Form Oce 46 PDF Details

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QuestionAnswer
Form NameForm Oce 46
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform oce46, fmcsa form oce 46, information form oce, form 46 oce

Form Preview Example

FORM OCE-46

OMB NO.: 2126-0018 EXPIRATION: 09/30/2023

 

 

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.

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 2126-0018. Public reporting for this collection of information is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of information are mandatory. 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-RRA, Washington, D.C. 20590.

United States Depar tment of Transpor tation

FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION

Office of Registration and Safety Information:

Request for Revocation of Authority Granted

FORM OCE-46

Docket Number:

 

Name of carrier, freight forwarder, or broker making request:

 

Address of requesting carrier: Street:

 

City:

 

 

State/Province:

 

Postal Code:

 

For the reasons stated below, this carrier, freight forwarder, or broker, which is the holder of the above-identified permit(s), certificate(s), or license(s), hereby requests revocation of such registration to the extent specified, in accordance with the provisions of 49 U.S.C. 13905.

Please select authority type (check all that apply):

Reason for request of revocation:

Common

Contract

Broker

It is clearly understood that upon revocation of this registration, operations that are revoked may not be resumed unless this authority is reinstated or other registration has been issued.

Name of person authorized

 

 

 

 

 

 

 

 

 

to submit this request

 

 

 

 

 

 

 

 

 

(please type or print):

 

 

Daytime telephone number:

 

 

Signature of person

 

 

 

 

 

 

 

 

 

authorized to submit

 

 

 

 

 

 

 

 

 

this request:

 

Date:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Signature must be notarized or signed in the presence of a FMCSA staff

member.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/County:

 

 

 

 

 

 

 

 

 

 

State/Province:

 

Subscribed and sworn to before me this

 

 

day of

 

 

 

,

 

Affix Notary Seal

 

 

 

 

 

 

 

 

 

 

 

 

 

Notary Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

My commission expires on:

 

/

 

 

/

 

 

 

 

 

 

 

FORM OCE-46 PAGE 1 OF 2

Rev 9/23/2020

FORM OCE-46OMB NO.: 2126-0018 EXPIRATION: 09/30/2023

Name/Title of witnessing FMCSA staff

member(please type or print):

 

 

 

 

 

FMCSA staff member signature:

 

 

 

Witnessed on:

 

/

 

/

 

 

 

 

 

 

Please return Form OCE-46, Request for Revocation of Authority Granted, to:

Federal Motor Carrier Safety Administration

Office of Registration and Safety Information

1200 New Jersey Ave. SE

Washington, DC 20590

The original form must be submitted. Faxed, E-mailed, or photocopied forms will not be accepted. The attached Form OCE-46, Request for Revocation of Authority Granted, must be completed in its entirety (docket number/MC, complete name and address of the carrier, and authorized signature) and notarized, in order that FMCSA may process your request. All questions should be directed to the Office of Registration and Safety Information at (800) 832-5660.

FORM OCE-46 PAGE 2 OF 2

How to Edit Form Oce 46 Online for Free

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Part # 1 for completing oce 46

2. Once your current task is complete, take the next step – fill out all of these fields - CityCounty, StateProvince, Subscribed and sworn to before me, day of, Affix Notary Seal, Notary Signature, My commission expires on, FORM OCE Page of, and Rev with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage # 2 for completing oce 46

People frequently get some things incorrect while filling in StateProvince in this part. Don't forget to go over everything you enter here.

3. The next step is considered rather uncomplicated, NameTitle of witnessing FMCSA, FMCSA staff member signature, Witnessed on, Please return Form OCE Request for, Federal Motor Carrier Safety, Office of Registration and Safety, and The original form must be - every one of these blanks will need to be completed here.

oce 46 writing process described (stage 3)

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