Form 1899 – Fill Out and Use This PDF

Instructions for Original Texas Motor Carrier Application

To properly file your Original Texas Motor Carrier Application you must:

Complete Section 1 (Motor Carrier Information) of the application in its entirety by providing all motor carrier information and answering drug testing consortium questions.

Complete Section 2 (Motor Carrier Operations and Insurance Requirements) of the application in its entirety by: Indicating the type of motor carrier operation and required insurance*.

w File proof of liability insurance, Form E or Form E-2, if applicable.

w File proof of cargo insurance, Form H & I. This requirement applies only to household goods carriers.

*Contact your insurance company to request the appropriate filings be submitted through the MCCS Online System.

Checking box to indicate if you are registered under current year Unified Carrier Registration (UCR). If you are registered in UCR at the time this application is processed, it will be set up as a non-expiring certificate. To maintain the non-expiring status you must maintain financial responsibility and be registered under current year UCR. Operations that include transporting 1) Household goods, 2) Waste, 3) Recyclables or 4) Non-charter buses are not eligible for non-expiring status.

Including your legal agent and Texas address for service of process. For the purpose of administrative or civil service, each out-of-state motor carrier shall have and continuously maintain with the department a legal agent domiciled in Texas. A Texas-domiciled motor carrier that has a legal agent in Texas shall provide the name and address. The legal agent may be a Texas resident, a domestic corporation or a foreign corporation whose primary function is to serve as an agent of process in Texas with a Texas address (P.O. Box may not be used).

Complete Section 3 (Payment Information) of the application in its entirety by:

Calculating applicable fees. (If the application is submitted or filled out online, tab through the entire form to generate a calculation of fees.)

Indicating a payment method. Make check, cashier's check or money order payable to TxDMV/Motor Carrier Division. *A service charge of 25 cents plus 2.25 percent of the Total Fees will be added to all credit card transactions.

Signing/printing name and title.

Complete Section 4 (New Application Questionnaire) of the application in its entirety by answering all questions and signing/printing name and title.

Complete Section 5 (Equipment Report) of the application in its entirety by:

Providing all motor carrier information (name, DBA, address).

Providing all vehicle information (VIN, unit #, year and make).

Indicating the type of motor carrier operation.

Indicating a 1 or 2 year registration period. All vehicles must be for the same year duration. (If the application is submitted or filled out online, tab through the entire form to generate a calculation of fees in Section 3.)

Mail application and payment to: P.O. Box 12984 Austin TX 78711-2984. Overnight mail: 4000 Jackson Ave., Austin TX 78731.

NOTE: The Texas Department of Motor Vehicles will notify you of any deficiencies associated with your application.

Form 1899 (Rev. 03/15)

Instructions

Original Texas Motor Carrier Application

Texas Department of Motor Vehicles, Motor Carrier Division

P.O. Box 12984 Austin, TX 78711-2984

Phone: 800-299-1700 Fax: (512) 465-4284

SECTION 1

Name of Motor Carrier:

DBA:

Street/Physical Address:

City, State, Zip:

Mailing Address:

City, State, Zip:

Business Phone:

Fax:

Applicant is a(n):

Corporation

Partnership

Individual

Social Security Number (Required by State law) for individual:

USDOT #:

Company Owner, Partners or Corporation Officers:

Name and Title:

Name and Title:

Name and Title:

Name and Title:

Does this carrier belong to a drug-testing consortium?

Persons Operating Consortium:

Yes

No

1.

2.

SECTION 2

Motor Carrier Operations (More than one type may be checked)

Insurance Requirements (refer to page 4 for required limits)

1.

Hazardous Materials (HAZ)

$1 million

OR

$5 million

2.

Commercial School Bus (BUS)

$500,000

3.

Charter Bus (BUS)

No. of passengers:

$500,000

OR

$5 million

4.

Non-charter Bus (BUS)

No. of passengers:

OR

$5 million

$500,000

5.

Household Goods (HHG)

$500,000

OR

$300,000 and

$5,000 cargo

6.

Recyclable Materials Carrier

$500,000

7.

Waste Hauler

$500,000

8.

Other than 1 through 7 above (OTHER)

$500,000

Yes

No*

Are you registered under Unified Carrier Registration (UCR)?

Legal Agent's Name:

Phone:

Street Address:

City, State, Zip:

SECTION 3

Payment Information

E-mail Address:

Applicable Fees

Check, Cashier’s Check or Money Order

a) $100

Application Filing Fee

$100.00

MasterCard, Visa, Discover, or American Express*

*A service charge of 25 cents plus 2.25 percent of the Total Fees will be added to all credit card

transactions.

b) $100

Liability Insurance Filing Fee

$100.00

Credit Card Account Number:

Expiration Date:

c) $100

Cargo Insurance Filing Fee

*Total Credit Card Charge:

Signature of Owner, Partner, Officer or Authorized Agent:

d) Total Vehicle Fees

(bottom of page 3, Motor Carrier Equipment Report)

Printed/Typed Name and Title:

e) Total Fees Submitted

(by personal check, money order or cashier's check)

By signing and submitting this application, I certify that the information provided on this form is true and correct, that I am authorized to execute and file this document on behalf of the motor carrier, and that the motor carrier: (1) is in compliance with the drug testing requirements contained in 49 C.F.R. Part 382;

(2)has knowledge of, and will conduct operations in accordance with, applicable federal and state laws and rules relating to motor carrier safety, including Texas Transportation Code, Chapters 541-600, 643, and 644; and (3) has the required insurance as set forth in 43 TAC §218.16.

THIS IS A GOVERNMENT RECORD. FALSIFYING INFORMATION ON GOVERNMENT RECORDS IS A FELONY.

