Fmcsa Form PDF Details

The Federal Motor Carrier Safety Administration (FMCSA) plays a critical role in ensuring the safety and operational efficacy of motor carriers, brokers, freight forwarders, and others within the United States transportation industry. The Application for Motor Property Carrier and Broker Authority, commonly known as the FMCSA Form OP-1, serves as a cornerstone in the regulatory framework, establishing the prerequisites for obtaining Operating Authority. This comprehensive form touches on everything from the types of operations that necessitate registration to the detailed steps required to navigate the application process effectively. It also outlines the associated costs, underscores the importance of compliance with both the Federal Motor Carrier Safety Regulations (FMCSRs) and the Hazardous Materials Regulations (HMRs), and provides valuable information on how to apply, whether online or via mail, ensuring that applicants are well-informed and prepared to meet the strict requirements set forth. With its expiration set for March 31, 2021, the form highlights a range of crucial topics, including an overview of operating authority, the application method, steps to acquire operating authority, and necessary information sources, making it an indispensable resource for individuals and companies aiming to operate within the sphere of interstate and international transportation.

QuestionAnswer
Form NameFmcsa Form
Form Length16 pages
Fillable?No
Fillable fields0
Avg. time to fill out4 min
Other namesfmcsa 1, fmcsa form, dot fmcsa 1, fmcsa form op 1

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INSTRUCTIONS OP-1

OMB NO.: 2126-0016

EXPIRATION: 03/31/2021

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States Depar tment of Transpor tation

 

 

 

 

FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION

 

 

 

 

 

 

 

 

 

 

 

Application for Motor Property Carrier and Broker Authority

 

 

 

INSTRUCTIONS for FORM OP-1

 

 

 

 

 

 

 

 

 

TOPICS

 

 

 

 

 

 

 

 

 

Overview of Operating Authority

i

 

How to Apply

ii

 

What is the Cost?

iii

 

What are the Steps in Getting Operating Authority?

iii

 

How to Complete the OP-1 Application for Motor Property Carrier and Broker Authority

vi

 

Information Sources

x

*If a sole proprietor owner/operator submits personal information for registration purposes to obtain a USDOT Number or Operating Authority, this information will be publicly available on FMCSA Web sites. This published information may include, but is not limited to, the sole proprietor owner/operator’s home address, telephone number, and e-mail address when the home contact information also serves as the business contact information.

OVERVIEW OF OPERATING AUTHORITY

Depending upon the type of business operation (Motor Carrier, Broker, Freight Forwarder, Shipper, Vehicle Registrant, and/or Cargo Tank Facility) and what will be transported (property, hazardous materials, and/or passengers), companies may be required to register for both Interstate Operating Authority (Form OP-1 series or Form OP-2) and USDOT Number (Form MCS-150 series). The Federal Motor Carrier Safety Administration (FMCSA) enforces compliance with the Federal Motor Carrier Safety Regulations (FMCSRs) and the Hazardous Materials Regulations (HMRs), which govern safety and financial responsibility. FMCSA’s registration requirements reflect the focus on both of these concerns.

FMCSA encourages all applicants with Internet access to use the online registration site at www.fmcsa.dot.gov/registration in order to determine FMCSA’s registration requirements. Applicants without Internet access can call FMCSA at 1-800-832-5660 for assistance.

WHO NEEDS OPERATING AUTHORITY?

Before beginning interstate operations in the United States (U.S.), all authorized for-hire Motor Carriers of non-exempt property and passengers, Brokers, and Freight Forwarders based in the U.S. or Canada must obtain Operating Authority by submitting the appropriate form(s) in the OP-1 series. For a description of the different types of OP-1 forms and the various FMCSA requirements for obtaining Operating Authority, please see “What Are the Steps in Getting Operating Authority?” (Topic IV) in this packet.

NOTE:

Hawaii-based Motor Carriers that transport household goods, property, or passengers within a terminal area (see 49 USC Part 13504) must obtain Operating Authority. Carriers that operate solely within the State of Hawaii and do not transport household goods are not required to obtain Operating Authority.

Mexico-based Motor Carriers should refer to www.fmcsa.dot.gov/mission/español (Spanish) or www.fmcsa.dot.gov/safety/new-entrant-safety- assurance-program (English) for more information.

In addition to Operating Authority, some Motor Carriers of property or passengers must obtain a USDOT Number before beginning interstate operations. Please consult “Do I Need a USDOT Number?” at www.fmcsa.dot.gov/registration/do-i-need-usdot-number, which specifies the requirements for a USDOT Number.

INSTRUCTIONS OP-1 • PAGE I OF X

Rev 9/9/2020

INSTRUCTIONS OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

HOW TO APPLY

Applications may be submitted online or mailed to FMCSA. Compared to mailing, the online method reduces processing time by as much as 2-3 weeks, thus enabling companies to begin their operations sooner. Remember, operations cannot begin until the certificate, permit, or license for Operating Authority has been received. For more information, see “What Are the Steps in Getting Operating Authority?” (Topic IV) in this packet.

APPLY ONLINE

Applying online requires the use of a valid credit card (American Express, Discover, MasterCard, or Visa). Those who do not wish to submit their credit card information online must complete the application and payment by mail (see “Apply by Mail” below).

The following tips are encouraged:

Go to www.fmcsa.dot.gov/registration for information about registering electronically.

Utilize the form instructions during the completion of the online form. This will help to ensure that the application is completed accurately.

NOTE:

The applicant’s legal name (or the authorized representative’s name) must match the name and billing address of the credit card.

Record the MC or FF Number that is provided after approval of the application. This number will be needed on the insurance and process agent forms that are required to complete the application process for obtaining Operating Authority (for more details, see “What Are the Steps in Getting Operating Authority?” [Topic IV] in this packet). This number may also be needed for any correspondence with the FMCSA.

APPLY BY MAIL

Follow the steps below:

Applicants with Internet access are encouraged to go to www.fmcsa.dot.gov/registration for more information.

Go to www.fmcsa.dot.gov/registration/registration-forms to complete the appropriate form(s) and instructions.

