CARRIER MUST SUBMIT THE ANNUAL REPORT TO THE PUBLIC STAFFS TRANSPORTATION 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your carrier name, Certificate of Exemption Number, and Docket Number at the top of the form. Ensure all information is typed or printed clearly.
3. In Section I, provide details on Jurisdictional Intrastate HHG Operating Revenue. Include all relevant revenue figures from regulated moves and ensure they match totals listed elsewhere in the report.
4. Complete Section II with operating statistics, detailing the number of moves performed and total billable miles. Be precise as this data is crucial for regulatory compliance.
5. For Section IV, document any claims filed during the year. If no claims were made, indicate this clearly to avoid confusion.
6. Attach a notarized Report Verification Page and a Certificate of Insurance as required. Ensure these documents are correctly formatted and submitted alongside your report.

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