BC ESTIMATED KILOMETER FORMULA WORKSHEET

							                ICBC PRORATE OFFICE
                BC ESTIMATED KILOMETER FORMULA WORKSHEET


Registrants without distance experience may estimate distances based on the operation of the fleet during the period for which registration is
required. The Estimated Kilometer Formula Worksheet was developed to assist BC based apportioned carriers with estimating distances to our
requirements.

The BC Estimated Kilometer Formula Worksheet may only be used if either of the following apply:
1)      a contract or lease has been executed by the applicant providing the applicant to carry freight (or passengers – if passenger operation)
        over routes of travel during the registration year
2)      a business plan has been completed which substantiates the estimated distance provided

The ICBC Prorate Office, may at any time, request support documentation of 1) or 2) above.

Please follow the instructions below, and submit all worksheets with the Prorate Fleet Application, and Prorate Vehicle Application to the ICBC
Prorate Office upon completion.

Please use a separate worksheet for each route of travel.

Your total estimated BC kilometers must include travel to and from the provincial boundaries as well as all local travel within the province. A BC
Estimated Kilometer Formula Worksheet must be completed explaining your local distances within the province of British Columbia.

Complete in detail the expected route of travel stating cities and states/provinces which you will be travelling through. Be sure to advise base of
operation, destination, and return cities and states/provinces you will travelling through to return to base. State the number of trips you will be
making for specific period of time.




Instructions for completing the BC Estimated Kilometer Worksheet:

           Completion of the jurisdiction distances on this worksheet should follow the order of jurisdiction routes of travel explained above.

           A          Determine the total distance travelled within the specified jurisdiction (distances must be in kilometers)
           B          Complete the number of trips per month
           C          Complete the number of months estimate is based on

           Please complete and attach additional page (2) if required.


                               X                             X                             X                               =
      Jurisdiction                            A                             B                              C                         Estimated Kilometers


                               X                             X                             X                               =
      Jurisdiction                            A                             B                              C                         Estimated Kilometers




                     Registrant Name                                         Account Number                                        Effective Date

By signing below, I declare that the information provided is true and correct, and am able to supply support documentation as it may be required.



                      Signature                                             Print Name & Title                                             Date
January, 2002                                                                                                                                 Page 1 of 2
                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers


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      Jurisdiction                         A                            B                             C                      Estimated Kilometers


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      Jurisdiction                         A                            B                             C                      Estimated Kilometers


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      Jurisdiction                         A                            B                             C                      Estimated Kilometers


                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers


                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers


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      Jurisdiction                         A                            B                             C                      Estimated Kilometers


                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers


                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers


                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers


                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers


                              X                          X                             X                             =
      Jurisdiction                         A                            B                             C                      Estimated Kilometers




                     Registrant Name                                     Account Number                                    Effective Date

By signing below, I declare that the information provided is true and correct, and am able to supply support documentation as it may be required.



                      Signature                                          Print Name & Title                                         Date



January, 2002                                                                                                                          Page 2 of 2