Form Op-1 - Application For Motor Property Carrier And Broker Authority Page 6

Download a blank fillable Form Op-1 - Application For Motor Property Carrier And Broker Authority in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Op-1 - Application For Motor Property Carrier And Broker Authority with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

INSTRUCTIONS OP-1 Revised 01/10/2017

OMB No.: 2126-0016 Expiration: 01/31/2020

State Regulations and Requirements

In addition to Federal requirements, all applicants must comply with registration, fuel tax, and other State regulations and

procedures. Before beginning new or expanded interstate operations, applicants must familiarize themselves with the various

State rules applicable to interstate companies in each State in which they plan to operate. Begin this process by contacting the

transportation regulatory agency for the State in which the applicant is located.

HOW TO COMPLETE THE OP-1 APPLICATION FOR

MOTOR PROPERTY CARRIER AND BROKER AUTHORITY

These instructions will assist companies in accurately completing the application. Incomplete or incorrect applications will be

delayed or suspended until the applicant has been contacted and the problems have been resolved. If an application is rejected,

the application fee will not be refunded.

NOTE FOR APPLICATIONS THAT WILL BE MAILED:

• Please print clearly in ink or type all information.

• If more space is needed to complete any section on the application form, please attach a separate sheet of paper and label each page with the

applicant’s legal business name, section number on the form, and item description.

• Retain a copy of the completed application form and any supporting attachments for the company’s business records.

• For additional mailing instructions, please see

“Apply by

Mail” under “How to Apply” (Topic II) in this packet.

SECTION 1 — APPLICANT INFORMATION

All applicants must complete this section.

1. FMCSA Authority —

Select the “Yes” response if either of the following conditions is true:

• Must designate a Process Agent in each State that they operate in or through.

• Can act as their own Process Agent in the State in which they maintain a physical office (P.O. Box address is not considered a

physical office).

If neither of the conditions above applies, select the “No” response.

If the “Yes” response is selected, indicate the MC/FF Number (for example: MC-999999), which is also called the lead docket number. To

search for the MC/FF Number, follow the instructions provided under

“MC/FF

Number” in “Information Sources” (Topic VI in this packet).

2. Legal Business Name —

Enter the full legal name of the business entity (i.e., corporation, sole proprietor/individual, or partnership)

that owns/controls the Motor Carrier or Broker operation. This should be the same name that appears on the incorporation

certificate, partnership agreement, tax records, etc. Examples are as follows:

• Corporation — Enter the full legal name on the incorporation certificate. This name must include the type of corporation, such

as: John Doe Inc. or John Doe LLC.

• Sole Proprietorship/Individual — Enter the full legal name, such as: John A. Doe.

• Partnership — Enter the full legal names of all partners, such as: John A. Doe and Jane B. Smith.

NOTE: To avoid delays in obtaining Operating Authority, the Legal Business Name on the OP-1 application must match the name submitted on insurance

documents, Form BOC-3 (Designation of Process Agents), and Form MCS-150 (Application for USDOT Number, which is required for Motor Carriers only).

3. Doing Business As Name —

Leave this item blank unless the “Doing Business As” (DBA) name or “Trade” name is different from the

Legal Business Name entered above. For example: enter “John’s Trucking Company” here if the business operates under this name,

but John A. Doe is the Legal Business Name.

NOTE: It is important to spell, space, and punctuate the business name the same exact way each time it appears on an application. Any difference will

be considered a different company. For example: John Jones Trucking Co., Inc.; J. Jones Trucking Co., Inc.; and John Jones Trucking are considered three

separate companies.

4-8. Principal Place of Business —

Enter the physical address of where the company is engaged in business operations related to the

transportation of persons or property and where safety records are regularly maintained. This address will be used by FMCSA for

on-site visits to Motor Carriers for the purpose of conducting safety audits, investigations, and other activities. A P.O. Box will not

be accepted as a Principal Address.

NOTE: A P.O. Box may not be entered as the Principal Address on the OP-1 form. Also, if applying for a USDOT Number, this Principal Address must match

the Principal Address on the MCS-150 application.

10-15. Mailing Address —

Enter the mailing address where all correspondence from FMCSA should be sent. Leave this item blank if

the Mailing Address is the same as the Business Address.

INSTRUCTIONS OP-1 • Page vi of x