Form Oa142 PDF Details

Form Oa142 is a common form used by businesses to document the transfer of goods between two parties. The form is typically used when goods are being shipped from one location to another, and it outlines the specifics of the transaction including the name and contact information of both parties involved, as well as a description of the goods being transferred. By understanding how to properly fill out Form Oa142, businesses can ensure that any transactions related to the shipping of goods are handled efficiently and effectively.

QuestionAnswer
Form NameForm Oa142
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesva dmv oa142, form authority, oa 142 form, form oa142 virginia

Form Preview Example

OA142 (03/31/2021)

FOR-HIRE INTRASTATE OPERATING AUTHORITY

PERMIT APPLICATION

Purpose: Use this form to apply for or change your existing for-hire intrastate operating authority. This form can only be used to apply for or change the for-hire intrastate operating authority types identified in Section 1 of this application. For information on how to obtain For-Hire Intrastate Operating Authority for other types of for-hire services, refer to the DMV publication Motor Carrier Guidelines, found at www.dmv.virginia.gov/ webdoc/pdf/mcts247.pdf.

Instructions: Complete all required sections as noted on the application and submit to Motor Carrier Services at the above address. If you have questions or require additional information, send correspondence to the Motor Carrier Services at the address above or refer to Section 8 of this application for additional contact information.

NOTE: You are not required to complete this form if you are transporting property for compensation solely in/on a passenger car, motorcycle, autocycle, moped, or a motor vehicle with a gross vehicle weight rating of 10,000 pounds or less. However, you must maintain insurance as required in § 46.2-2143.1 of the Code of Virginia.

Please be aware of the following prohibition: If you have been or are found guilty of performing, offering, advertising, providing, procuring, or arranging by contract, agreement, or arrangement to transport passengers for compensation without the required license, permit, or certificate through either a conviction resulting from a Virginia Uniform Summons or a civil penalty appropriately assessed by DMV, you will be denied the license, permit, or certificate requested for a period of 12 months beginning from the date of the conviction or assessment of the civil penalty. This prohibition does not apply to property carrier applicants.

1. APPLICATION AND AUTHORITY TYPES

APPLICATION TYPE (check one)

 

ORIGINAL APPLICATION

 

DUPLICATE PERMIT

 

CHANGE / AMEND APPLICATION

 

Check this box if you are applying for an original

 

Check this box if you are applying for a

 

Check this box if you are changing your

 

for-hire intrastate operating authority permit.

 

duplicate for-hire intrastate operating authority

 

existing for-hire intrastate operating authority

 

Check the appropriate AUTHORITY TYPE

 

permit. Check the appropriate AUTHORITY

 

permit. Complete all Sections 1 through 7 AND

 

below and complete all Sections 1 through 7.

 

TYPE below and complete Sections 2, 6 and 7.

 

specify change being made below:

 

CANCEL AUTHORITY TYPE

 

CLOSE ACCOUNT

 

 

 

 

 

 

 

 

 

 

 

Check this box if you are applying to cancel

 

Check this box if you are requesting to close

 

 

 

 

 

 

 

 

SPECIFY CHANGE BEING MADE

 

 

your for-hire intrastate operating authority

 

your account. Complete Sections 2 and 6.

 

 

 

 

 

permit. Check the appropriate AUTHORITY

 

 

 

 

 

 

 

TYPE below and complete Sections 2 and 6.

 

 

 

 

 

 

AUTHORITY TYPE (check one)

PROPERTY CARRIER

Check this box for businesses that transport Property (general freight, manufactured/processed commodities, household goods 30 miles or less from point

of origin). You MUST provide proof of insurance as follows:

 

 

 

Minimum Bodily Injury &

Cargo*

 

 

Property Damage Amount

 

 

 

 

 

 

 

 

 

$750,000

$50,000

 

 

 

 

 

* Cargo insurance only applies to the transportation of household goods; however, cargo insurance is not required if you transport household goods only in passenger cars, motorcycles, autocycles, mopeds, and vehicles with a gross vehicle weight rating of 10,000 pounds or less.

