Owner or Owner Representative: Review the following and fill out the form below.
Per Section 507-A of the NY State Vehicle and Traffic Law, Passenger Motor Carriers must conduct pre-employment and random drug / alcohol testing if the following apply:
Required fields are marked with an asterisk (*).
Complete the following registrant information:
I agree, and it is my intent, to sign this document by entering my name and title below and by electronically submitting this document to the New York State Department of Motor Vehicles. I understand that by electronically signing and submitting this document in this fashion, it is the legal equivalent of having placed my handwritten signature on the submitted document and this affirmation. I also understand and agree that by electronically signing and submitting this document in this fashion, I am affirming to the truth of the information contained therein.
I affirm the information I have provided on this form is true and complete. I understand that making any false statement on this form, or submitting any documentation in support of this form that is false, may be punishable as a criminal offense.
Enroll in the Donate Life Registry to become an organ donor