Form Op-1(Nna) - Application For U.s. Department Of Transportation (Usdot) Registration By Non-North America-Domiciled Motor Carriers Page 8

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OMB No.: 2126-0016 Expiration: 01/31/2020
FORM OP-1(NNA) Revised 01/10/2017
Section
2
AFFILIATIONS INFORMATION
Disclose any relationship the applicant has, or has had, with any U.S. or foreign motor carrier, broker, or freight forwarder registered
with the former ICC, FHWA, Office of Motor Carrier Safety, or Federal Motor Carrier Safety Administration within the past three years.
For example, this relationship could be through a percentage of stock ownership, a loan, a management position, a wholly-owned
subsidiary, or other arrangement.
If this requirement applies to the applicant, provide the name of the affiliated company, the latter’s MC or MX number, its U.S. DOT
Number, if any, and the company’s latest U.S. DOT safety rating. Applicant must indicate whether these entities have been disqualified
from operating commercial motor vehicles anywhere in the United States. (If the applicant requires more space, attach the information
to this form.)
Ever disqualified
MC or MX
U.S. DOT
U.S. DOT
from operating
Name of affiliated company
Number
Number
Safety Rating
CMVs in the U.S.?
Yes
No
Yes
No
Yes
No
ATTACH
FILE
Section
TYPE(S) OF
3
REGISTRATION REQUESTED
Applicant must submit a filing fee for certain types of registration requested (each checked box is one of those types).
Applicant seeks to provide the following transportation service(s):
PASSENGER REGISTRATION (check all that apply):
For-Hire Motor Carrier of Passengers. ($300 fee required; fee is waived if carrier is exempt under
49 U.S.C. Chapter 135,
Subchapter
I.)
Private Motor Carrier of Passengers. (No fee required.)
PROPERTY REGISTRATION (check all that apply):
For-Hire Motor Carrier of Property (except Household Goods). ($300 fee required; fee is waived if carrier is exempt under
49
U.S.C. Chapter 135, Subchapter
I.)
For-Hire Motor Carrier of Household Goods. ($300 fee required.)
Motor Private Carrier. (No fee required.)
FORM OP-1(NNA) Instructions • Page 4 of 16

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