W. Va. Code R. § 150-22-14
This form must be used for all initial and supplemental filings. This form may not be modified by the Commission or any other participating state except to include its state agency name, address and telephone number. No additional information may be required under these procedures.
This sheet shall be included with the application form when it is mailed to the motor carrier. This form may not be modified by the Commission or any other participating state except to include a state agency name, address and telephone number and to include the amount of fees to be collected for each state of travel. (The supplemental application form RS-2 will be used in lieu of the form RS-2 when the motor carrier adds additional equipment or states of travel.) Attached to this Appendix is a table listing those fees that will be charged.
The registration receipt will be printed by the Commission using durable white paper. This receipt shall be printed on a sheet no larger than a 8 1/2" x 11". The Commission shall print on this form the state agency name, address and telephone number, the complete registrant's name including all owners and fictitious name, the business city and state, the ICC MC number, the effective date, expiration date, the states of travel and number of vehicles for which fees have been paid. (The entire form may be printed on pre-printed form paper.)
The form may contain a state seal or emblem printed in blue color to indicate that this receipt is the original receipt issued to the registrant by the Commission.
For uniformity for enforcement purposes, this form must be printed with the same information and in the same form as attached to these procedures.
The states for which fees have been paid along with the number of trucks will be printed in the following manner:
On the first line of the area set out on the right side of the registration receipt, print three asterisks immediately followed by the two standard postal letter abbreviations in caps for each state with a parentheses after each state abbreviation with the number of vehicles for which fees have been paid inside the parentheses with a comma following each state abbreviation with no spacing between commas. The last state abbreviation will be immediately followed by three asterisks. For example:
***CO(1O),ID(5),MN(4),MO(1O),NE(5)***
The Commission may print a serial number on the receipt for audit purposes. This field is optional at the discretion of the Commission.
The accounting transmittal shall be used in accordance with the accounting procedures established herein. This form can be modified only to add the agency name, address and telephone number.
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W. Va. Code R. § 150-22-14