APPLICATION FOR FREIGHT FORWARDER AUTHORITY
FORM OP-1 (FF)
1. Legal Business Name: ______________________________________________________
2. Doing Business As (DBA): ____________________________________________________
3. Street Address: ____________________________________________________________
4. City _______________________________State ______ Zip________________________
6. Telephone _________________________
7. Fax ____________________________
7. USDOT Number (if available) ______________________________________________
Form of Business (select only one)
☐ 8. Corporation
State of Incorporation _________________________________
☐ 9. Sole Proprietorship Legal Name of Owner _________________________________
☐ 10. Partnership
Legal Name of Each Partner ____________________________
11. Type of Operating Authority
☐ Freight Forwarder of Property
☐ Freight Forwarder of Household Goods
(except household goods)
12. Insurance Information
☐ Applicant will operate one or more vehicle(s) having a gross vehicle weight rating (GVWR) of 10,000 pounds
or more to transport:
☐ Non-hazardous commodities ($750,000)
☐ Hazardous materials ($1,000,000)
☐ Hazardous materials ($5,000,000)
☐ Applicant will operate only vehicles having a gross vehicle weight rating (GVWR) under 10,000 pounds to
transport:
☐ Any quantity of Class A or B explosives, any quantity of poison gas (Poison A), or highway route
controlled quantity of radioactive materials ($5,000,000)
☐ Commodities other than those listed above ($300,00)