IRP-6 Form PDF Details

Navigating the complexities of vehicle registration, especially for commercial vehicles operating across multiple jurisdictions, requires familiarity with specific forms like the IRP-6 form provided by the New York State Department of Motor Vehicles. This form is essential for truckers, fleet operators, and commercial vehicle owners who are part of the International Registration Plan (IRP), facilitating the registration of vehicles that travel interstate. The IRP-6 form covers a wide array of applications, including new accounts, fleet additions, vehicle deletions, address changes, and more, ensuring that all relevant vehicle and owner information is accurately recorded and updated. From assigning account and fleet numbers to specifying the type of application requested—be it for new registrations, renewal, weight changes, or temporary authority—the form is comprehensive. It also gathers detailed vehicle data, owner information, and operational specifics crucial for compliance with the IRP's apportioned registration requirement. By completing this form, registrants can ensure their vehicles are legally authorized to operate across state lines, carrying goods or passengers, with the correct weight limits and information disclosed to relevant jurisdictions. The form also addresses privacy concerns and includes a section for disclosing personal information protection preferences. Moreover, it requires certification by the applicant affirming the accuracy of the provided information and compliance with the New York State Vehicle and Traffic Law, underscoring the legal responsibility borne by carriers to ensure their fleets meet all regulatory standards.

QuestionAnswer
Form NameIRP-6 Form
Form Length2 pages
Fillable?Yes
Fillable fields180
Avg. time to fill out36 min 34 sec
Other namesOEN, irp6 form download pdf, irp6 template, irp6 form pdf

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IRP-6 (5/13)

New York State Department of Motor Vehicles

PAGE 1 OF 2

 

INTERNATIONAL REGISTRATION PLAN

 

 

SCHEDULEA& C

 

PART 1

 

 

 

 

TYPE OFAPPLICATION REQUESTED

 

NEWACCOUNT

ADD JURISDICTIONS

DUPLICATE CAB CARD

ADDRESS CHANGE

ADD VEHICLE

WEIGHT INCREASE

REPLACEMENT PLATES

TEMPORARYAUTHORITY

DELETE VEHICLE

WEIGHT DECREASE

REPLACEMENT STICKER

OTHER____________________

TRANSFER PLATES

RENEWAL

FLEET TO FLEET

 

REGISTRANT/CARRIER INFORMATION

 

DMV USE ONLY

 

 

1. ACCOUNT # ____________________________________

2. FLEET # ____________________ SUPP#: __________________

3.REGISTRANT NAME: ____________________________________________________________________________________

4.DBA: __________________________________________________________________________________________________

5.BUSINESSADDRESS:____________________________________________________________________________________

 

 

(No P.O. Box NumberAllowed)

 

 

CITY: ______________________ STATE: _______

ZIP CODE: ______________ COUNTY:

______________________

6.

CONTACT PERSON: ______________________________________________ 7. PHONE # (

) ____________________

8.

TAXPAYER IDENTIFICATION # (TIN): _______________________FEIN SSN 9. FAX # (

) ____________________

10.

DATE OF BIRTH: ____________________ 11.

Male Female

 

12.PRIVACY ACT: Check the INFORMATION DISCLOSURE box at the end of this sentence if you do not want your personal information from this record used for surveys, marketing and solicitations.

13.WYAUTHORITY#:____________________________

14.SAFETY CARRIER’S NAME:

DOT#: ___________________________________________ TIN:

 

 

Have you previously been registered in any jurisdictions? Yes

No, If yes, jurisdiction _________________________________

 

Do you lease your vehicle and driver to a motor carrier?

Yes No

FLEET INFORMATION

 

 

 

15.

FLEET TYPE: ____

16. COMMODITY CLASS: ____

17. # OF REG MONTHS: ______

 

18. EFFECTIVE DATE: _______________

19. EXPIRATION DATE: _____________

20.

MAILINGADDRESS: ______________________________________________________________________________________

 

 

 

(No P.O. Box NumberAllowed)

 

CITY: ______________________ STATE: _______

ZIP CODE: ______________ COUNTY: ________________________

 

 

 

 

 

PART 2

FLEET TO FLEET TRANSFER INFORMATION

(21)

(22)

(23)

(24)

FLEET VEHICLE UNIT #

(OEN)

VEHICLE IDENTIFICATION NUMBER

FROM FLEET #

TO FLEET #

DELETIONS*

(25)

(26)

(27)

(28)

FLEET VEHICLE UNIT #

(OEN)

VEHICLE IDENTIFICATION NUMBER

LICENSE

REPLACEMENT FLEET

PLATE NUMBER

VEHICLE UNIT # (OEN)

 

 

*(Send in plates for deletion.)

PART 3

WEIGHT

INFORMATION Account # ____________________________________

29.Please list the weight you want on your cab card for the jurisdictions you intend to travel through. Canadian jurisdictions will print the weight in kilograms on the cab card.

