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Click ‘Get Form’ to open the av autonomous form in the editor.
Begin with Part I: Applicant’s Identification. Fill in the required fields, including your entity's full legal name, physical address, and contact information. Ensure all marked fields are completed accurately.
Proceed to Part II: Agreement to Report Parameters and Results of Demonstration/Testing. Acknowledge your commitment to submit a report by the specified deadline, detailing the purpose, dates, locations, and findings of your tests.
In Part III: Test Vehicle Fleet, list each vehicle intended for testing. Include the Vehicle Identification Number (VIN), registration jurisdiction, plate number, vehicle type, and test dates.
Complete Part IV: Insurance by providing proof of financial security for each vehicle listed. Attach necessary documentation as specified.
Finally, sign and date the certification section at the bottom of the form to confirm accuracy and compliance with all terms.

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