Government of Ontario: Ministry of Transportation
Aplication for a Fleet
Office Use Only
Office No.
R.I.N. of Fleet
Eff. Date (yy/mm/dd)
Bus. Date (yy/mm/dd)
Registrant Information
Registrant Identification No.
Stagger Date (yy/mm/dd)
Last Name, First Name and Initial or Company Name
Street No. & Name or Lot, Con & Twp.
Apt. No.
City, Town or Village
Postal Code
Complete below only if mailing address is different from above
Street No. & Name, P.O.Box No.,R.R. No. or Lot, Con & Twp.
Apt. No.
City, Town or Village.
Postal Code
Fleet Information
Enter the information that differs from the registrant information above
Stagger Date (yy/mm/dd)
Operating As
(Name of Unincorporated Company)
Address
Street No. & Name, P.O.Box No.,R.R. No. or Lot, Con & Twp.
Apt. No.
City, Town, Village, R.R.
Postal Code
Mailing Address
Street No. & Name or Lot, Conc., Twp.
Apt. No.
City, Town, Village, R.R.
Postal Code
Authorized Signature
X
Date (yy/mm/dd)
List plate number(s) and vehicle identification number(s) for vehicle(s) to be included in the fleet.
Fleets established for unique stagger date purposes must comprise 50 or more vehicles.
Plate No(s)
Vehicle Identification No(s)
Version française disponible
SR-LV-030E (01/2007)
© Queen's Printer for Ontario, 2007