Louisiana Industrial Hemp Program Transportation Driver Voluntary Reporting Form
Use this form to submit the names of each person that may be the driver of a vehicle transporting
your industrial hemp seed, plants or plant material in Louisiana.
Reporting transportation drivers is
voluntary
and is not required by the Hemp Law or Regulations.
This list, along with required and other supporting documentation, will assist in avoiding
transportation interruptions with law enforcement agencies.
To report changes in drivers, licensee should resubmit this form with current driver information.
A list of licensee's drivers will be compiled and supplied to state and local law enforcement agencies.
License Information
Enter all licenses in which the drivers may be transporting industrial hemp seed, plants or plant materials.
License Information
Name of Licensee
License Number
1
2
3
4
Potential Drivers
List the names of all potential drivers in the fields below.
Potential Drivers
Full Name of Driver
1
2
3
4
5
6
7
8
9
10
Attach sheets as necessary for additional drivers in the "File Upload" box below. If additional sheets are attached, indicate total number of sheets attached:
File Upload
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of
Signature of Licensee or Designated Responsible Party
Printed Name
Email
example@example.com
Title
Date
-
Month
-
Day
Year
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