VEHICLE INFORMATION SHEET

One per vehicle

All information must be completed in full!

Unit Number:______ Vehicle ID #:______________________________________

Year: ______ Make:__________ Model:_________________________________

Gross Vehicle Weight (GVW):_____________ Empty Weight:_________________

Number Of Axles: _________

What type of vehicle is this? (Circle One) TT, TK, PW, or BUS

(TT-Truck Tractor, TK-Straight Truck, PW-Wrecker)

(A) Do you pull a trailer? _____Yes _____ No

(B) Type of fuel _________________________

State truck is base plated in ______________________

Plate # _____________________________________

Is this an Apportioned plate? _____Yes _____ No

If yes, what is you IRP account number? _________________