Household goods – personal effects and property used or to be used in a dwelling, when transported or arranged to be transported (i) between residences or (ii) between a residence and a storage facility with the intent to later transport to a residence. Transportation of such goods must be arranged and paid for by, or on behalf of, the householder.

 

 

EMPLOYEE HAULER CARRIER

 

 

 

NON-PROFIT/TAX-EXEMPT PASSENGER CARRIER

 

 

 

TAXICAB

 

 

Check this box for businesses that transport

 

 

 

Check this box for non-profits that use only

 

 

 

Check this box for businesses that transport

 

 

employees to and from their place of work.

 

 

 

minibuses to transport its own members or the

 

 

 

passengers in vehicles that are designed to

 

 

You MUST provide proof of insurance as

 

 

 

elderly, disabled, or economically

 

 

 

transport no more than six passengers,

 

 

follows:

 

 

 

 

disadvantaged members of a community. You

 

 

 

excluding the driver. All operations must be in

 

 

Minimum Bodily Injury &

Total Passengers

 

 

 

MUST provide proof of insurance as follows:

 

 

 

compliance with local taxicab ordinances when

 

 

Property Damage Amount

(including driver)

 

 

 

Minimum Bodily Injury &

Total Passengers

 

 

 

applicable. You MUST provide proof of

 

 

 

 

 

 

 

Property Damage Amount

(including driver)

 

 

 

insurance as follows:

 

 

$350,000

1 to 6

 

 

 

 

 

 

 

$1,500,000

7 to 15

 

 

 

Minimum Bodily Injury &

 

 

$1,500,000

7 to 15

 

 

 

 

 

 

 

 

 

Property Damage Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$5,000,000

16 to 31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$5,000,000

16 or more

 

 

 

 

 

 

 

 

 

 

 

 

 

$125,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. BUSINESS INFORMATION

BUSINESS NAME (For individual applicants, give your full legal name)

 

FEDERAL TAX IDENTIFICATION NUMBER/SSN

 

 

 

 

 

TRADE NAME OR DOING BUSINESS AS (if different from Business Name)

 

 

 

 

 

 

 

 

BUSINESS STREET ADDRESS (do not give P.O. Box)

CITY

STATE

ZIP CODE

 

 

 

 

BUSINESS MAILING ADDRESS (if different from above)

CITY

STATE

ZIP CODE

 

 

 

 

 

PRIMARY CONTACT PERSON NAME

 

TELEPHONE NUMBER

FAX NUMBER

 

 

 

 

 

PRIMARY CONTACT PERSON TITLE

PRIMARY CONTACT PERSON EMAIL ADDRESS

 

 

 

 

 

 

 

OA142 (03/31/2021) -- Page 2

3. OTHER CARRIER INFORMATION

Have you as an individual, or the business name provided above, ever been convicted of a criminal violation or assessed a civil penalty for involvement in

transportation that would require a DMV certificate, license, or permit?

 

NO

 

YES

Does your business have

 

NO - Skip to the next section

IFTA LICENSE NUMBER

an IFTA or an IRP account?

 

YES - enter applicable information

 

 

 

IRP ACCOUNT NUMBER

 

 

BASE STATE

IRP ACCOUNT NUMBER

 

 

 

 

 

 

 

BASE STATE

BASE STATE

MC NUMBER (if applicable)

DOT NUMBER (if applicable)

Have you as a sole proprietor, or the business name provided above, or a partner or any business official listed below, ever been convicted or assessed a civil penalty for operating, offering, advertising, providing, procuring, furnishing or arranging to transport passengers for compensation without first obtaining a license,

permit or certificate from DMV?

 

NO

 

YES - provide additional detail below.