Follow the instructions to complete the application form(s)

Save a copy of the application and all supporting documents for the company’s business records

Mail the completed application form(s), any supporting documents, and payment to one of the following addresses, depending upon the type of payment (and method of mail delivery):

1)Check or Money Order (make payable to the FMCSA in U.S. dollars)

First-Class Mail

Federal Motor Carrier Safety Administration P.O. Box 6200-33

Portland, OR 97228-6200

Overnight Express Mail:

U.S. Bank Government Lockbox ATTN: Federal Motor Carrier

Safety Administration 6200-33

17650 NE Sandy Blvd. Portland, OR 97230

2)Credit Card (MasterCard or Visa only)

Federal Motor Carrier Safety Administration 1200 New Jersey Avenue SE

Room W65-206 Washington, DC 20590

NOTE: Sending payment to the wrong address will delay application processing by 2-3 weeks.

INSTRUCTIONS OP-1 • PAGE II OF X

INSTRUCTIONS OP-1OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

WHAT IS THE COST?

Operating Authority

$300.00 each

Form OP-1

1)Motor Common Carrier of Property (except Household Goods).

2)Motor Contract Carrier of Property (except Household Goods).

3)Motor Common Carrier of Household Goods.

4)Motor Contract Carrier of Household Goods.

5)Broker of Property (except Household Goods).

6)Broker of Household Goods.

7)United States-based Enterprise Carrier of International Cargo (except Household Goods).

8)United States-based Enterprise Carrier of International Household Goods.

Form OP-1(P)

1)Motor Common Carrier of Passengers.

2)Motor Contract Carrier of Passengers.

Form OP-1(FF)

1)Freight Forwarder of Property (except Household Goods).

2)Freight Forwarder of Household Goods.

For descriptions of the different types of Operating Authority, see “Section 2 — Type of Authority” under “How to Complete the OP-1 Application for Motor Property Carrier and Broker Authority” (Topic V) in this packet.

NOTE:

• FMCSA regulations prevent us from giving applicants refunds for motor carrier operating authority. After the application, petition, or other document has been accepted for filing by the FMCSA, the filing fee will not be refunded, regardless of whether the application, petition, or other document is granted or approved, denied, rejected before docketing, dismissed or withdrawn. The “non-refund” notice for application fees is also posted on our Web site.

Each type of Operating Authority requires an additional $300 fee. For example, an application for both Motor Common Carrier of Property and Motor Common Carrier of Household Goods will require two $300 fees for a total of $600. Multiple fees can be combined into a single payment.

The FMCSA reserves the right to discontinue processing any application for which insufficient payment is received.

WHAT ARE THE STEPS IN GETTING OPERATING AUTHORITY?

For Motor Carriers, Brokers, and Freight Forwarders based in the U.S. or Canada, the Operating Authority application process includes the six steps shown below. Motor Carriers based in Hawaii or Mexico should see the NOTE in “Overview of Operating Authority” (Topic I) in this packet.

 

 

 

 

 

 

 

 

 

Step 3

 

 

 

 

Step 1

 

 

 

 

 

 

 

 

10-day protest period

 

 

 

Step 6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant

 

 

 

Step 2

 

 

 

 

 

 

 

 

Applicant begins

 

 

 

 

 

 

 

 

 

 

 

submits

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 4

 

 

 

Applicant

 

 

 

 

 

 

 

operation AFTER

OP-1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

receives

 

 

 

 

Insurance Company files

 

 

 

receiving certificate,

and/or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MC or FF

 

 

 

 

form(s) with FMCSA

 

 

 

permit, or license for

OP-1(P)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

Operating Authority

and/or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 5

 

 

 

from FMCSA

OP-1(FF)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant or Process Agent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

files Form BOC-3 with FMCSA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS OP-1 • PAGE III OF X

INSTRUCTIONS OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

STEP 1 — APPLICATION FOR OPERATING AUTHORITY

Motor Carriers, Brokers, and Freight Forwarders begin the Operating Authority application process by submitting one (or more) of the following forms with the appropriate application processing fee:

OP-1 — Operating Authority for:

1)Motor Carrier (common property, contract property, common household goods, or contract household goods).

2)Broker (property or household goods).

3)United States-based Enterprise Carrier (international cargo or international household goods).

OP-1(P) — Operating Authority for Motor Passenger Carrier (common or contract).

OP-1(FF) — Operating Authority for Freight Forwarder (property or household goods).

NOTE:

For descriptions of the different types of Operating Authority, see “SECTION 2 — Type of Authority” under “How to Complete the OP-1 Application for Motor Property Carrier and Broker Authority” (Topic V) in this packet.

To identify the required form(s) for Operating Authority, see www.fmcsa.dot.gov/registration/registration-forms.

STEP 2 — GRANT LETTER AND MC/FF NUMBER

Applicants will receive a grant letter after FMCSA processes and accepts the Operating Authority application as follows:

If applying online, a Motor Carrier (MC) or Freight Forwarder (FF) Number will be provided immediately, and the confirmation grant letter will arrive via mail.

If applying by mail, the grant letter should arrive via mail in approximately 4 weeks. This letter will include the MC or FF Number. Applicants have the option of checking the status of their application online. See“Information Sources”(Topic VI) in this packet for instructions.

Insurance Companies and Process Agents will use the MC or FF Number to make the appropriate filings on behalf of applicants to complete the application process for obtaining Operating Authority.

NOTE: Although an MC or FF Number has been assigned by FMCSA, this does not represent Operating Authority. The company may not begin to operate until it has received the corresponding certificate, permit, or license for Operating Authority described in Step 6.

STEP 3 — 10-DAY PROTEST PERIOD

At the same time the grant letter is mailed, each company’s application for Operating Authority will be published in the FMCSA Register. This publication initiates the 10-calendar-day protest period, during which any individual can file a protest with FMCSA stating why a company should not be issued Operating Authority. FMCSA will accept protests sent by mail as long as they are postmarked by the last day of the protest period. FMCSA will provide the applicant with information on the adjudication process if any protests are filed. During this protest period, Insurance Companies and Process Agents can file the necessary documents detailed in Step 4 and Step 5 below.

To view the FMCSA Register, go to http://li-public.fmcsa.dot.gov and then follow the steps below:

Read the introductory page and then click the “Continue” link.

Select the “FMCSA Register” option in the dropdown menu and click “Go.”

STEP 4 — INSURANCE

This step can begin any time after the applicant receives an MC or FF Number (as described in Step 2 above) and is not dependent on Step 3 being completed. An Insurance Company must file the appropriate insurance form(s) on behalf of the applicant within 90 days of the date the application for Operating Authority was published in the FMCSA Register. Otherwise, the application for Operating Authority will be dismissed, and the application fee will not be refunded. The applicant will receive a warning letter about the 90-day deadline if FMCSA has not received the required documentation within 20 days.

