Form OA 144M at a glance
What it is: Form OA 144M, the For-Hire Intrastate Operating Authority Certificate, License, or Permit Renewal Application, is the form motor carriers use to renew their Intrastate Operating Authority Certificate, License and/or Permit(s).
Who signs: The APPLICANT OR AUTHORIZED REPRESENTATIVE signs on the SIGNATURE line and enters the DATE (mm/dd/yyyy).
Motor carriers provide business operations information on this form.
A filled-in Form OA 144M example: a sole proprietor renews a property carrier permit
How to fill out Form OA 144M, box by box
Section 1 - Authority information
Under SECTION 1 - AUTHORITY INFORMATION, check all that apply: Sightseeing, Broker of Passenger, Contract Passenger, Employee Hauler, Taxicab, Nonprofit / Tax Exempt Passenger Carrier, Common Carrier-Irregular Route, Household Goods, Non-Emergency Medical Transportation Carrier, Common Carrier-Regular Route, Property Carrier.
Write the number of each certificate, license, and permit you are applying to renew. Attach a separate page if needed.
Section 2 - Business information
Under SECTION 2 - BUSINESS INFORMATION, enter the FEDERAL TAX IDENTIFICATION NUMBER/SSN and the BUSINESS NAME. For individual applicants, give your full legal name.
Enter the TRADE NAME OR DOING BUSINESS AS if different from Business Name.
Enter the business street address, city, ZIP code and state. Do not give P.O. Box.
Enter the business mailing address, city, ZIP code and state if different from the business address.
Enter the primary contact person name, telephone number, fax number, primary contact person title and primary contact person email address.
Section 3 - Other carrier information
Under SECTION 3 - OTHER CARRIER INFORMATION, enter the IFTA LICENSE NUMBER and BASE STATE, and the IRP ACCOUNT NUMBER and BASE STATE, if applicable.
Enter the FMCSA MC NUMBER (Federal Motor Carrier) and the DOT NUMBER, if applicable.
Section 4 - Business entity information
Under SECTION 4 - BUSINESS ENTITY INFORMATION, 4A. BUSINESS ENTITY TYPE, check one: CORPORATION, PARTNERSHIP (Complete Section 4B below), INDIVIDUAL or OTHER.
If you check PARTNERSHIP, enter under 4B. PARTNERSHIP INFORMATION the full legal name and social security number for all partners.
Section 5 - Certification and signature
SECTION 5 - CERTIFICATION I affirm that all taxes, fees, penalties, interest, and judgements due the Commonwealth of Virginia have been paid or satisfied and that I am in compliance with the Worker's Compensation Act of Title 65.2 and with the Business, Professional, and Occupational License Tax requirements. I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation. I understand that any Virginia Operating Authority certificate, license or permit issued to me can be suspended and revoked if any of the information in the application is found to be untrue or inaccurate.
Under SIGN, the APPLICANT OR AUTHORIZED REPRESENTATIVE enters the NAME and the TITLE.
The APPLICANT OR AUTHORIZED REPRESENTATIVE signs on the SIGNATURE line and enters the DATE (mm/dd/yyyy).
More rules for Form OA 144M
Complete all sections. Unsigned applications cannot be processed. For-hire certificates/licenses can be denied, revoked or suspended due to certain circumstances. Refer to www.dmvNow.com for specific denial/revocation/suspension reasons.
Sources
[1] Form OA 144M (01/01/2018), For-Hire Intrastate Operating Authority Certificate, License, or Permit Renewal Application, Virginia DMV (the Official source link on this page).