Indiana Form TNC, formally known as the Application for Transportation Network Company (TNC) Permit (State Form 55848), is the foundational document required for any business aiming to operate a rideshare platform within the state of Indiana. Unlike standard taxi licenses or motor carrier authorities, this specific permit is designed for companies that use a digital network to connect riders with drivers who use their personal vehicles. The form serves as a comprehensive vetting tool for the Department of Revenue’s Motor Carrier Services Division, requiring applicants to not only provide basic corporate structure details but also submit tangible proof of safety and operational policies. By filing this application, a company demonstrates its compliance with state regulations regarding insurance coverage, zero-tolerance drug policies, driver background checks, and non-discrimination standards. Essentially, this document is the gatekeeper that allows a tech-based transportation company to legally conduct business, ensuring that the platform has the necessary legal and safety frameworks in place to protect Hoosier passengers.
How To File Indiana Form TNC
Filing this form requires attention to detail and a few specific steps beyond just filling in the blanks.
- Prepare Copies: You must submit the original application plus one copy.
- Include the Fee: You must attach a filing fee of $100.00. Make your check or money order payable to the “Indiana Department of Revenue.”
- Mail or Deliver: Send the complete package (forms, fee, and all exhibits) to the specific Insurance and Safety Unit address:
Indiana Department of Revenue
Motor Carrier Services
Insurance and Safety Unit
7811 Milhouse Road Suite M
Indianapolis, Indiana 46241-9612
How To Complete Indiana Form TNC
Applicant Information
- Line 1: Enter the full legal name of the applicant. If you operate under a trade name (Doing Business As), include that here as well.
- Line 2: Provide the physical street address of the business.
- Line 3: Enter the City, State, and ZIP Code for the address listed above.
- Line 4: Fill in the contact details, including the business Telephone Number, the County where the business is located, a valid Email Address, and the Federal Employer Identification Number (FEIN).
- Line 5: If your main office in Indiana is at a different location than the address in Line 2, write that physical Indiana address here. If it is the same, you can leave this blank or write “Same.”
- Line 6: Check the box that matches your business structure: Partnership, Corporation, Individual (Sole Proprietorship), or Other.
Corporate Structure
- Line 7: If you are a Partnership, list the Name and Address of every partner. If you are a Corporation, list the Name, Title, and Address of every principal officer.
- Line 8: If you are a Corporation, Limited Partnership (LP), or Limited Liability Company (LLC), write the State where you were incorporated and the specific Date of Incorporation. You must also indicate the year you filed your last annual report with the Indiana Secretary of State.
- Line 9: Check “Yes” or “No” to indicate if you already hold any Indiana intrastate motor carrier certificates or permits. If you check “Yes,” you must list the permit numbers in the space provided.
Required Exhibits (Line 10)
This section acts as a checklist. You must confirm that you are attaching the following documents (“Exhibits”) to your application.
- Exhibit A: Attach a certificate from the Indiana Secretary of State showing you are registered to do business in Indiana (for non-residents) or a Certificate of Existence (for Indiana corporations).
- Exhibit B: Attach copies of any existing Indiana intrastate certificates or permits you hold.
- Exhibit C: Attach a written copy of your zero-tolerance policy regarding drug and alcohol use for your drivers.
- Exhibit D: Attach your policy that requires drivers to comply with all vehicle equipment laws for their personal cars.
- Exhibit E: Attach proof of your motor vehicle insurance requirements for drivers (or the insurance you provide for them).
- Exhibit F: Attach the fare guidelines explaining how you charge riders for trips.
- Exhibit G: Attach your privacy policy regarding the protection of rider data.
- Exhibit H: Attach your non-discrimination and accessibility policies, showing compliance with state and federal laws.
- Exhibit I: Attach your guidelines for maintaining records.
- Exhibit J: If you contract with other motor carriers to provide rides through your app, you need a Broker’s License. In this case, attach a $10,000 Surety Bond to apply for that license concurrently.
Signature and Notarization
- DATED THIS: Enter the day, month, and year you are signing.
- Applicant’s Signature: The authorized representative must sign here.
- Print Applicant’s Name: Clearly print the name of the person signing.
- Title: Enter the job title of the person signing.
- Notary Section: Do not fill this out yourself. Take the completed, unsigned form to a Notary Public. They will witness your signature, administer the oath, and stamp the document to make it official.