Cvor Application Form – Fill Out and Use This PDF

Commercial Vehicle Operator’s Registration (CVOR) Application -

Corporation or Partnership

This application is to be completed only by carriers that operate commercial motor vehicles plated in

Ontario, the United States of America (USA) or Mexico that travel in Ontario.

Instructions

Ministry Use Only

Op No.

Office No.

• Complete and sign this application and return with the required fee. Incomplete applications will be

returned unprocessed to the sender.

Assigned to:

• If you are doing business as an Individual or Sole Proprietorship complete the CVOR Application

for Individual (SR-LC-018).

Application No:

• You must include the required supporting documentation that identifies your company name

(certificate/articles of incorporation, letters patent, certificate/articles of amendment or amalgamation).

Certificate No:

• Limited partnerships - see Part 4, Business Information.

Processed on:

• Allow a minimum of 15 business days for application processing.

Y

M

D

• Mail completed application to: Ministry of Transportation, Carrier Sanctions and Investigation Office,

Amount Received

CVOR Processing Section, 301 St. Paul Street, 3rd Floor, St. Catharines ON L2R 7R4 or fax to

$

905 704-2525 or 905 704-3033.

Method of Payment

For additional information please visit www.mto.gov.on.ca or contact Carrier Sanctions and Investigation Office

Cash

Credit Card

at 1 800 387-7736 or 416 246-7166.

Cheque

Money

Part 1 - Purpose of this Application

Certified

Order

Check  the purpose of your application.

Cheque

To obtain an Original CVOR Certificate. $250.00 fee applies.

To replace a lost, stolen or damaged CVOR Certificate. $5.00 fee applies.

Note: To update an existing CVOR record please call the number above to order an application.

Part 2 - Method of Payment

Check  your method of payment below.

•If paying by credit card via fax or mail, attach the Credit Card Authorization Form (SR-LV-034).

•If paying by cheque or money order, make payable to the "Minister of Finance/MTO". Post-dated cheques are not accepted.

•Payment in Canadian funds only. Do not send cash in the mail.

Part 3 - Registrant Information

CVOR Number/Registrant Identification Number (R.I.N) (if it has been assigned)

–

–

Name of Operator (provide full legal name of corporation or partners)

Head Office Address - Street No. and Name, Lot, Con. and Twp. (A post office box will not be accepted)

Apt/Unit No.

City/Town/Village

Province/State

Country

Postal/Zip Code

Mailing Address (if different from above) - Street No. and Name, Lot, Con. and Twp.

Apt/Unit No.

City/Town/Village

Province/State

Country

Postal/Zip Code

Preferred Language

English

French

SR-LC-017 2012-06

© Queen’s Printer for Ontario, 2012

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Part 3 - Registrant Information continued

Part 4 - Business Information

If you are doing business under more than one (1) business name, or are a limited partnership, contact the ministry to obtain information about setting up fleeted registrant identification numbers (RINs) by faxing your request to 416 235-4414 or mail your request to Ministry of Transportation, Licencing Administration and Support Office, Special Enquiry Unit, 2680 Keele Street, Building A, Room 178, Downsview ON M3M 3E6.

Registered Trade Name or Name of Partnership (submit a copy of master business licence or business registration document)

Ontario Commercial Motor Vehicle Licence Plate Number

Yes No

1. Do you operate any Ontario Motor Vehicle Inspection Stations (MVIS)? If Yes checked  complete (a) and (b) below........

2. Do you operate commercial motor vehicles outside Ontario? If Yes checked  complete (a) and (b) below.....................

(a) Enter the United States Department of Transportation (US DOT) Number (if applicable)

Part 5 - Type of Operator (Carrier)

Check  your operator type.

H For-Hire Carrier - transports goods and/or passengers for direct or indirect compensation

P Private Carrier - goods are the property of the carrier; goods and/or passengers are transported without compensation

© Queen’s Printer for Ontario, 2012

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Part 6 - Type of Commercial Vehicle (Trucks and/or Buses)

Check  the type of commercial motor vehicle you operate in Ontario:

Truck(s) Only - If checked  indicate up to three (3) main commodities you transport by order of priority, from Category 1 below (e.g. Write the number 1 beside the main commodity you transport, write the number 2 beside the second commodity you transport, etc).

Bus(es) Only - If checked  indicate up to three (3) types of passenger service you provide by order of priority, from Category 2 below (e.g. Write the number 1 beside your main type of bus service).

Truck(s) and Bus(es) - If checked  indicate at least one (1) commodity you transport from Category 1 and at least one (1) passenger service you provide from Category 2. The total number of commodities/passenger services selected should not exceed three (3).

Note: If you operate a truck(s) and do not carry any commodities (e.g. you operate a utility or an empty vehicle), place a check  beside "NO None (other activities)" in Category 1.

Part 7 - Dangerous Goods/HAZMAT Carrier

Yes No

Do you transport dangerous goods in a quantity that requires placards to be displayed on the vehicle?

If Yes checked  complete Part A below......................................................................................................................

Part A - Check  the classification for the types of dangerous goods that you transport.

1 Explosives

2.1 A Flammable Gas

2.2 A Non-Flammable, Non-Toxic Gas

2.3 A Poisonous Gas

3 Flammable Liquids

4 Flammable Solids; Substances Liable to Spontaneous Combustion; Substances that on contact with water emit flammable gases (water-reactive substances)

5 Oxidizing Substances and Organic Peroxides

6 Poisonous Substances and Infectious Substances

7 Radioactive Materials

8 Corrosive Substances

9 Miscellaneous Products, Substances or Organisms

© Queen’s Printer for Ontario, 2012

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