Applications and Lists of Related Forms

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."

HOUSEHOLD GOODS CARRIER (HHG)

• Complete NEW Application and Information Packet (includes all forms below)
• Complete TRANSFER Application and Information Packet (includes all forms below)

Individual Forms (those items with hyperlinks are available for download in PDF format):

• TL 528 Request For Reinstatement From Suspension
• TL 702 Request For Reinstatement From Revocation
• TL 706-HHG: Application
• TL 706-A: Statement of Residence
• TL 706-B: Partnership Agreement (partnerships only)
• TL 706-C: Request for Tariffs
• TL 706-D: Report of Equipment To Be Operated
• TL 706-E: Certificate of Support (required of subhaulers only)
• TL 706-F1: Balance Sheet
• TL 706-F2: Working Capital Worksheet
• TL 706-F3 Projected Profit and Loss Statement
• TL 706-G Release of Information Authorization
• TL 706-I General Highway Safety Requirements (including Guide to Filling Out)
• TL 706-K Workers Compensation Declaration
• TL 706-L: Certification of Household Goods Carrier Permit Applicant
• TL 706-N Notice of Election of Operating Authority to be Used for the Transportation of Used Office, Store, and Institution Furniture and Fixtures
• TL-831 Request for Voluntary Revocation
• CHP 362 Motor Carrier Profile (including Directions for Completing)
• CHP Form 108
• TL 661 - Request for Voluntary Suspension
• Change of Address, Phone, or DBA

(Note: forms not currently available for download may be requested from our licensing section via email:  licensing@cpuc.ca.gov or you can get them by downloading the entire packet)