1. (1) the applicant's name and all trade names under which the applicant intends to provide household goods moving services in the State;
2. (2) the applicant's physical address, telephone number, and, if applicable, e-mail address;

3. (3)

   1. (i) the name of all persons with at least 25% ownership in the applicant's business; and
   2. (ii) if a person identified under item (i) of this item has previously applied for registration for another entity, identification of that person and the disposition of the application for the other entity;
4. (4) the applicant's federal employee identification number;
5. (5) the name of the applicant's registered agent in the State;
6. (6) the applicant's U.S. Department of Transportation or State Department of Transportation number;
7. (7) insurance carrier and policy number showing liability and cargo coverage with the minimum standards in 49 C.F.R. Part 387.303; and
8. (8) proof of workers' compensation coverage for all covered employees.

An applicant for registration shall provide:

Added by Acts 2019, c. 684, § 1, eff. Oct. 1, 2019; Acts 2019, c. 685, § 1, eff. Oct. 1, 2019.