NOTE:

Applicants may not file insurance forms on their own behalf. Therefore, FMCSA does not provide insurance forms to applicants.

An authorized representative from the home or branch office of an Insurance Company must file the required insurance form(s) on the applicant’s behalf.

To minimize processing delays, FMCSA recommends filing forms electronically.

It is the applicant’s responsibility to follow up with the Insurance Company to verify that FMCSA has received and approved the required insurance form(s).

Failure to promptly submit required forms and documentation will delay application processing and can result in dismissal of the application and loss of the application fee.

Check the status of insurance filings by either accessing the FMCSA Web site (see “Information Sources” [Topic VI] in this packet for instructions) or calling FMCSA toll-free at 1-800-832-5660 (Monday through Friday, 8 a.m. to 8 p.m. EST).

INSTRUCTIONS OP-1 • PAGE IV OF X

INSTRUCTIONS OP-1OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

Depending upon the type(s) of Operating Authority requested, one or more of the following forms must be filed with FMCSA by an Insurance Company or financial institution:

Form BMC-91 or BMC-91X for proof of bodily injury and property damage (BI & PD) insurance.

Form BMC-34 for proof of cargo liability insurance.

Form BMC-84 for broker surety bond.

Form BMC-85 for broker trust fund agreement.

For specific guidance about which form(s) FMCSA requires, see “Section 3 — Insurance Information” under “How to Complete the OP-1 Application for Motor Property Carrier and Broker Authority” (Topic V) in this packet. Also, see 49 CFR Part 387 for more details. To view this information, go to the FMCSA Web site at www.fmcsa.dot.gov/regulations/title49/part/387.

Self-Insurance

Motor Carriers, U.S.-based Enterprise Carriers, and Freight Forwarders may qualify as a self-insurer against bodily injury, property damage, and cargo liability claims by submitting Form BMC-40 (Application for Authority to Self-Insure) and evidence to the FMCSA to demonstrate the existence of the following:

Adequate tangible net worth that will cover any liability claims in the event of a loss.

Sound self-insurance program.

Adequate safety program.

FMCSA will approve an application to self-insure subject to appropriate and reasonable conditions. For more details about self- insurance, see 49 CFR 387.309 and 387.411.

Insurance Exemptions

Motor Common Carriers and U.S.-based Enterprise Carriers that transport low-value goods, as specified in 49 CFR 387.301(b), may request exemption from cargo insurance requirements by submitting the cargo exemption form. Freight Forwarders that will not operate commercial motor vehicles (CMV) may seek a waiver of liability (BI & PD) insurance requirements. Direct all requests for insurance exemptions and waivers to the FMCSA Insurance Team, Office of Registration and Safety Information, at 1-800-832-5660 or via web form at https://ask.fmcsa.gov/app/ask.

STEP 5 — PROCESS AGENT

This step can begin any time after an applicant receives its MC or FF Number as described in Step 2 above. FMCSA requires each applicant for Operating Authority to designate a Process Agent in every State in which it conducts business or maintains an office. A Process Agent is a representative upon whom court papers may be served in any legal proceeding brought against a Motor Carrier, Broker, or Freight Forwarder.

Motor Carriers of Property and/or Passengers, and CMV-operating Freight Forwarders:

Must designate a Process Agent in each State that they operate in or through.

Can act as their own Process Agent in the State in which they maintain a physical office (P.O. Box address is not considered a physical office).

Brokers and Freight Forwarders that will not operate CMVs:

Must designate a Process Agent in each State in which they maintain an office or establish contracts.

Can act as their own Process Agent in the State in which they maintain a physical office (P.O. Box address is not considered a physical office).

Either the applicant or Process Agent, on behalf of the applicant, can file Form BOC-3 (Designation of Process Agents) with the FMCSA. This form must be filed within 90 days of the date the application for Operating Authority was published in theFMCSA Register. Failure to meet this deadline will result in dismissal of the Operating Authority application and loss of the application fee. The applicant will receive a warning letter about the 90-day deadline if FMCSA has not received the required documentation within 20 days. To minimize processing delays, FMCSA recommends electronically filing Form BOC-3. More information can be found atwww. fmcsa.dot.gov/registration/form-boc-3-designation-agents-service-process.

For a fee, many commercial companies will arrange a Process Agent in any State. Some companies offer “blanket coverage,” which designates a Process Agent in every U.S. State. For a list of Process Agent companies, visit the FMCSA Web site at www.fmcsa.dot.gov/ registration/process-agents. For more details about Process Agent designation, see 49 CFR 366.

STEP 6 — CERTIFICATE, PERMIT, OR LICENSE OF OPERATING AUTHORITY

After FMCSA has approved the application, insurance, and process agent filings, and the protest period has ended without any protests, applicants are issued Operating Authority in the form of a certificate (Motor Carrier), permit (Freight Forwarder), or license (Broker). Applicants may not begin operations until this official record of Operating Authority is received by mail.

INSTRUCTIONS OP-1 • PAGE V OF X

INSTRUCTIONS OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

State Regulations and Requirements

In addition to Federal requirements, all applicants must comply with registration, fuel tax, and other State regulations and procedures. Before beginning new or expanded interstate operations, applicants must familiarize themselves with the various State rules applicable to interstate companies in each State in which they plan to operate. Begin this process by contacting the transportation regulatory agency for the State in which the applicant is located.

HOW TO COMPLETE THE OP-1 APPLICATION FOR MOTOR PROPERTY CARRIER AND BROKER AUTHORITY

These instructions will assist companies in accurately completing the application. Incomplete or incorrect applications will be delayed or suspended until the applicant has been contacted and the problems have been resolved. If an application is rejected, the application fee will not be refunded.

NOTE FOR APPLICATIONS THAT WILL BE MAILED:

Please print clearly in ink or type all information.

If more space is needed to complete any section on the application form, please attach a separate sheet of paper and label each page with the applicant’s legal business name, section number on the form, and item description.

Retain a copy of the completed application form and any supporting attachments for the company’s business records.

For additional mailing instructions, please see “Apply by Mail” under “How to Apply” (Topic II) in this packet.

SECTION 1 — APPLICANT INFORMATION

All applicants must complete this section.

1.FMCSA Authority — Select the “Yes” response if either of the following conditions is true:

Must designate a Process Agent in each State that they operate in or through.

Can act as their own Process Agent in the State in which they maintain a physical office (P.O. Box address is not considered a physical office).

