Applications and Lists of Related Forms for Carriers

INSURANCE CERTIFICATES

Insurance certificates are not for the use of carriers or applicants. The PUC does not provide blank insurance certificates. Insurance companies may obtain blank certificates from: Wolters Kluwer Financial Services, 1007 West 7th Street, Suite G; Auburn IN 46706. P: (800) 481-1522 F: (260) 925-6059.

CHARTER-PARTY CARRIER OF PASSENGERS (TCP)

Complete Application and Information Packet (includes all forms below)

List of Drug and Alcohol Consultants (Note: applicants must choose a Drug and Alcohol Consultant from this list.)

Individual Forms:

(Note: if you prefer, these forms may be requested from our licensing section via email:  licensing@cpuc.ca.gov )

• PL 664 Equipment Statement and CHP Inspection Request 
• TL 528 Request For Reinstatement From Suspension
• PL 702 Request For Reinstatement From Revocation
• TL 706-B Partnership Agreement
• TL 706-F3 Projected Profit and Loss Statement
• PL 706-I General Highway Safety Requirements
• PL 706-J Controlled Substance And Alcohol Testing 
• PL 706-JR Supplemental To Drug And Alcohol Form 
• TL 706-K Workers Compensation Declaration
• PL 739: Application for Charter-party Carrier Authority
• PL 739-A Driver Statement Of Applicant 
• PL 739-B: Terminal Inspection Fee Statement
• TL-831 Request for Voluntary Revocation
• PL 909 Request For Voluntary Suspension
• Certificate Program (including Guide to Filling Out)
• CHP Form 108
• CHP 362 Motor Carrier Profile (including Directions for Completing)
• Change of Address, Phone, or DBA

PASSENGER STAGE CORPORATION (PSC)

Complete Information and Sample Application Packet (Note: There are no forms to be completed in applying for a Passenger Stage Corporation certificate. This is a formal application, which must be filed in accordance with the Commission's Rules of Practice and Procedure.)

PRIVATE CARRIERS

Complete Information and Application Packet