Form Op-1(Nna) - Application For U.s. Department Of Transportation (Usdot) Registration By Non-North America-Domiciled Motor Carriers Page 4

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OMB No.: 2126-0016 Expiration: 01/31/2020
INSTRUCTIONS OP-1(NNA) Revised 01/10/2017
Section 6. Household Goods Requirements
Applicants applying for registration as a household goods motor carrier as defined in
49 U.S.C. 13102(12)
must provide certain
information regarding their arbitration program and tariff. They must also certify they are familiar with FMCSA’s consumer protection
requirements applicable to household goods transportation. Applicants must disclose all relationships involving common stock,
common ownership, common management, or common familial relationships between the applicant and any other motor carrier,
freight forwarder, or broker of household goods within 3 years of the date of the filing of this application. The signature should be
that of the same company official who completes the Applicant’s Oath.
Section 7. Scope of Operating Registration Sought
Applicant must indicate, by checking one or more boxes, the description(s) of the registration(s) for which application is being made.
Section 8. Compliance Certifications
All applicants are required to certify accurately to their willingness and ability to comply with statutory and regulatory requirements
and to their understanding that their agent for service of process is their official representative in the U.S. to receive filings and
notices in connection with enforcement of any Federal statutes and regulations.
Applicants are required to certify their willingness to produce records for the purpose of determining compliance with the applicable
safety regulations of the FMCSA.
Applicants are required to certify that they are not now prohibited from filing an application because a previously granted FMCSA
registration is currently under suspension or was revoked less than 30 days before the filing of this application.
Section 9. Applicant's Oath
The applicant or an authorized representative may prepare applications. In either case, the applicant must sign the oath and all
safety certifications. (For information on who may sign, see
“General Instructions for Completing the Application
Form” in the
instructions for this application.)
LEGAL PROCESS AGENTS
All motor carrier applicants must designate a process agent in each State where operations are conducted. For example, if the
applicant will operate only in California and Arizona, it must designate an agent in each of those States; if the applicant will operate
in only one State, an agent must be designated for that State only. Process agents who will accept filings and notices on behalf of the
applicant are designated on FMCSA
Form
BOC-3. Form BOC-3 must be filed with the application, unless the applicant uses a Process
Agent Service. If the applicant opts to use a Process Agent Service, it must submit a letter with the application informing the FMCSA
of this decision and have the Process Agent Service electronically file the BOC-3 with FMCSA within 90 days after the applicant
submits its application.
Applicants may not begin operations unless Form BOC-3 has been filed with FMCSA.
STATE NOTIFICATION
Before beginning operations, all applicants must contact the appropriate regulatory agencies in every State in and through which
the carrier will operate to obtain information regarding various State rules applicable to interstate registrations. It is the applicant’s
responsibility to comply with registration, fuel tax, and other State regulations and procedures. Please refer to the additional
information provided in the application packet for further information.
MAILING INSTRUCTIONS
To file for registration an applicant must submit an original and one copy of this application with the appropriate filing fee to
FMCSA. Note: Retain a copy of the completed application form and any attachments for the applicant’s records.
Check or Money Order (make payable to FMCSA in U.S. dollars)
Credit Card (MasterCard or Visa only)
First-Class Mail
Express Mail
Federal Motor Carrier Safety Administration
Federal Motor Carrier Safety Administration
Bank of America Lockbox #530226
1200 New Jersey Avenue SE, MC-RS
P.O. Box 530226, Atlanta, GA 30353-0226
1075 Loop Road, Atlanta, GA 30337
Washington, DC 20590
Note: Sending payment to the wrong address will delay application processing by 2-3 weeks.
FORM OP-1(NNA) Instructions • Page IV of IV

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