Mdot 3002, 2012, Limousine Vehicle Roster,
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1****ONLY USE THIS FORM TO ADD NEW VEHICLES****
Michgian Department
of Transportation
LIMOUSINE VEHICLE ROSTER
Clear Form
3002 (04/12)
INSTRUCTION: This form is to be completed by mechanic doing the inspection
INSTRUCTIONS:
COMPLETE AND RETURN TO:
I.
REGISTER ALL revenue motor vehicles having a manufacturers rated seating capacity of fifteen (15) persons or less, including the driver.
Michigan Department of Transportation
Regulatory Unit - Limousine Section B-425
II
SUBMIT a Limousine Inspection (Form 3049E).
P.O. Box 30648
III.
ENCLOSE PAYMENT for registration fee of $50.00 (per vehicle). Checks must be made out “State of Michigan” and noted “Limousine
Lansing, Michigan 48909
Registration.
IV.
PROVIDE A COPY of the proof of insurance issued by your insurance carrier.
VEHICLE
SEATING
MODLE
FLEET
VEHICLE
INSPECTION
YEAR
MAKE
MODEL
TYPE
VEHICLE IDENTIFICATION NUMBER
LICENSE
CAPACITY
NO.
COLOR
DATE
(see code)
(w/ driver)
PLATE
CODES
COMPANY NAME
1.
Car
COMPANY PERSON
2.
SUV
3.
Van
4.
Van Cutaway
ADDRESS
5.
Limo-Bus
6.
School Bus Type
CITY
STATE
ZIP CODE
7.
Motor Coach
8.
Other
TELEPHONE NO.
USDOT NO. (if applicable)
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