AK

____________________

KS

____________________

NJ

____________________

VT

____________________

 

AL

____________________

KY

____________________

NM

____________________

WA

____________________

 

AR

____________________

LA

____________________

NV

____________________

WI

____________________

 

AZ

____________________

MA

____________________

NY

____________________

WV

____________________

 

CA

____________________

MD

____________________

OH

____________________

WY

____________________

 

CO

____________________

ME

____________________

OK

____________________

AB

____________________ (Canada)

CT

____________________

MI

____________________

OR

____________________

BC

____________________ (Canada)

DC

____________________

MN

____________________

PA

____________________

MB

____________________ (Canada)

DE

____________________

MO

____________________

RI

____________________

NB

____________________ (Canada)

FL

____________________

MS

____________________

SC

____________________

NL

____________________ (Canada)

GA

____________________

MT

____________________

SD

____________________

NS

____________________ (Canada)

IA

____________________

NC

____________________

TN

____________________

ON

____________________ (Canada)

ID

____________________

ND

____________________

TX

____________________

PE

____________________ (Canada)

IL

____________________

NE

____________________

UT

____________________

QC

____________________ (Canada)

IN

____________________

NH

____________________

VA

____________________

SK

____________________ (Canada)

 

 

 

VEHICLE INFORMATION FOR NEWACCOUNTS ORADDITIONS

 

 

 

PART 4

 

 

 

30.VEHICLE #1:

A) VEHICLE IDENTIFICATION NUMBER

 

 

 

B) YEAR

C)

MAKE

D) VEHICLE TYPE

E) FUEL/CYL

F) WHEELBASE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G) UNLADEN WT

H) SEATS

I) COMBINED

 

J) COLOR

K) OWNER NAME

 

 

 

 

 

 

 

/AXLES

AXLES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L) TITLE DOC #

 

M) TITLE DOC. JUR.

N) SAFETY TAXPAYER ID # (TIN)

FEIN SSN

 

O) SAFETY US DOT #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P) Vehicle Safety responsibility will change

Q) SAFETYNAME

 

 

 

 

 

during the year?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

R) FLEET VEHICLE # (OEN)

S)MAXIMUM DESIRED WEIGHT

T)PURCHASE PRICE

U)PURCHASE DATE

V) FACTORY PRICE

W)INS. CO. CODE

X) CURRENT PLATE #

Y) CURRENT PLATE CLASS

Z) SPECIAL USE

 

 

 

 

 

REGISTRATION

IF THE REGISTRANT IS NOT THE OWNER, fill in the information below. Proof of ownership, and proof of the

AUTHORIZATION

OWNER’S name and date of birth, are required.

 

 

 

 

 

 

Vehicle #1 - Owner’s Name

 

Date of Birth

 

Is the vehicle leased?

 

 

 

 

 

 

 

Yes No

Address

Apt. No.

City

State

Zip Code

 

 

 

 

 

 

 

 

The person named in number 3 of Part 1 is authorized to register this vehicle in his/her name.

 

 

 

 

 

Owner’sAuthorized

 

 

 

 

 

 

 

Signature -

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

Ifsigningforacorporation,printyourfullnameandtitlehere

CERTIFICATION: I, the Undersigned, certify under penalty of perjury that all information provided in thisApplication is true and accurate to the

best of my knowledge, and that the subject vehicle: is fully equipped, inspected, insured, and will be operated, in compliance with NewYork State Vehicle and Traffic Law (VTL); possesses a valid NYS inspection issued within the last twelve (12) months; or, in the alternative, has qualified for an extension of such inspection (see, DMV form VS-1077) and will be inspected within the next ten (10) days; is covered by a current policy of insurance or financial security as required by VTL; and if previously “junked”, has been repaired to conform with VTL Sections 375 and 376; possesses a currently valid NYS registration (if I am using thisApplication to request issuance of replacement registration documents). I declare that IfullyunderstandapplicableFederalandNYSMotorVehicleCarrierSafetylawsandregulationsincluding,whereapplicable,thosepertainingtothe transportation of hazardous materials.If this Application is signed in my official capacity on behalf of a business entity, I further certify that I am dulyauthorizedtomakethisApplicationonbehalfofsuchentity.

IMPORTANT: By signing thisApplication, the Undersigned acknowledges that intentionally making a false statement on this form is a misdemeanor underVTLSection392,andmayresultincriminalprosecution,aswellassuspensionorrevocationoftheregistrationofthesubjectvehicle.

Name ofApplicant/Business Entity (please print):

Sign here:-

 

 

 

 

 

Title:

 

 

Date (mm/dd/yyyy):

/

/

 

 

 

 

 

 

 

 

If signing as agent for a business entity, write your title (CEO, President, Vice-President, Secretary, Treasurer or Comptroller).

 

 

 

Anyone else signing as agent for a business entity must send in an original Power ofAttorney.

 

 

IRP-6 (5/13)

 

 

 

PAGE 2 OF 2

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