03 010 2025

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The document is an annual report form for motor carriers in Hawaii, intended for submission to the Public Utilities Commission. It requires carriers to provide their information, verify their regulated revenues, and report gross operating revenues from passenger or property services. The form outlines compliance requirements based on revenue thresholds and includes sections for financial reporting.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Carrier Name and DBA in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in your PUC Number and the year ended December 31, ensuring that all details are correct.
In Section A, provide your address, phone number, city, state, and zip code. If you have a new address within the last 12 months, mark the checkbox provided.
List the islands where your carrier service is offered in the appropriate field.
Complete the verification section by printing or typing your name, certifying your authority to file this statement. Don’t forget to sign and date it.
In Section B, enter gross operating revenues for each classification under either Passenger or Property Carriers. Ensure totals are calculated correctly.

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2013	4.8 Satisfied (273 Votes)

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