MAIL TO: IRP Office, PO Box 1998, Fredericton NB E3B 5H4 or fax to: (506)453-3076
The following instructions are intended to provide general directions on completion of your application. Please review carefully prior to submitting your forms. Print or type all information entered on the application form.
If you have any questions contact the IRP office in your area. Further information is provided in the IRP Carrier Manual. Completed forms
may be faxed to begin the application process; however original signed copies of the form must be submitted to IRP office.
1. CARRIER ACCOUNT INFORMATION
Client ID No.
The seven (7) digit account number assigned to you by the IRP office. If you are a new carrier, leave this space blank.
The two (2) digit Fleet number.
The last two (2) digits of the year in which the fleet expires. For example if your fleet expires March 31, 2010 the year is 10.
The three (3) digit supplement number for the application. A first transaction or fleet renewal in IRP is supplement 00. If you do not know the supplement number, leave this
2. REGISTRANT NAME
Enter the name of the Carrier, person, Company or corporation in which the fleet is to be registered.
3. WEIGHT VARIANCES
IPR limits the registered weight to not vary by more than 10% between the highest and lowest weights requested for jurisdictions. If the weight varies more than 10% within Canada or 10% within US, you must provide a detailed explanation in the space provided.
4. VEHICLE WEIGHTS
List Canadian jurisdiction weights in Kilograms (for Quebec the number of axles) and US weight in pounds. Weights must be entered for all jurisdictions.
CURRENT PLATE #
New fleet, renew fleet and add
Carrier Assigned Unit Number for vehicle within fleet
Plate number currently on vehicle
vehicle to fleet
Delete vehicle without
replacement in same
Add Vehicle (credit)
Add vehicle using credit from
deleted vehicle in same
Delete vehicle (credit)
Delete vehicle using credit on
fees for another vehicle within
2 Digit Provincial code in which vehicle is registered.
NEW PLATE #
Leave Blank For Office Use Only
Year of Vehicle
Up to first six (6) digits of make
Up to first six(6) digits of model of vehicle
Primary COLOUR of vehicle
Number of cylinders
Fuel type as listed by code on vehicle information form
The type of vehicle as per vehicle types listed on form.
Complete VIN (serial number) of vehicle being registered.
BUS SEATS/ WHEEL BASE
Maximum number of passengers that can be transported / wheel
Empty weight of power unit.
base in meters.
Number of axles on power unit
Policy number issued by insurance company
Name of Insurance Company
Expiry date of insurance policy in DD/MM/YYYY format
Complete name and address of lessor or broker
MONTHLY LEASE AMT
Lease amount per month in Canadian funds
LEASE START/END DATE
Starting and Ending dates of lead in DD/MM/YYYY format
OWNED VEHICLE DATE OF
Date vehicle purchased in DD/MM/YYYY format
Purchase price of vehicle in Canadian funds, including accessories,
service and finance charges
TRADE IN VALUE
Value of Trade in on previous vehicle in Canadian $
Signed and dated by contact person
NOTE: The Issuance of a Registration Document Is Not a Wavier of the Requirements for Any IRP Jurisdiction with Respect to Obtaining Operating Authority, Fuel Permits, Numbers or Financial Responsibility