Form Op-1 - Application For Motor Property Carrier And Broker Authority - U.s. Department Of Transportation Page 14

Download a blank fillable Form Op-1 - Application For Motor Property Carrier And Broker Authority - U.s. Department Of Transportation 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 - U.s. Department Of Transportation 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.

ADVERTISEMENT

OMB No. 2126-0016
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The OMB control number for this collection is 2126-0016. It is estimated
that an average of 2 burden hours per response is required to complete this collection of information. This estimate includes time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Comments concerning the accuracy of this burden estimate or suggestions for reducing this burden should be directed to the Federal Motor Carrier Safety Administration, Systems
Operations Team, 1200 New Jersey Avenue SE, Washington, DC 20590.
FORM OP-1 APPLICATION FOR MOTOR PROPERTY CARRIER AND BROKER AUTHORITY
U.S. Department of Transportation
Federal Motor Carrier Safety Administration
FOR FMCSA USE ONLY
This application is for businesses
Docket No. MC
Fee No.
requesting operating authority as a
motor carrier, broker, and/or U.S.-
based enterprise carrier of property
Filed
CC Approval No.
or household goods.
SECTION I
Applicant Information
Do you now have operating authority from or an application being processed by the FMCSA, FHWA, OMCS, or ICC?
YES
NO
If YES, identify the MC/FF Number (or lead docket number):
DOING BUSINESS AS NAME
(If different from Legal Business Name)
LEGAL BUSINESS NAME
BUSINESS ADDRESS
Physical Street Name and Number
City
State
Zip Code
Telephone Number
(No P.O. Box)
MAILING ADDRESS
(If different from Business Address above)
Street Name and Number
City
State
Zip Code
REPRESENTATIVE
(Person who can respond to inquiries)
Name
Title, Position, or Relationship to Applicant
Street Name and Number
City
State
Zip Code
Telephone Number
Fax Number
(If available; if not, see instructions)
USDOT NUMBER
(Select only one)
FORM OF BUSINESS
Corporation
State of Incorporation
Sole Proprietorship
Legal Name of Owner
Partnership
Legal Name of Each Partner
(separate names with a comma)
SECTION II
Type of Operating Authority
Check box(es) for each type of operating authority requested.
You must submit a filing fee of $300.00 for each box checked.
Motor Common Carrier of Property (except Household Goods)
Broker of Property (except Household Goods)
Motor Contract Carrier of Property (except Household Goods)
Broker of Household Goods
Motor Common Carrier of Household Goods
United States-based Enterprise Carrier of International Cargo (except Household Goods)
Motor Contract Carrier of Household Goods
United States-based Enterprise Carrier of International Household Goods
1 / 4
Form OP-1
(Revised 8/14/2007)
Expiration Date 1/8/2010

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal