Form VR-294 Maryland

Tow Truck Certification

[Motor Vehicle Administration, 6601 Ritchie Highway, Glen Burnie, Maryland 21062, 410-768-7000, TTY 1-800-492-4575, www.MVA.Maryland.gov] This form is for Tow Truck Certification. The applicant certifies under penalty of perjury: - The vehicle's gross vehicle weight and gross combination weight are mentioned. - The vehicle is a single unit truck used as a tow truck or rollback. - The vehicle is owned and operated exclusively for towing purposes: repair, storage, removal of abandoned vehicles from the highway, or other than exclusive towing. - The vehicle has commercial liability insurance in the required amount for interstate or foreign commerce transportation. - The Federal Employer Identification Number is provided. - If applicable, a U.S. Department of Transportation Motor Carrier number or Interstate Commerce Commission Motor Carrier Authority number is given. Information required: Make, Model, Vehicle Identification Number, Title Number, Applicant's Name, Business Address, Owner's Signature, Owner's Printed Name (if co-owner, provide Co-owner's Signature and Co-owner's Printed Name), and an officer's signature designating official capacity if owned by a firm or corporation.