Instructions For Completing The Motor Carrier Identification Report (Mcs-150 Ct) printable pdf download

Instructions for Completing the Motor Carrier Identification Report (MCS-150CT)

(Application for Intrastate USDOT Number)

1. Please type or print clearly.

These instructions have been adapted for motor carriers in commerce in

Connecticut only (intrastate commerce). The unedited instructions may be found at

2. The MCS-150CT form may be completed online at You may request a form by contacting the

Department of Motor Vehicles, Commercial Vehicle Safety Division at (860) 263-5446.

3. Submit the signed and dated form to: Department of Motor Vehicles, Commercial Vehicle Safety Division, 60

State Street, Wethersfield, CT 06161. Or you may fax the form to (860) 263-5587. Please mail or fax the

completed MCS-150CT form with the Certificate of Liability Insurance.

Reason for Filing: NEW APPLICATION - To obtain an intrastate USDOT number. BIENNIAL UPDATE OR CHANGES

- To file the formal MCS-150CT biennial update, or to update MCS-150CT information.

OUT OF BUSINESS

NOTIFICATION - To notify the Department of Motor Vehicles, Commercial Vehicle Safety Division that the company is no

longer operating as an intrastate motor carrier.

1. Name of Motor Carrier — This is the legal name of the business entity that owns/controls the motor carrier operation. The

name entered here should be the full legal business name as filed with the Secretary of the State’s Office.

2. Trade or D.B.A. (Doing Business As) Name — Enter the company’s trade name if it is different from the company’s official

business name.

3-6. Principal Address — Enter the Connecticut address where the company’s safety records are maintained. Skip 7.

8-11. Mailing Address — Enter the mailing address where the company wants all its correspondence to be sent (this may be a

P.O. Box). Skip 12.

13. Principal Business Phone Number — Enter the primary telephone number, including area code, for the “Principal Address”

(items 3-6).

14. Principal Contact Cell Phone Number — Enter the cell phone number, if any, including area code.

15. Principal Business Fax Number — Enter the company’s fax number, including area code.

16. USDOT NO. — If the company is not a new applicant, that is if it already has an intrastate USDOT number, enter the

company’s intrastate USDOT number

17. MC OR MX NO. — If the company has already been assigned an “MC” or “MX” identification number for Interstate

FMCSA Operating Authority, enter the number. This includes MC or MX numbers that are pending.

18. Dun & Bradstreet NO. — If the company has a Dun & Bradstreet identifier number, enter it.

19. IRS/TAX ID NO. — Enter either the Employer Identification Number (EIN) assigned to the motor carrier company by the

Internal Revenue Service, or the owner’s Social Security Number (SSN).

20. Internet E-Mail Address — Enter the e-mail address, if the company has one, for the official point of contact.

21. Carrier Mileage — Enter the total mileage of all motor vehicles in the company’s intrastate operation to the nearest 10,000

miles for the last calendar year.

22. Company Operation — Interstate Carrier — The company is an interstate carrier if any part of its operation transports

property or passengers in support of interstate commerce, i.e., the property or passengers cross State lines either before the

company received them, while the company is transporting them, or after the company has transferred the property or

passengers. Intrastate Hazmat Carrier — The company is an intrastate hazardous materials carrier if any part of its business

operation meets the following criteria: Transports hazardous materials in quantities that are regulated by the Department of

Transportation (DOT) and never crosses State lines. The company is required to comply with FMCSA Safety Regulations and

Hazardous Materials Regulations. Intrastate Non-Hazmat Carrier — The company is an intrastate non-hazardous materials

carrier if its business operation meets the following criteria: Does NOT transport hazardous materials in quantities that are

regulated by DOT and never crosses State lines. Interstate Hazmat Shipper — The company is an interstate hazardous

materials shipper if any part of its business operation offers, or makes hazardous materials available to a carrier for transportation

in interstate or foreign commerce. Intrastate Hazmat Shipper — The company is an intrastate hazardous materials shipper if it

exclusively tenders or makes hazardous materials available to an intrastate hazmat carrier for actual transport. If the company

offers or makes available hazardous materials AND transports hazardous materials, then it is considered as both an intrastate

hazmat shipper and an interstate or intrastate motor carrier (both options should be selected in response to this item). Vehicle

Registrant Only — The company is a vehicle registrant only if its base state of operations requires the company/individual to

obtain a USDOT Number as a required part of its state commercial vehicle registration process AND the individual that is listed

on the vehicle registration and to whom license plates are issued will never operate the CMV under its own assigned USDOT

Number or Operating Authority.

23. Operation Classification — Is based on the type of business the company is engaged in. A. Authorized For-Hire — A

non-exempt motor carrier who receives compensation for transporting passengers, FMCSA-regulated goods, or household goods

that are owned by others. B. Exempt For-Hire — A carrier who receives compensation for transporting only exempt goods

(commodities that are NOT regulated by the FMCSA). Carriers are also exempt if they only transport employees of their

company (e.g., a company shuttles its own employees to and from a work station). Exempt status typically excuses a carrier from

the operating authority requirement, but an intrastate USDOT number is still required. C. Private Property — A company that

transports its own cargo, usually as a part of a business that produces, uses, sells, and/or buys the cargo that is being hauled. D.

Instructions For Completing The Motor Carrier Identification Report (Mcs-150 Ct)

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