Statutes, codes, and regulations
West Virginia Administrative Code
Agency 150 - Public Service CommissionTitle 150 - EXEMPT LEGISLATIVE RULE PUBLIC SERVICE COMMISSION
Series 150-14 - Rules And Regulations Governing The Filing And Approval Of Surety Bonds, Policies Of Insurance, qualifications as Self-Insurer Or other Securities And Agree
Section 150-14-10 - FORMS

W. Va. Code R. § 150-14-10

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Current through Register Vol. XLI, No. 38, September 20, 2024
Section 150-14-10 - FORMS
10.1. The Forms hereby prescribed shall be used by each common and contract carrier by motor vehicle of passengers and property subject to the provisions of Chapter 24A of the Code of West Virginia, 1931, as amended, in observing the rules and regulations herein prescribed, as follows
10.1.1. P.S.C. W.VA. M.C. FORM 17 - Notice of Cancellation of Motor Carrier Policies of Insurance;
10.1.2. P.S.C. W.VA. M.C. FORM 18 - Notice of Cancellation of Motor Carrier Surety Bonds;
10.1.3. P.S.C. W.VA. M.C. -FORM 21 - Application for Authority to Self-Insurer;
10.1.4. P.S.C. W.VA. M.C. FORM 22-A - Endorsement for Motor Carrier Policies of Insurance for Bodily Injury Liability and Property Damage Liability;
10.1.5. P.S.C. W.VA. M.C. FORM 23 - Endorsement for Motor Common Carrier Policies of Insurance for Cargo Liability;
10.1.6. P.S.C. W.VA. M.C. FORM 2 4-A - Certificate of Cancellation of Motor Carrier Policies of Insurance;
10.1.7. P.S.C. W.VA. M.C. FORM 25 -.Certificate of Cancellation of Motor Carrier .Policies of Insurance;
10.1.8. P.S.C. W.VA. M.C. FORM 45-A - Motor Common Carrier Cargo Liability Surety Bond; and
10.1.9. P.S.C. W.VA. M.C. FORM 4 6 - Motor Common Carrier Cargo Liability Surety Bond.

(P.S.C. W.VA. M.C. Forms may be obtained from the Motor Carrier Division of the Public Service Commission)

FORMS MAY BE OBTAINED FROM THE SECRETARY OF STATE'S OFFICE

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W. Va. Code R. § 150-14-10