If neither of the conditions above applies, select the “No” response.

If the “Yes” response is selected, indicate the MC/FF Number (for example: MC-999999), which is also called the lead docket number. To search for the MC/FF Number, follow the instructions provided under “MC/FF Number” in “Information Sources” (Topic VI in this packet).

2.Legal Business Name — Enter the full legal name of the business entity (i.e., corporation, sole proprietor/individual, or partnership) that owns/controls the Motor Carrier or Broker operation. This should be the same name that appears on the incorporation certificate, partnership agreement, tax records, etc. Examples are as follows:

Corporation — Enter the full legal name on the incorporation certificate. This name must include the type of corporation, such as: John Doe Inc. or John Doe LLC.

Sole Proprietorship/Individual — Enter the full legal name, such as: John A. Doe.

Partnership — Enter the full legal names of all partners, such as: John A. Doe and Jane B. Smith.

NOTE: To avoid delays in obtaining Operating Authority, the Legal Business Name on the OP-1 application must match the name submitted on insurance documents, Form BOC-3 (Designation of Process Agents), and the entity’s USDOT Number record, which is required for Motor Carriers only).

3.Doing Business As Name — Leave this item blank unless the “Doing Business As” (DBA) name or “Trade” name is different from the Legal Business Name entered above. For example: enter “John’s Trucking Company” here if the business operates under this name, but John A. Doe is the Legal Business Name.

NOTE: It is important to spell, space, and punctuate the business name the same exact way each time it appears on an application. Any difference will

be considered a different company. For example: John Jones Trucking Co., Inc.; J. Jones Trucking Co., Inc.; and John Jones Trucking are considered three separate companies.

4-9. Principal Place of Business — Enter the physical address of where the company is engaged in business operations related to the transportation of persons or property and where safety records are regularly maintained. This address will be used by FMCSA for on-site visits to Motor Carriers for the purpose of conducting safety audits, investigations, and other activities. A P.O. Box will not be accepted as a Principal Address.

NOTE: A P.O. Box may not be entered as the Principal Address on the OP-1 form. Also, if applying for a USDOT Number, this Principal Address must match the Principal Address on the MCS-150 application.

10-15. Mailing Address — Enter the mailing address where all correspondence from FMCSA should be sent. Leave this item blank if the Mailing Address is the same as the Business Address.

INSTRUCTIONS OP-1 • PAGE VI OF X

INSTRUCTIONS OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

NOTE: In order to receive pertinent FMCSA notices and verification that insurance documents have been filed on the applicant’s behalf, please notify FMCSA of Business or Mailing Address changes by one of the following methods:

Online at li-public.fmcsa.dot.gov/LIVIEW/PKG_REGISTRATION.prc_option.

Upload via our web form at https://ask.fmcsa.gov/app/ask.

Fax information to 202-366-3477.

Mail information in writing to 1200 New Jersey Avenue SE, MC-RS, Washington, DC 20590, Attention: Address Change. Please include Legal Business Name and MC Number (also called lead docket number).

Please use Form MCSA-5889 to file your request: www.fmcsa.dot.gov/registration/form-mcsa-5889-motor-carrier-records-change-form.

16-23. Representative — If someone other than the applicant is preparing the application, provide the representative’s name, title/ position or relationship to the applicant, business address, and business telephone and fax numbers. This representative will be contacted if questions concerning this application arise.

24.USDOT Number — Enter the USDOT Number if one has been assigned. If not, please consult “Do I Need a DOT Number?” at www. fmcsa.dot.gov/registration/do-i-need-usdot-number to determine whether a USDOT Number must be obtained.

To find a company’s USDOT Number, use either method below:

Go to http://safer.fmcsa.dot.gov

1)Then click “Company Safety Snapshot” under “FMCSA Searches”

2)Enter a “Legal Name” or “DBA Name” and the State in which the company headquarters are located

3)Click “Search”

Call FMCSA at 1-800-832-5660.

NOTE: All applicants subject to the Federal Motor Carrier Safety Regulations are required to register with the Federal Motor Carrier Safety Administration of the U.S. Department of Transportation before beginning business operations. For more information, please visit FMCSA’s Web site at www.fmcsa.dot. gov/registration or call 1-800-832-5660.

25-27. Form of Business — Select only one category and provide the requested information:

Corporation — Provide the name of the State where the corporation is incorporated.

Sole Proprietorship/Individual — Provide the full legal name of the individual who is the business owner. This name should match the name entered under Legal Business Name.

Partnership — Provide the full legal name of each partner. These names should match the names entered under Legal Business Name.

SECTION 2 — TYPE OF OPERATING AUTHORITY

All applicants must complete this section. Check all boxes that apply. A separate $300 fee is required for each type of Operating Authority requested.

NOTE: The type(s) of Operating Authority requested will impact the type and level of insurance that is required by FMCSA. Therefore, carefully select only the type(s) of Operating Authority relevant to the business. FMCSA does not refund application fees.

28.Type of Operating Authority Requested — Descriptions of the different types of interstate Operating Authority are as follows:

Motor Common Carrier of Property (except Household Goods) — An authorized for-hire Motor Carrier that transports regulated commodities (except household goods) for the general public in exchange for payment that is based on published tariff rates. Motor Common Carriers of Property (except Household Goods) must file proof of both public liability (bodily injury and property damage —BI & PD) and cargo insurance with FMCSA in order to obtain interstate Operating Authority.

Motor Contract Carrier of Property (except Household Goods) — An authorized for-hire Motor Carrier that transports regulated commodities (except household goods) for specific customers in exchange for payment that is based on negotiated contracts. Motor Contract Carriers of Property (except Household Goods) must file proof of public liability (BI & PD) insurance with FMCSA in order to obtain interstate Operating Authority. Cargo insurance is not required. A Motor Contract Carrier of Property (except Household Goods) cannot be a Motor Common Carrier of Property (except Household Goods) without applying for additional Motor Common Carrier Operating Authority and filing proof of cargo insurance with FMCSA.

Motor Common Carrier of Household Goods — An authorized for-hire Motor Carrier that transports only household goods for the general public in exchange for payment that is based on published tariff rates. Household goods are personal items that will be used in a home. They include items shipped from a factory or store, if purchased with the intent to use in a home, and transported at the request of the householder who pays for the transportation charges. Motor Common Carriers of Household Goods must file proof of both public liability (BI & PD) and cargo insurance with FMCSA in order to obtain interstate Operating Authority.

