Free IRP Manual Acknowledgment - Wisconsin

IRP MANUAL ACKNOWLEDGMENT
Wisconsin Department of Transportation MV2923 7/2004 Ch. 341 Wis. Stats.

Clear Form

Motor Carrier Registration Division of Motor Vehicles Wisconsin Department of Transportation PO Box 7955 Madison, WI 53707-7955

Applicant Name

Applicant Title

Company Name

WI ­ IRP Account Number

Street Address

US DOT Number

City

State

ZIP Code

Area Code - Telephone Number

Please sign this acknowledgment and return it to our office at the above address. Failure to submit this to our office within 30 days may result in suspension of your Wisconsin vehicle registration. I acknowledge that I have received the Wisconsin Department of Transportation IRP Registration Manual. I certify that: I have reviewed this manual. I understand it is my responsibility to maintain this manual. I understand the information contained in this manual. I will comply with the terms of the International Registration Plan as administered by the Wisconsin Department of Transportation.

(Applicant Signature)

(Date)