An applicant for registration shall provide:
(1) the applicant’s name and all trade names under which the applicant intends to provide household goods moving services in the State;
(2) the applicant’s physical address, telephone number, and, if applicable, e–mail address;
(3) (i) the name of all persons with at least 25% ownership in the applicant’s business; and
(ii) if a person identified under item (i) of this item has previously applied for registration for another entity, identification of that person and the disposition of the application for the other entity;
(4) the applicant’s federal employee identification number;
(5) the name of the applicant’s registered agent in the State;
(6) the applicant’s U.S. Department of Transportation or State Department of Transportation number;
(7) insurance carrier and policy number showing liability and cargo coverage with the minimum standards in 49 C.F.R. Part 387.303; and
(8) proof of workers’ compensation coverage for all covered employees.