INSTRUCTIONS OP-1 • PAGE VII OF X

INSTRUCTIONS OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

Motor Contract Carrier of Household Goods — An authorized for-hire Motor Carrier that transports only household goods for specific customers in exchange for payment that is based on negotiated contracts. Household goods are personal items that will be used in a home. They include items shipped from a factory or store, if purchased with the intent to use in a home, and transported at the request of the householder who pays for the transportation charges. Motor Contract Carriers of Household Goods must file proof of public liability (BI & PD) insurance with FMCSA in order to obtain interstate Operating Authority. Cargo insurance is not required. A Motor Contract Carrier of Household Goods cannot be a Motor Common Carrier of Household Goods without applying for additional Motor Common Carrier Operating Authority and filing proof of cargo insurance with FMCSA.

Broker of Property (except Household Goods) — An individual, partnership, or corporation that receives payment for arranging the transportation of property (excluding household goods) belonging to others by using an authorized Motor Carrier. A Broker does not assume responsibility for the property and never takes possession of it.

Broker of Household Goods) — An individual, partnership, or corporation that receives payment for arranging the transportation of household goods belonging to others by using an authorized Motor Carrier. A Broker does not assume responsibility for the household goods and never takes possession of the goods. Household goods are personal items that will be used in a home. They include items shipped from a factory or store, if purchased with the intent to use in a home, and transported at the request of the householder who pays for the transportation charges.

United States-based Enterprise Carrier of International Cargo (except Household Goods) — A company that transports international cargo (excluding household goods) and is headquartered in the United States, but is owned or controlled (greater than 55%) by a Mexican citizen or resident alien. International cargo must originate in or be destined for a foreign country.

Enterprise Carriers are not classified as either common or contract Motor Carriers.

United States-based Enterprise Carrier of International Household Goods — A company that transports international household goods and is headquartered in the United States, but is owned or controlled (greater than 55%) by a Mexican citizen or resident alien. Household goods are personal items that will be used in a home. They include items shipped from a factory or store, if purchased with the intent to use in a home, and transported at the request of the householder who pays for the transportation charges. International household goods must originate in or be destined for a home in a foreign country. Enterprise Carriers are not classified as either common or contract Motor Carriers.

SECTION 3 — INSURANCE INFORMATION

Only applicants that will operate commercial motor vehicles must complete this section. The bodily injury and property damage (BI & PD liability) insurance coverage requirements are based upon the gross vehicle weight rating (GVWR) of vehicles and the classification of property (including hazardous materials) that will be transported. Check all boxes that apply.

29.Minimum Amount of Coverage Required — To determine the required minimum amount of BI & PD liability insurance coverage, identify the highest dollar amount in parentheses among the insurance categories that are selected. For example, if the boxes for both non-hazardous commodities ($750,000) and hazardous materials ($5,000,000) are checked, the required minimum insurance coverage is $5,000,000 — not $5,750,000.

NOTE:

Motor Common Carriers of Household Goods (HHG), Motor Contract Carriers of HHG, and U.S.-based Enterprise Carriers of International HHG must maintain a minimum of $750,000 of BI & PD liability insurance coverage regardless ofthe GVWR of the vehicles they operate.

In addition to BI & PD liability insurance coverage, Motor Common Carriers of Property, Motor Common Carriers of HHG, U.S.-based Enterprise Carriers of International Cargo, and U.S.-based Enterprise Carriers of International HHG must maintain minimum levels of cargo insurance (Form BMC-34 for cargo liability) in the amount of:

1)$5,000 for loss of or damage to property carried on any one motor vehicle.

2)$10,000 for loss of or damage to property occurring at any one time and place.

• Motor Common Carriers and U.S.-based Enterprise Carriers that transport low-value goods, as specified in 49 CFR 387.301(b), may request an exemption from cargo insurance requirements by calling 1-800-832-5660 (toll-free).

Motor Contract Carriers of Property and Motor Contract Carriers of HHG only require proof of BI & PD liability insurance with FMCSA. Cargo insurance is not required by Motor Contract Carriers.

All Brokers are required to have one of the following in the amount of $75,000:

1)Broker/FF Surety Bond (Form BMC-84) must be filed by an insurance company.

2)Broker/FF Trust Fund Agreement (Form BMC-85) must be filed by a financial institution. This form is available atwww.fmcsa.dot.gov/registration/ registration-forms or by request from the FMCSA Insurance Section, Office of Registration and Safety Information, at 1-866-637-0635 (toll-free) or 202-385-2423.

An insurance company must file the appropriate insurance form(s) on behalf of the applicant within 90 days of the date the application for Operating Authority was published in the FMCSA Register. Call FMCSA toll-free at 1-866-637-0635 to request information about insurance providers.

For more information about FMCSA’s insurance regulations, see “Step 4 — Insurance” under “What Are the Steps inGetting Operating Authority?” (Topic IV) in this packet.

INSTRUCTIONS OP-1 • PAGE VIII OF X

INSTRUCTIONS OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

SECTION 4 — SAFETY CERTIFICATION

Only applicants that will operate commercial motor vehicles must complete this section. Select only one response.

30-31. Safety Certification — Applicants that will only operate vehicles with a GVWR under 10,000 pounds and will not transport hazardous materials are exempt from the Federal Motor Carrier Safety Regulations. Skip to the paragraph “EXEMPT APPLICANTS,” read the corresponding statement, and select the “YES” response in this part only if the applicant attests that the entire statement is true.

All other applicants that will operate vehicles with a GVWR of more than 10,000 pounds must read the statements under “APPLICANTS SUBJECT TO FEDERAL MOTOR CARRIER SAFETY REGULATIONS.” These statements describe the activities that Motor Carriers and U.S.-based Enterprise Carriers must follow in order to comply with the FMCSRs. Select the “YES” response in this part only if the applicant attests that all of the statements are true.

SECTION 5 — AFFILIATIONS

Only applicants with any relationship within the past 3 years to any business entity regulated/licensed by the FMCSA, ICC, FHWA, or OMCS must complete this section.

32.Affiliations Examples of an affiliation or relationship include, but are not limited to, owning another company (even a percentage of stock), providing a loan to another company, managing another company, or having a family relationship with an owner or manager of another company.

Disclose any past or current relationship within the last 3 years by providing the following:

Description of affiliation or relationship.

Name of the company.

MC/FF Number.

USDOT Number.

Latest DOT safety rating (for more information, see “Information Sources” [Topic VI] in this packet).

