Colorado Carpool Company Registration for Company Owners

Company Name Company deploying and operating the carpool app.

Company Website/URL for the APP

Name of the Carpooling App

What App Stores is your carpool app available to download

First and Last Name

Contact's Title

Email Address

Mailing Address

Phone number

How will this carpooling app be operated each year?

For seasonally deployed apps, what is the beginning and end date of operation for the carpool application for the year

Do you understand that you are registering for the operational period of Jan. 1 2025 through Dec. 31, 2025?

yes no

Do you want to receive a reminder from CDOT to register the carpool app for future years? Please check all that apply.

yes no

As legally required by Colorado House Bill 21-1076, does the carpool app disclose to users of the carpooling service the following statement: "Be advised that carpooling service companies are not regulated by the state of Colorado. Background checks might not be performed on drivers, drivers are not subject to medical examination and certification, vehicles are not subject to inspection by the state, and state insurance verification is not performed."

yes no

As required by Colorado House Bill 21-1076, does the carpool app determine whether a trip is eligible to meet the legislation's definition of a "carpool" by either (1) determining that the trip will be to a ski area, or by (2) calculating the mileage of a trip and by determining whether that mileage is 23 or more miles per trip?

yes no

Does the carpool app restrict drivers to picking up no more than six (6) passengers in a single trip?

yes no

What region is your carpool app targeted?

Please describe the geographic boundaries for the operation of the carpool application:

How many one-way user trips do you anticipate to be completed this year on the carpool app?

The State of Colorado is interested in understanding how your carpooling service is assisting Coloradans in meeting statewide goals for both vehicle miles traveled on the transportation network and greenhouse gas emissions. Additionally, the State of Colorado is interested in learning about best practices from the deployment of the carpooling application. Would your company consider participating in a periodic roundtable with CDOT to discuss carpooling services?

yes no

The State of Colorado is interested in understanding the data your company collects on carpooling. Would your company consider participating in a data sharing program? Note: All business-sensitive data will be held in strict confidence and the State of Colorado employees would provide a non-disclosure agreement.

yes no

Would your company like to be listed on codot.gov as an available carpool app?

yes no

Additional Comments or Questions