Form Cdl-Vru - Application For Authorization Cdl Vru System
ADVERTISEMENT
1Indiana Department of Revenue
Form CDL-VRU
Application for Authorization
Issued 2/00
CDL VRU System
State Form # 49793
Name of Company
US DOT Number
Address
City, State, and Zip
Daytime Telephone Number
Contact Person
The undersigned company owner or responsible officer submits this application for use of the Voice
Response Unit (VRU) system. The purpose of using the VRU is to check the status of a driver’s Depart-
ment of Transportation physical examination form.
I also understand that I am making this application with the agreement that an authorization number will be
assigned for the sole use of this company to use to check on this company’s driver’s DOT physicals.
Under penalties of perjury, I declare that I have examined this document and to the best of my knowledge
and belief, it is true, correct, and complete.
Signature of Owner or Responsible Officer
Date
Typed or Printed Name
Title
Return this application to:
Indiana Department of Revenue
CDL Section - Attn: Carol Grubbs
5252 Decatur Blvd. Suite R
Indianapolis, IN 46241-9524
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Mllp-12 - Application For Authority To Do Business For A Foreign Limited Liability Partnership - Maine Secretary Of State
Legal
Form Mbca-12 - Application For Authority To Do Business For A Foreign Business Corporation - 2016
Legal
Form Fda 766 - Application For Authorization To Relabel Or To Perform Other Action Of The Federal Food, Drug, And Cosmetic Act And Other Related Acts
Legal
Related Categories
Parent category: Financial