SECTION 6 — HOUSEHOLD GOODS CERTIFICATIONS

Only companies applying for Operating Authority as a Motor Common Carrier of Household Goods, Motor Contract Carrier of Household Goods, Broker of Household Goods, or United States-based Enterprise Carrier of International Household Goods must complete this section.

33-35. Household Goods Certifications — Select the applicable paragraph(s) depending upon the type(s) of Operating Authority requested in “Section 2 − Type of Operating Authority” of the application form. Read the corresponding statement(s) and select the corresponding “YES” response(s) if the entire statement is true.

SECTION 7 — SCOPE OF OPERATING AUTHORITY

36-37.Only companies applying for Operating Authority as a Motor Contract Carrier of Household Goods must complete this section.

SECTION 8 — APPLICANT’S OATH

All applicants must complete this section. False certifications are subject to the penalties described in the oath.

38.Applicant’s Oath — Type or print the name and title of an individual authorized to sign documents on behalf of the company that is applying for Operating Authority. The authorized signer is one of the following:

In the case of a sole proprietorship, the owner.

In the case of a partnership, an official partner.

In the case of a corporation, an authorized employee in the ownership structure.

An individual with power of attorney to act on behalf of the applicant (proof of the power of attorney must be submitted with the application).

NOTE: If this application is not signed and dated by an authorized individual, the application will be rejected and Interstate Operating Authority will NOT be issued.

INSTRUCTIONS OP-1 • PAGE IX OF X

INSTRUCTIONS OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

INFORMATION SOURCES

For general information and guidance regarding applications, please visit the FMCSA Web site at www.fmcsa.dot.gov or call FMCSA at 1-800-832-5660.

STATUS OF APPLICATION, INSURANCE, AND PROCESS AGENT FILINGS

To check the status, use either of the following methods after FMCSA has processed your application:

Go to the FMCSA Web site at http://li-public.fmcsa.dot.gov and do the following:

1)Read the introductory page and click “Continue”

2)Select “Carrier Search” in the dropdown menu and click “Go”

3)Follow the search instructions (for State, enter the location of the company headquarters).

MC/FF NUMBER

To find a company’s MC/FF Number, go to http://li-public.fmcsa.dot.gov and conduct a search as follows:

Read the introductory page and click “Continue”

Select “Carrier Search” in the dropdown menu and click “Go”

Follow the search instructions (for State, enter the location of the company headquarters). Those without Internet access can call 800-832-5660 for assistance.

USDOT NUMBER REGISTRATION

To obtain a USDOT Number, you must apply online via the Unified Registration System: www.fmcsa.dot.gov/registration.

HAZARDOUS MATERIALS REGULATIONS

To determine whether any of the commodities you intend to transport are considered to be hazardous materials, refer to the Federal Hazardous Materials Regulations in Parts 100 through 185 of Title 49 of the Code of Federal Regulations (CFR), particularly the Hazardous Materials Table at 49 CFR 172. These regulations are available online at https://www.phmsa.dot.gov/phmsa-regulations. Contact the FMCSA at 202-366-4871 if assistance is needed.

To obtain information about DOT hazardous material transportation registration requirements, call 1-800-942-6990.

SAFETY RATING

If a safety rating has already been assigned, view your status online at http://safer.fmcsa.dot.gov (click “Company Snapshot”) or call 1-800-832-5660.

To request a safety fitness review, please contact your local FMCSA field office. To find contact information for your local field office, either:

Visit the FMCSA Web site at www.fmcsa.dot.gov/mission/field-offices, or

Call 1-800-832-5660.

INSTRUCTIONS OP-1 • PAGE X OF X

FORM OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

Please note, the expiration date as stated on this form relates to the process for renewing the Information Collection Request for this form with the Office of Management and Budget. This requirement to collect information as requested on this form does not expire. For questions, please contact the Office of Registration and Safety Information, Registration, Licensing, and Insurance Division.

FOR FMCSA USE ONLY

Docket No. MC:

 

Fee No.:

 

 

Filed:

 

CC Approval No.:

 

 

 

 

 

The collection of this information is authorized under the provisions of 49 CFR, Parts 390-399.

Public reporting for this collection of information is estimated to be 2 hours per response, including the time for reviewing the instructions and completing and reviewing the data inserted on the form electronically. All responses to this collection of information are mandatory, and will be provided in confidence to the extent allowed by law. Notwithstanding any other provision of law, no person is required to respond to nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The valid OMB Control Number for this information collection is 2126-0016. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Information Collection Clearance Officer, Federal Motor Carrier Safety Administration, MC-MBI, U.S. Department of Transportation, Washington, D.C. 20590.

United States Depar tment of Transpor tation

FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION

Application for Motor Property Carrier and Broker Authority

FORM OP-1

This application is for all businesses requesting Operating Authority as a motor carrier, broker, and/or U.S.-based enterprise carrier of property or household goods.

Section

1APPLICANT INFORMATION

1.DO YOU NOW HAVE AUTHORITY FROM OR AN APPLICATION BEING PROCESSED BY THE FMCSA, FHWA, OMCS, OR ICC?

2.LEGAL BUSINESS NAME:

Yes

No If yes, identify the MC/FF Number (or lead docket number):

3.DOING BUSINESS AS NAME (if different from Legal Business Name):

4-9. PRINCIPAL PLACE OF BUSINESS (no P.O. Box):

4. STREET ADDRESS/RTE. NUMBER

 

 

5. CITY

 

6. STATE/PROVINCE

 

7. ZIP CODE

 

8. TELEPHONE

9. FAX

10-15. MAILING ADDRESS:

Same as Principal Address

 

Mailing address below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. STREET ADDRESS/RTE. NUMBER

 

 

11. CITY

 

12. STATE/PROVINCE

 

13. ZIP CODE

 

14. TELEPHONE

15. FAX

16-23. REPRESENTATIVE (person who can respond to inquiries):

16. NAME

 

17. TITLE, POSITION, OR RELATIONSHIP TO APPLICANT

 

 

 

 

 

 

 

 

 

 

 

18. STREET ADDRESS/RTE. NUMBER 19. CITY

 

20. STATE/PROVINCE 21. ZIP CODE 22. TELEPHONE 23. FAX

FORM OP-1 • PAGE 1 OF 6

Rev 9/6/2020

FORM OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

24.USDOT NUMBER (if available; if not, see instructions):

25-27. FORM OF BUSINESS (select only one):

25. CORPORATION

State of Incorporation:

26. SOLE PROPRIETORSHIP

Legal Name of Owner:

27. PARTNERSHIP

Legal Name of Each Partner:

Section

2

TYPE OF OPERATING AUTHORITY

28. CHECK BOX(ES) FOR EACH TYPE OF OPERATING AUTHORITY REQUESTED (you must submit a filing fee of $300 for each box checked):

Motor Common Carrier of Property (except Household Goods)

Motor Contract Carrier of Property (except Household Goods)

Motor Common Carrier of Household Goods

Motor Contract Carrier of Household Goods

Broker of Property (except Household Goods)

Broker of Household Goods

United States-based Enterprise Carrier of International Cargo (except Household Goods)

United States-based Enterprise Carrier of International Household Goods

Section

3

INSURANCE INFORMATION

Applicants that will operate commercial motor vehicles must complete this section.