FULL LEGAL NAME

CONVICTION

CIVIL PENALTY

COURT(if conviction)

4. BUSINESS ENTITY INFORMATION

4A. BUSINESS ENTITY TYPE (check one)

 

CORPORATION

 

PARTNERSHIP (Complete Section 4B below)

 

INDIVIDUAL

 

OTHER

4B. PARTNERSHIP INFORMATION (enter the following information for all partners)

FULL LEGAL NAME

SOCIAL SECURITY NUMBER

5. OPERATION INFORMATION

GIVE A BRIEF DESCRIPTION OF YOUR OPERATION. APPLICANTS FOR "AUTHORITY TYPE" EMPLOYEE HAULER CARRIER SHOULD LIST EMPLOYERS' NAMES AND LOCATIONS. (Example: A. E. Jones, Company -- Richmond, VA)

6. 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 permit issued to me can be suspended and revoked if any of the information in the application is found to be untrue or inaccurate.

APPLICANT OR AUTHORIZED REPRESENTATIVE NAME

APPLICANT OR AUTHORIZED REPRESENTATIVE TITLE

APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE

DATE (mm/dd/yyyy)

7. PAYMENT METHODS

Applicants that have APPLICATION TYPE "Original Application" and AUTHORITY TYPES "Employee Hauler Carrier" or "Taxicab" must submit a $50.00 non-refundable fee with this application. Applicants with APPLICATION TYPE "Duplicate Permit" must submit a $3.00 fee with this application.

(Check one:)

CHECK / MONEY ORDER -- Made payable to DMV CREDIT CARD / E-Check -- provide contact number →

TELEPHONE NUMBER

NOTE: In our continuing effort to safeguard customer information, DMV does not accept credit card payments by mail or email. You may pay with a credit card by having a Motor Carrier Services Representative contact you. We accept checks and money orders via mail.

8. CONTACT INFORMATION

If you have questions about this application or operating authority types, contact a Motor Carrier Services Representative at:

804-249-5130 (voice)

800-828-1120 (deaf and hearing impaired only)

804-367-1058 (fax)

mcsonline@dmv.virginia.gov (e-mail)

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How you can fill in dmvnow oa142 step 1

2. Now that the previous part is done, it is time to include the necessary specifics in BUSINESS NAME For individual, FEDERAL TAX IDENTIFICATION, BUSINESS INFORMATION, TRADE NAME OR DOING BUSINESS AS if, BUSINESS STREET ADDRESS do not, BUSINESS MAILING ADDRESS if, CITY, CITY, STATE, ZIP CODE, STATE, ZIP CODE, PRIMARY CONTACT PERSON NAME, TELEPHONE NUMBER, and FAX NUMBER allowing you to go to the next step.

Filling in section 2 of dmvnow oa142

3. Within this step, look at OTHER CARRIER INFORMATION, Have you as an individual or the, YES, Does your business have an IFTA or, IRP ACCOUNT NUMBER, NO Skip to the next section, IFTA LICENSE NUMBER, YES enter applicable information, BASE STATE, IRP ACCOUNT NUMBER, BASE STATE, BASE STATE, MC NUMBER if applicable, DOT NUMBER if applicable, and Have you as a sole proprietor or. These need to be filled out with highest focus on detail.

Filling in segment 3 of dmvnow oa142

4. The following subsection needs your attention in the subsequent places: GIVE A BRIEF DESCRIPTION OF YOUR, LOCATIONS Example A E Jones, I affirm that all taxes fees, APPLICANT OR AUTHORIZED, APPLICANT OR AUTHORIZED, CERTIFICATION, APPLICANT OR AUTHORIZED, DATE mmddyyyy, Applicants that have APPLICATION, CHECK MONEY ORDER Made payable, CREDIT CARD ECheck provide, TELEPHONE NUMBER, PAYMENT METHODS, NOTE, and In our continuing effort to. Make sure you give all of the required details to go further.

Guidelines on how to fill in dmvnow oa142 portion 4

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