OMB No.: 2126-0016 Expiration: 01/31/2020
FORM OP-1(NNA) Revised 01/10/2017
Docket # MC
Fee #
FOR FMCSA USE ONLY
USDOT #
CC Approval #
Filed:
Application Tracking #
The collection of this information is authorized under the provisions of 49 U.S.C. 31144 and 13902. Public reporting for this collection of information is
estimated to be four hours per response, including the time for reviewing instructions and completing and reviewing the collection of information. All
responses to this collection of information are mandatory, and will be provided confidentiality to the extent allowed by law. Not withstanding any other
provision of law, no person is 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 valid OMB
Control Number for this information collection is 2126-0016. 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, U.S. Department of Transportation, Washington, D.C., 20590.
United States Department of Transportation
Federal Motor Carrier Safety Administration
Application for U.S. Department of Transportation (USDOT) Registration
by Non-North America-Domiciled Motor Carriers
FORM OP-1 ( NNA )
Section
1
APPLICANT INFORMATION
LEGAL BUSINESS NAME:
DOING BUSINESS AS NAME (trade name, if any):
BUSINESS ADDRESS (actual street address):
STREET ADDRESS/ROUTE NUMBER
CITY
STATE/PROVINCE
COLONIA (Mexico only)
COUNTRY
ZIP CODE
MAILING ADDRESS (if different than above):
Same as business address
Mailing address below:
STREET ADDRESS/ROUTE NUMBER
CITY
STATE/PROVINCE
COLONIA (Mexico only)
COUNTRY
ZIP CODE
U.S. ADDRESS:
Not applicable
Applicant currently has an office in the United States, entered below:
STREET ADDRESS/ROUTE NUMBER
CITY
STATE/TERRITORY
ZIP CODE
TELEPHONE NUMBER
FAX NUMBER
FORM OP-1(NNA) Instructions • Page 1 of 16