance, plus 3 additional documents from the categories below are required**
Vehicle Title **REQUIRED DOCUMENT**

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Equipment/Truck Certificate of Insurance **REQUIRED DOCUMENT**

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Utility bill - dated within last 30 days (phone bill (landline ONLY), gas, electric, water/sewer, OR garbage)

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Phone bill (landline ONLY) - dated within last 30 days

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Articles of Organization (different address than principal owner's address is OK)

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Proof of Personal Vehicle Insurance (must be in principal owner’s name and address)

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RECEIPT of Paid Property/estate tax records (must be in principal owner’s name and address)

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Rental Contract/Lease for Property (must be in principal owner’s name and address)

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Mortgage Statement for Property (must be in principal owner’s name and address)

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By submitting this form, I give my permission to Drive Trucking Logistics LLC to process my application for a motor carrier authority, permits/licenses, vehicle registrations and/or any business management services needed to complete the process.
Should be Empty:

Company Information