1. a) The full, legal name of the person making the designation;
2. b) The mailing address and telephone number of such person;
3. c) The name of the chief executive officer (if applicable);
4. d) The name and address in Illinois of the person's agent for service of process;

5. e) Identification of the person as either:

   1. 1) A motor carrier of property licensed by the Commission;
   2. 2) A motor carrier of passengers licensed by the Commission;
   3. 3) A rail carrier registered with the Commission;
   4. 4) A common carrier by pipeline registered with the Commission;
   5. 5) A broker licensed by the Commission; or
   6. 6) A tariff bureau approved by the Commission; and
6. f) Any license or registration number assigned by the Commission to the person.

A completed designation of Agent for Service of Process form or letter of designation must set forth:

(Source: Amended at 14 Ill. Reg. 3033, effective February 15, 1990)