Instructions for Application Completion
registration application is a PDF file, files which require Adobe
Acrobat to download. If you do not have Adobe on your computer,
it can be acquired at no cost from their website:
Please Type or Print in black ink all information
the information provided on the renewal is correct.
the complete name, address, zip code+4, and county of the business.
the FEIN (Federal employer/taxpayer identification number). This
is the number the Internal Revenue Service uses to identify the
person or business for taxpaying purposes. To obtain one contact
the IRS at (800) 829-3676, ask for Form #SS4 Employer ID.
the State Taxpayer withholding identification number. If you need
an employer withholding permit , contact the Ohio Department of
Taxation at (888) 405-4089 or use the Ohio Business Gateway to
register on line at www.obg.ohio.gov
your Worker's compensation identification number. This number
is assigned to businesses paying insurance premiums for workplace
injuries. To obtain a number contact the Ohio Bureau of Workers
Compensation at (800) 644-6292. (Sole Proprietors with no employees
are not required to have this ID number)
your Ohio Department of Job and Family Services (ODJFS) Unemployment
Compensation tax account No. To obtain one employers should complete
a Report To Determine Liability (JFS 66300). This identifies those
businesses required to provide monetary benefits to unemployed
workers. To obtain the JFS 66300 Form, contact the Bureau at (614)
466-2319 or find it on their website
your Hazardous Waste Generator Number. Depending on the amount
of waste you generate per month, your shop may or may not need
a number. Refer to Ohio EPA's Guidance for Owners/Operators of
Automotive Collision Repair Shops. This guide can be found at
For assistance, contact Ohio EPA's Office of Compliance Assistance
and Pollution Prevention at 1-800-329-7518 or Division of Hazardous
Waste Management at 614-644-2917
your EPA Air Pollution Source Permit Number. For assistance, contact
Ohio EPA's Office of Compliance Assistance and Pollution Prevention
your local zoning designation
your current vendor license number. This number is assigned to
those businesses recognized by and allowed to conduct business
transactions in the state of Ohio. To obtain one, contact the
Department of Taxation (888) 405-4089, www.tax.ohio.gov.
Circle business type: Corporation, partnership, sole proprietorship,
LLC. Provide the name, address, and telephone number for each
company, owner, partner, shareholder, or other associated entity
that has an ownership interest in that business.
the initial application in the presence of a notary public;
they will countersign and affix a seal on the application. This
section is mandatory By signing you are providing a sworn statement
indicating that the business being registered meets or exceeds
all federal, state and local requirements related to the operation
of a motor vehicle repair business.
renewal application is to be accompanied by a check in the amount
of $225.00 and made payable to Treasurer of the State of
Ohio, CRB. The application will not be processed without
payment. All returned checks will result in a $40.00 fee. Late
fees are .63 cents per day after 30 days.
you had a signage or address change since your previous renewal/application
please provide 2 photographs
print must show the sign and the building together or side view
of the mobile unit.
second print must show the street leading to your business (ingress
& egress) with your business in the background (usually this
can be accomplished by going across the street and taking the
picture) or rear view of the mobile unit.
business' one picture of the side of vehicle and the
other picture of the inside of the work/storage area
of the vehicle. Photographs can be Polaroid, digital or prints.
The digital or print photographs must be 3 x 5 minimum on 8
½" x 11 paper. Label pictures with shop name and
address. Digital images may be emailed to Kimberly.Sherfield@crb.state.oh.us.
need to verify General Liability and Garage Keepers insurance
coverage. Insert in space provided your renewal/expiration date
of coverage. Request from your agent / insurer a CERTIFICATE
OF LIABILITY INSURANCE COVERAGE On this form they will
have the dates of coverage, limits and they will list us as Certificate
Holder (notifying us of any changes to your policy). We do not
accept copies of declaration pages.
with your Certificate of Coverage should be the name, address,
fax number and phone number of your agent for verification or
questions regarding your coverage. COI's may be faxed to (614)
us if you have any questions:
Phone Number: (614) 995 - 0714
Fax Number: (614) 995 - 0717
Notarized (Initial application only)
for $225.00 (Made out to "Treasurer of the State
of Ohio, CRB")
of Insurance (Verifying coverage of Garage Keepers and General
(2) (Initial application only)