The Texas Department of Motor Vehicles maintains the information collected on this form. With a few exceptions, you are entitled upon request to be informed about the information that we collect about you. Under §§552.021, 552.023, and 559.004 of the Texas Government Code, you are entitled to receive and review this information, and to have us correct erroneous information.

Form 1899 (Rev. 03/15)

Page 1 of 3

New Application Questionnaire

SECTION 4

1)Have you ever had another motor carrier certificate number (*TxDMV) registered with this agency?

Yes

No

If Yes, please provide the TxDMV* #:

2)Have you had a Compliance Review or New Entrant Audit from the Texas Department of Public Safety (TxDPS) that resulted in an Unsatisfactory Safety Rating in the past?

Yes

No

If Yes, please provide USDOT # or TxDMV*#:

3)Are you currently under a Cease and Desist Order from the TxDPS?

Yes

No

If Yes, please provide USDOT # or Carrier Profile # (CP#):

4)Are you related to another motor carrier? (The relationship may be through a person, family member, corporate officer or partner who also operates as a motor carrier in Texas or has operated in the past.)

		Yes		No	If Yes, please provide the information below.
Motor Carrier's name:					their USDOT# or TxDMV*#:
and how you are related:

5)Do you currently owe any administrative penalties to TxDMV?

		Yes		No If Yes, please provide the Notice #, USDOT# or TxDMV*# associated with penalty
6) Printed/Typed Name:					7) Printed/Typed Title:

8)Signature of Owner, Partner, Officer or Authorized Agent:

By signing and submitting this application, I certify that the information provided on this form is true and correct, that I am authorized to execute and file this document on behalf of the motor carrier, and that the motor carrier: (1) is in compliance with the drug testing requirements contained in 49 C.F.R. Part 382;

(2)has knowledge of, and will conduct operations in accordance with, applicable federal and state laws and rules relating to motor carrier safety, including Texas Transportation Code, Chapters 541-600, 643, and 644; and (3) has the required insurance as set forth in 43 TAC §218.16.

THIS IS A GOVERNMENT RECORD. FALSIFYING INFORMATION ON GOVERNMENT RECORDS IS A FELONY.

*The issuance of the motor carrier number (TxDMV#) was previously under the auspices of the Texas Department of Transportation (TxDOT). The registration requirements and enforcement authority has been transferred to the Texas Department of Motor Vehicles (TxDMV). For all intents and purposes, both numbers are one and the same. Any reference to the term TxDMV# also includes what was previously known as the TxDOT#.

Form 1899 (Rev. 03/15)

Page 2 of 3

For more information on the Original Texas Motor Carrier Application visit our web site at www.txdmv.gov. For comments concerning the application process contact MCD by phone 800-299-1700 or email MCD_Respond@TxDMV.gov.

Equipment Report For Original Texas Motor Carrier Application

SECTION 5

	INSTRUCTIONS	• Type or print legibly in blue or black ink.	• Do not list trailers.
		• Enter required information on all vehicles.	• If additional space is needed, please make a copy of this page.
	u Name of Motor Carrier:		Street Address:
	DBA:

v	Vehicle	Unit	Year of	COMPLETE Vehicle Identification Number (VIN)	w Type of Motor Carrier Operation
	Make	Number	Vehicle
					HAZ	HHG	BUS	OTHER

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

Form 1899 (Rev. 03/15)

Page 3 of 3

Insurance Requirements

ALL INSURANCE FILINGS MUST BE SUBMITTED BY YOUR INSURANCE COMPANY THROUGH THE MCCS ONLINE SYSTEM

Type of Motor	Description	Minimum
Carrier		Insurance
Operation		Requirement
1 - HAZ	Transporters of Hazardous Substances (that require placarding)
	a. Hazardous substances, as defined in 49 Code of Federal Regulations (CFR) §171.8,	$5,000,000
	transported in cargo tanks, portable tanks or hopper-type vehicles, with capacities in
	excess of 3,500 water gallons; or any quantity of Division 1.1, 1.2 and 1.3 materials,
	any quantity of Division 2.3, Hazard Zone A, or Division 6.1, Packing Group I, Hazard
	Zone A material; in bulk Division 2.1 or 2.2; or highway route controlled quantities of a
	Class 7 material, as defined in 49 CFR §173.403
	b. Oil listed in 49 CFR §172.101: hazardous waste, hazardous materials and hazardous	$1,000,000
	substances as defined in 49 CFR §171.8 and listed in 49 CFR §172.101, but not
	mentioned in paragraphs (a) or (b) of this subsection and petroleum products that are
	lubricants or fuels
2 - BUS	Commercial School Bus Operators
	For-hire school buses operating within the boundaries of a municipality and transporting	$500,000
	preprimary, primary or secondary school students on a route between the students’
	residence and a public, private or parochial school or day-care facility
3 - BUS	Bus Operators
	a. Vehicles designed or used to transport more than 15 passengers	$500,000
	(including the driver) but less than 26 passengers (not including the driver)
	b. Vehicles designed or used to transport 26 passengers or more	$5,000,000
	(not including the driver)
4 - HHG	Household Goods Movers
	a. Gross weight, registered weight or gross weight rating of 26,000 pounds or less	$300,000
	b. Gross weight, registered weight or gross weight rating in excess of 26,000 pounds	$500,000
	c. Cargo insurance must be filed on Form H & I with the following limits	Per Shipment
		$5,000
		Aggregate
		$10,000
5 - OTHER	All Others
	Private or for-hire motor carriers with a gross weight, registered weight or gross weight	$500,000
	rating in excess of 26,000 pounds

Form 1899 (Rev. 03/15)

Insurance Requirements