The dollar amounts in parentheses represent the minimum amount of bodily injury and property damage (liability) insurance coverage you must maintain and have on file with the FMCSA.(Refer to the instructions for information about cargo insurance requirements for motor common carriers and United States-based enterprise carriers, and surety bond/trust fund agreement filings for brokers.)

29a. APPLICANT WILL OPERATE ONE OR MORE VEHICLE(S) HAVING A GROSS VEHICLE WEIGHT RATING (GVWR) OF 10,000 POUNDS OR MORE TO TRANSPORT:

Non-hazardous commodities ($750,000)

Hazardous materials referenced in FMCSA’s insurance regulations at 49 CFR 387.9 ($1,000,000)

Hazardous materials referenced in FMCSA’s insurance regulations at 49 CFR 387.9 ($5,000,000)

29b. APPLICANT WILL OPERATE ONLY VEHICLE(S) HAVING GROSS VEHICLE WEIGHT RATINGS (GVWR) UNDER 10,000 POUNDS TO TRANSPORT:

Any quantity of Division 1.1, 1.2, or 1.3 material; any quantity of Division 2.3, Hazard Zone A, or Division 6.1, Packing Group I, Hazard Zone A material; or highway route controlled quantities of a Class 7 material as defined in 49 CFR 173.403 ($5,000,000)

Commodities other than those listed above ($300,000)

FORM OP-1 • PAGE 2 OF 6

OMB No.: 2126-0016 Expiration: 03/31/2021

FORM OP-1

Section

4

SAFETY CERTIFICATION

For vehicle-operating applicants only. (Select only one.)

30. APPLICANTS SUBJECT TO FEDERAL MOTOR CARRIER SAFETY REGULATIONS.

If you will operate vehicles of more than 10,000 pounds GVWR and are, thus, subject to pertinent portions of the USDOT’s Federal Motor Carrier Safety Regulations (FMCSRs) at 49 CFR, Chapter 3, Subchapter B (Parts 350-399), you must certify as follows:

Applicant has access to and is familiar with all applicable USDOT regulations relating to the safe operation of commercial vehicles and the safe transportation of hazardous materials, and will comply with these regulations. In so certifying, applicant is verifying that, at a minimum, it:

(1)Has in place a system and an individual responsible for ensuring overall compliance with FMCSRs.

(2)Can produce a copy of the FMCSRs and the Hazardous Materials Transportation Regulations.

(3)Has in place a driver safety training/orientation program.

(4)Has prepared and maintains an accident register (49 CFR 390.15).

(5)Is familiar with DOT regulations governing driver qualifications and has in place a system for overseeing driver qualification requirements (49 CFR 391).

(6)Has in place policies and procedures consistent with USDOT regulations governing driving and operational safety of motor vehicles, including drivers’ hours of service and vehicle inspection, repair, and maintenance (49 CFR 392, 395, and 396).

(7)Is familiar with, and will have in place on the appropriate effective date, a system for complying with USDOT regulations governing alcohol and controlled substances testing requirements (49 CFR 382 and 40).

YES

31. EXEMPT APPLICANTS

If you will operate only small vehicles (GVWR under 10,000 pounds) and will not transport hazardous materials, you are exempt from FMCSRs, and must certify as follows:

Applicant is familiar with and will observe general operational safety guidelines, as well as any State and local laws and requirements relating to the safe operation of commercial motor vehicles and the safe transportation of hazardous materials.

YES

Section

5

AFFILIATIONS

32. AFFILIATIONS

Disclose any relationship you have or have had with any other FMCSA-regulated entity (including entities licensed by the FHWA, OMCS, or ICC) within the past three years. Examples include, but are not limited to, a percentage of stock ownership, a loan, or a management position. If this requirement applies to you, provide the name of the company, MC/FF Number, USDOT Number, and that company’s latest DOT safety rating. If you require more space, attach the information to this application form.

FORM OP-1 • Page 3 of 6

OMB No.: 2126-0016 Expiration: 03/31/2021

FORM OP-1

Section

6

HOUSEHOLD GOODS CERTIFICATIONS

33.HOUSEHOLD GOODS MOTOR COMMON CARRIER APPLICANTS (including United States-based Enterprise Carriers of International Household Goods) MUST CERTIFY AS FOLLOWS:

Applicant is fit, willing, and able to provide the specialized services necessary to transport household goods. This assessment of fitness includes applicant’s general familiarity with former ICC, FHWA, or OMCS, now FMCSA regulations for household goods movements and also requires an assurance that applicant has or is willing to acquire the protective equipment and trained operators necessary to perform household goods movements and that applicant will offer arbitration as a means of settling loss and damage disputes on collect-on-delivery shipments. The proposed operations will serve a useful public purpose responsive to a public demand or need.

YES

34.HOUSEHOLD GOODS MOTOR CONTRACT CARRIER APPLICANTS (including United States-based Enterprise Carriers of International Household Goods) MUST CERTIFY AS FOLLOWS:

Applicant is fit, willing, and able to provide the specialized services necessary to transport household goods. This assessment of fitness includes applicant’s general familiarity with former ICC, FHWA, or OMCS, now FMCSA regulations for household goods movements and also requires an assurance that applicant has or is willing to acquire the protective equipment and trained operators necessary to perform household goods movements and that applicant will offer arbitration as a means of settling loss and damage disputes on collect-on-delivery shipments. The proposed service will be consistent with the public interest and the transportation policy of 49 USC 13101.

