- Form DS-885 - Bus Driver Add/Drop Notice - New York
- Form DS-19 - Motor Carrier Accident and Conviction Notification Program Application - New York
- Form DS-872 - Carrier's Annual Review of Employee's Driving Record - New York
- Form DS-3 - Article 19-A Annual Affidavit of Compliance - New York
- Form DS-874C - Supplement to: Medical Examination of Driver Report - New York
- Form IRP-21 - IRP TEAR Request Form - New York
Fillable Printable Form IRP-33 - IRB Renewal Checklist - New York
Fillable Printable Form IRP-33 - IRB Renewal Checklist - New York
Form IRP-33 - IRB Renewal Checklist - New York
Please use this checklist to assist you in returning all necessary documents with your renewal application.
1. ______ Renewal Printout, marked to show any changes to the account information or vehicle information
and completed actual distance page for the reporting period listed.
2. ______ Renewal Schedule signed by the appropriate person along with a copy of that person’s driver license. If
the account is in the name of a corporation, an officer of the corporation must
sign the application. An
officer includes the CEO, president, vice-president, treasurer, secretary or comptroller. If anyone other
than the registrant or corporate officer signs the renewal, an original notarized Power of Attorney is
required.
3. ______ USDOT Number - confirm that the USDOT number listed on the CARRIER INFORMATION page
is the registrant’s DOT number.
4. ______ Proof of payment of Truck Mileage Tax for vehicles registered at 18,000 lbs. or over (excluding
household goods carriers).
5. ______ Proof of payment of Heavy Vehicle Use Tax (IRS Form 2290) for vehicles registered at 55,000 lbs. or
more for the period July 1 - June 30 (see renewal instructions for further explanations).
6. ______ Overweight Permits for any tractors exceeding 80,000 lbs. registered weight, or trucks exceeding their
bridge formula.
7. ______ A separate Schedule A & C form completed and signed, if you are changing account information or
adding new vehicles to your renewal application (see renewal instructions for further explanation).
______ Proof of ownership for the vehicles being added.
______ Proof that taxes have been paid for the vehicles being added.
8. ______ A scannable bar-coded NYS Insurance Identification Card for the following situations:
______ For any new vehicles being added.
______ If the insurance company has changed.
______ For an existing insurance company code of 999 on your renewal application.
______ For a registration expired for more than 30 days.
______ If the name on the IRP account is being amended.
9.______ Proof of established place of business/residency for new accounts or existing accounts with a
change of address.
10._____ Proof of current MC-300 (NYS DOT Bus Inspection) for all buses.
IRB RENEWAL CHECKLIST
IRP-33 (8/14)
PAGE 1 OF 2
þ
reset/clear
IRP-33 (8/14)
PAGE 2 OF 2
INDIVIDUAL
NYS Driver License
**You must submit 3 proofs from the list below.**
In order to register a vehicle in NYS IRP in a DBA name, you must have copies of the DBA papers filed with the
County Clerk’s office for an individual DBA or filed with the NYS Department of State for a Corporate DBA, AND
2 of the following proofs in the same name and address of the IRP account:
Please Note: A Post Office box number is not acceptable proof of established place of
business in New York. The proof you provide must show the street address
where the business is located.
Recent real estate or personal property tax bill or receipt
from NYS.
A recent utility bill in the account name with a NYS
address. (You can submit only one utility bill.)
A current credit card statement showing activity within
the last 90 days in the account name and address.
A current bank statement showing recent activity within
the last 90 days in the account name and address.
Property deed listing the NYS address in the account
name.
A recent mortgage document in the account name and
address.
A recent homeowner insurance document in the account
name with a NYS address.
Certificate of Residency from your local municipality
indicating your name and address (IRP account name
and address).
A NYS Certificate of Title in the IRP account name and
address.
Recent real estate or commercial property tax bill or
receipt from NYS.
A recent utility bill in the account name with a NYS
address. (You can submit only one utility bill.)
A current credit card statement showing activity within
the last 90 days in the account name and address.
A current bank statement showing recent activity within
the last 90 days in the account name and address.
Property deed listing the NYS address in the account
name.
A recent mortgage document in the account name and
address.
A recent commercial property insurance document in
the account name and address.
A NYS Certificate of Title in the IRP account name and
address.
In order for a NYS resident to register a vehicle in
NYS IRP in an individual name, you must have a NYS
driver license.
In order for a NYS company to register in a company or
corporation name, you must have a NYS Department of
State Filing Receipt.
BUSINESS
NYS Department of State Filing Receipt
Acceptable Proofs
