Chp 362 Form – Fill Out and Use This PDF

If your company already has a CA number issued by the CHP and this Motor Carrier Profile is submitted to update your organization's information, check the "Update" box and enter your CA number in the box.

If you are unsure whether your company already has a CA number, contact the nearest CHP MCSU.

Check one choice only: Individual, Partnership, Corporation (which includes associations, trusts, and public agencies), or Limited Liability Company.

Individual: If operating as an individual (sole proprietorship) with or without employees. If you have no EIN, enter the individual's SSN.

Check the appropriate box to indicate EIN or SSN.

A valid driver license number and issuing state are required. The application will not be processed without one. A valid California identification card number issued by the DMV is acceptable in lieu of a driver license number.

Please enter your proper legal name, not a nickname.

Partnership: Businesses held as community property and operated jointly by family members (husband and wife, parent and child, etc.) are not partnerships unless legally organized as such, with an EIN assigned to the partnership. If not legally organized as a partnership, enter as an individual under one person's name and follow instructions for an individual.

Corporation: All requested information is required, to prevent duplication of records. Corporation number is normally stamped on an upper corner of Articles of Incorporation in California. If a foreign corporation, the Certificate of Qualifications number issued by the California Secretary of State is required instead.

Limited Liability Company: All requested information is required, to prevent duplication of records. Include the Limited Liability Company number assigned by the California Secretary of State and the assigned EIN.

Principal place of business: A single location designated by the motor carrier, normally its headquarters, where records required by federal motor carrier safety regulations will be maintained, if applicable, and records of drug and alcohol testing required by Section 34520 of the VC will be made available for inspection.

Do not write in the box marked "CHP USE ONLY".

Fleet mileage in California: All mileage accumulated in California by vehicles identified in Part 4 during the most recent full calendar year, whether operated in intrastate or interstate service.

Emergency contacts: Enter the names of responsible individuals at the company-wide level of your organization whom the CHP should attempt to contact in the event of an emergency involving your organization's vehicles or drivers.

Please notify your nearest MCSU (page 3) immediately of any permanent changes in personnel who are on-call for emergencies involving CHP-regulated commercial motor vehicles.

Types of operation: Check all that apply. This will assist CHP in mailing new information to your organization only when appropriate.

Important: Read the descriptions of each item beginning on pages 4 and 5 before checking the box.

A. Truck - Any truck of three or more axles with a gross vehicle weight rating (GVWR) of more than 10,000 pounds; any truck tractor regardless of number of axles or GVWR; and any truck used to tow a trailer where the overall length of the truck and trailer coupled together exceeds 40 feet.

B. Hazardous Materials Carrier - Any truck, including pickups, used to transport any amount of hazardous materials.

C. Hazardous Materials Shipper - An individual or company who offers hazardous materials for transportation by common carrier, contract carrier, or motor carrier of property, and never transports hazardous materials in any amount on vehicles owned, rented, leased, or otherwise controlled or operated by the shipper.

D. Hazardous Waste Transporter - An individual or company that transports hazardous wastes as defined in California or federal regulations.

E. Flammable Liquid Cargo Tank - Any tank greater than 120 gallons capacity which is used to transport liquids having a flash point of less than 100 degrees Fahrenheit, other than in the regular fuel tank of the vehicle.

M. Vehicle or combination described in Section 34500(k) VC - Any commercial motor vehicle with a GVWR of 26,001 or more pounds; or any combination of vehicles consisting of a commercial motor vehicle of any GVWR and a trailer with a gross weight or GVWR greater than 10,000 pounds ("Trailer" for this purpose does not include camp trailers, trailer coaches, or utility trailers).

N. Vehicle described in Section 34500(j) VC - Any other motor truck not described in A, B, D, E, or M above; the operation of which is subject to regulation by the DMV through the Motor Carrier of Property Permit requirements, the PUC, or United States Department of Transportation.

Doing business as (DBA): Enter all lawfully registered business names used in California by this entity (businesses not involving the use of regulated vehicles in Part 4 may be excluded).

Operating authorities and identification numbers: Certain types of carriers are not required to display their assigned CA number if they are already displaying valid numbers assigned to them by other specified regulatory agencies. In order to cross reference your organization's other numbers to its CA number, the CHP needs to know what the other numbers are.

USDOT: The number assigned by the FMCSA and displayed on vehicles as "USDOT 000000". The USDOT number is required for all California motor carriers per Section 34507.5 VC.

MC: The number assigned to your organization by the FMCSA. This number is often shown on documents as "MTR 000000," and on vehicles as "MC 000000" with the zeros replaced by the number assigned to the company.

IRP: The International Registration Plan identification number assigned by the appropriate agency in your state (DMV for California-based carriers).

California terminals: All business locations from which vehicles described in Part 4 are dispatched or operated in intrastate service, or in initiating, completing, or continuing the movement of an interstate load.

Attach additional pages if necessary; provide the same information for each terminal.

Terminal DBA and Address: A properly registered DBA name used at that location, if different from the name identified in Part 1, and the physical address of each location. City Name: City or community name only. State is not necessary, as only locations within California must be listed.

Driver Records? - Check "Y" if records relating to commercial motor vehicle drivers are kept at this location, such as driver qualification files, DMV driving records, and drivers' time records. Vehicle Records? - Check "Y" if commercial motor vehicle inspection and maintenance records are kept at this terminal for the vehicles based there, such as drivers' daily vehicle inspection reports, company safety inspection records, scheduled maintenance records, repair records. Check "N" if this location is not where such records are kept.

The CHP recommends that upon completion of this Motor Carrier Profile, you make a copy for your records prior to mailing the original to the CHP.