| (a) | name and address of the owner of the vehicle; |
| (b) | make and year of manufacture of the vehicle; |
| (c) | description of the vehicle; |
| (d) | name and home address of the driver or operator of the vehicle; |
| (e) | insurance coverage for the vehicle; |
| (f) | the usual place where the vehicle is parked during the day when not in use; |
| (g) | the usual place where the vehicle is parked during the night; and |
| (h) | address for the service of orders, notices and requisitions required to be served under the Act on the owner of the vehicle. |