In an era where regulatory compliance intertwines intricately with operational logistics, the MCS-150C form stands as a pivotal document for intermodal equipment providers within the United States. This form, underpinned by the Paperwork Reduction Act, mandates the collection of essential information, carrying an OMB Control Number 2126-0013, ensuring its legitimacy and requirement within the federal framework. It serves as the Intermodal Equipment Provider Identification Report, a requisite for obtaining a U.S. Department of Transportation (DOT) Number, essential for legal operation. The purpose of filing the MCS-150C form varies, including new applications, biennial updates or changes, and notifications of ceasing operations. It requires detailed information about the intermodal equipment provider, including the name, trade names, contact details, and the number of vehicles operated, among others. Notably, the form also necessitates the disclosure of any previously issued U.S. DOT Numbers and personal certification, asserting the accuracy and truthfulness of the information provided. Estimated to take roughly 20 minutes to complete, this form underscores the federal government's effort in ensuring safety and regulation compliance, while also inviting efforts to streamline such bureaucratic processes.
| Question | Answer |
|---|---|
| Form Name | Form Mcs 150C |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | MCS 150C_060409_wit h508 mcs 150c form |
OMB NO
Exp. Date:
A federal agency may not conduct or sponsor, and a person is not 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 OMB Control Number for this information collection is
U.S. Department of Transportation
Federal Motor Carrier
Safety Administration
INTERMODAL EQUIPMENT PROVIDER IDENTIFICATION REPORT
(Application for U.S. DOT Number)
REASON FOR FILING |
(Check Only One) |
|
NEW APPLICATION |
BIENNIAL UPDATE OR CHANGES |
OUT OF BUSINESS NOTIFICATION |
1. NAME OF INTERMODAL EQUIPMENT PROVIDER
2. TRADE OR D.B.A (DOING BUSINESS AS) NAME
3.PRINCIPAL STREET ADDRESS/ROUTE NUMBER
4. CITY
5. MAILING ADDRESS (PO BOX)
6. MAILING CITY
7. STATE/PROVINCE
8. ZIP CODE+4
9.COLONIA (MEXICO ONLY)
10. STATE/PROVINCE
11. ZIP CODE+4
12.COLONIA (MEXICO ONLY)
13.PRINCIPAL BUSINESS PHONE NUMBER
14.PRINCIPAL CONTACT CELLULAR PHONE NUMBER
15.PRINCIPAL BUSINESS FAX NUMBER
16. HAVE YOU EVER BEEN ISSUED A U.S. DOT NUMBER BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? YES |
_ NO |
If Yes, enter your U.S. DOT Number __________________________________________________________________________ |
|
17. DUN & BRADSTREET NO.
18. IRS/TAX ID NO.
EIN#SSN#
19. EMAIL ADDRESS
20.NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S. (TRAILER CHASIS ONLY)
OWNED
LEASED
SERVICED
21. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)
1. __________________________________________________________________ |
2. ___________________________________________________________________ |
(Please print Name) |
(Please print Name) |
22. CERTIFICATION STATEMENT (to be completed by an authorized official)
I, ____________________________________________________, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous materials Regulations
(Please print Name) |
Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true, correct, |
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and complete. |
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Signature _________________________________________________ |
Date ___________________________ |
Title ___________________________________________ |
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(Please print) |
Form