YES

35. HOUSEHOLD GOODS BROKER APPLICANTS MUST CERTIFY AS FOLLOWS:

Applicant is fit, willing, and able to provide household goods brokerage operations and to comply with all pertinent statutory and regulatory requirements. The involved services will be consistent with the public interest and the transportation policy of 49 USC 13101.

YES

Applicant may attach a supporting statement to this application to provide additional information about any of the above certifications. This evidence is optional.

Section

7

SCOPE OF OPERATING AUTHORITY

ONLY APPLICANTS REQUESTING OPERATING AUTHORITY AS A MOTOR CONTRACT CARRIER OF HOUSEHOLD GOODS MUST COMPLETE THIS SECTION; CHECK ALL BOXES THAT APPLY.

36. Contracting shippers have one or more of the distinct needs delineated in Interstate Van Lines, Inc., Extension — Household Goods, 5 I.C.C.2d 168 (1988). Describe briefly the distinct need(s):

37. Contracts provide for assignment of one or more vehicles for the exclusive use of each shipper in the manner specified in Interstate Van Lines, Inc., Extension — Household Goods, 5 I.C.C.2d 168 (1988).

NOTE: All motor carriers must comply with all pertinent Federal, State, local and tribal statutory and regulatory requirements when operating within the United States. Such requirements include, but are not limited to, all applicable statutory and regulatory requirements administered by the U.S. Department of Labor, or by a State agency operating a plan pursuant to Section 18 of the Occupational Safety and Health Act of 1970 (“OSHA State plan agency”). Such re- quirements also include all applicable statutory and regulatory environmental standards and requirements administered by the U.S. Environmental Protection Agency or a State, local or tribal environmental protection agency. Compliance with these statutory and regulatory requirements may require motor carriers and/or individual operators to produce documents for review and inspection for the purpose of determining compliance with such statutes and regulations.

FORM OP-1 • Page 4 of 6

OMB No.: 2126-0016 Expiration: 03/31/2021

FORM OP-1

Section

8

APPLICANT’S OATH

38.THIS OATH APPLIES TO ALL SUPPLEMENTAL FILINGS TO THIS APPLICATION.

(The signature must be that of the applicant, not a legal representative. Print name in the first blank space.)

I,

 

, verify under penalty of perjury, under the laws of the United States of America, that

 

(please type or print name)

all information supplied on this form or relating to this application is true and correct. Further, I certify that I am qualified and authorized to file this application. I know that willful misstatements or omissions of material facts constitute Federal criminal violations punishable under 18 USC 1001 by imprisonment up to 5 years and fines up to $10,000 for each offense. Additionally, these misstatements are punishable as perjury under 18 USC 1621, which provides for fines up to $2,000 or imprisonment up to 5 years for each offense.

I further certify under penalty of perjury, under the laws of the United States, that I have not been convicted, after September 1, 1989, of any Federal or State offense involving the distribution or possession of a controlled substance, or that if I have been so convicted, I am not ineligible to receive Federal benefits, either by court order or operation of law, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988 (21 USC 862).

Finally, I certify that the applicant is not domiciled in Mexico, or owned or controlled by persons of that country. (Note: This portion of the Applicant’s Oath does not pertain to applicants that are U.S.-based enterprises owned or controlled by persons of Mexico seeking to provide truck services for the transportation of international cargo.)

Signature:

 

Title:

 

Date:

 

 

 

 

 

(please type or print)

PAYMENT INSTRUCTIONS

EACH TYPE OF OPERATING AUTHORITY REQUESTED IN SECTION 2 OF THE APPLICATION FORM REQUIRES A $300 PROCESSING FEE. THIS FEE IS NON-REFUNDABLE.

Calculate the total amount due as follows:

 

 

× $300 =

 

 

 

 

 

 

 

 

Number of boxes

 

Total payment due

 

 

checked in Section 2

 

 

 

 

 

 

 

 

Select payment method:

CHECK OR MONEY ORDER — Make payable to FMCSA in United States currency. Payment must be drawn upon funds deposited in

a bank located in the United States.

CREDIT CARD — Complete the Credit Card Payment Authorization below.

 

 

 

 

 

 

Credit Card Payment Authorization

 

 

 

 

 

 

 

 

 

 

Select Credit Card:

VISA

MasterCard

Credit Card Number:

 

 

 

Expiration Date:

 

Name (exactly as it appears on card):

 

 

 

 

 

Payment Amount:

 

 

 

 

 

 

 

 

 

 

 

 

 

Credit Card Billing Address

 

 

 

 

 

 

 

 

 

 

 

 

Street Name and Number:

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

State/Province:

 

 

 

 

 

Zip Code:

 

Signature:

 

 

 

 

 

 

 

 

 

Payment Date:

 

FORM OP-1 • Page 5 of 6

FORM OP-1

OMB NO.: 2126-0016 EXPIRATION: 03/31/2021

 

 

MAILING INSTRUCTIONS

(To apply online, please see “How to Apply” [Topic II] in the Instructions.)

(1)Save a copy of the completed application form(s), all supporting documents (if any), and payment details for the company’s business records.

(2)Depending upon the type of payment and method of mail delivery, send the completed application form(s), any supporting documents, and payment to one of the following addresses:

Check or Money Order:

Credit Card:

Standard First-Class Mail

Federal Motor Carrier Safety Administration

Federal Motor Carrier Safety Administration

1200 New Jersey Avenue SE

P.O. Box 6200-33

Room W65-206

Portland, OR 97228-6200

Washington, DC 20590

Express Mail Only:

 

U.S. Bank Government Lockbox

 

ATTN: Federal Motor Carrier Safety

 

Administration 6200-33

 

17650 NE Sandy Blvd.

 

Portland, OR 97230

 

NOTE: Sending payment to the wrong address will delay application processing by 2-3 weeks.

FORM OP-1 • PAGE 6 OF 6

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Stage no. 1 in filling in op 1 form

2. Given that the last array of fields is done, it is time to insert the required specifics in APPLICANT INFORMATION, DO YOU NOW HAVE AUTHORITY FROM OR, Yes, If yes identify the MCFF Number or, BEING PROCESSED BY THE FMCSA FHWA, LEGAL BUSINESS NAME, DOING BUSINESS AS NAME if, PRINCIPAL PLACE OF BUSINESS no PO, STREET ADDRESSRTE NUMBER, CITY, STATEPROVINCE, ZIP CODE, TELEPHONE, FAX, and MAILING ADDRESS allowing you to progress further.

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Applicant is familiar with and, AFFILIATIONS, and Section inside op 1 form

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