Get La Lpsc Form D-7175 2017-2025

Filling out the LA LPSC Form D-7175 online is an essential process for any business entity looking to register their drivers with the Louisiana Public Service Commission. This guide will provide you with clear steps and detailed instructions on how to successfully complete the form to ensure compliance with state regulations.

Follow the steps to fill out the LA LPSC Form D-7175 online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully read through the rules and instructions provided within the form. Ensure that you understand all the requirements before proceeding.
3. Fill out the 'Registration Year' section with the current year for which the application is being submitted.
4. In the 'Printed Name of Business Entity’s Authorized Representative' field, enter the name of the person authorized to represent your business.
5. Fill in the 'Business Entity Name' and 'LPSC Number' as applicable.
6. Provide your signature in the 'Signature of Business Entity’s Authorized Representative' section to validate the application.
7. In the 'Driver Details' section, input the driver's Chauffeur or CDL License Number and check the appropriate box to indicate their status as an employee, independent contractor, or business owner.
8. Complete the driver’s personal information including name, mailing address, social security number, phone number, date of birth, and email address if desired.
9. Address the 'Driver Questionnaire' by responding to all given questions with a 'YES' or 'NO'. Ensure honesty and provide explanations on a separate sheet if necessary.
10. In the 'Declaration of Applicant' section, print the driver's name, confirm the accuracy of the application, and sign the document.
11. Attach any required documents such as the driver's CDL, Certificate of Liability Insurance, and Employers’ Quarterly Wage & Tax Report, if applicable.
12. Review the completed form for accuracy and completeness before saving your changes, downloading, printing, or sharing the application as needed.

Begin your application process online today to ensure your drivers are registered with the LPSC!