Form OP-1 Application for Motor Property Carrier and Broker Author

OMB No: 2126-0016 Expiration Date:
Public reporting for this collection of information is estimated to be 2 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 the Freedom of Information Act (FOIA). 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-MMI, U.S. Department of Transportation, Washington, D.C. 20590.

U.S. Department of Transportation
Federal Motor Carrier
Safety Administration

FORM OP-1 APPLICATION FOR MOTOR PROPERTY CARRIER
AND BROKER AUTHORITY
__________________________________________________
FOR FMCSA USE ONLY

This application is for all individuals and businesses
requesting authority to operate as motor property common
or contract carriers or property brokers.

Docket No. MC-____________________________________
Filed ____________________________________________
Fee No.__________________________________________
CC Approval No.__________________________________

SECTION I
Applicant
Information

Do you now have authority from or an application being processed by the former ICC, FHWA, OMCS, or
FMCSA?
YES If yes, identify the lead docket number(s):
NO
LEGAL BUSINESS NAME
DOING BUSINESS AS NAME
BUSINESS ADDRESS
________________________________________________________________(______)___________
Street Name and Number
City
State
Zip Code
Telephone Number
MAILING ADDRESS (If different from above)

Street Name and Number
City
REPRESENTATIVE (Person who can respond to inquiries)

State

Zip Code

State

Zip Code

Name and title, position, or relationship to applicant

Street Name and Number

City

Telephone Number (______)_______________________FAX Number (______)_________________
USDOT Number (If available; if not, see Instructions.)___________________________________
FORM OF BUSINESS (Check only one.):
Corporation
State of Incorporation ________________________________________
Sole Proprietorship
Name of Individual
________________________________________
Partnership
Identify Partners
________________________________________
_____________________________________________________________

Application for Motor Carrier and Broker Authority - OP-1 (con't)

SECTION II
Type of Authority

SECTION III
Insurance
Information

You must submit a filing fee of $300.00 for each type of authority requested (for
each box checked).
MOTOR COMMON CARRIER OF PROPERTY (except HOUSEHOLD GOODS)
MOTOR CONTRACT CARRIER OF PROPERTY (except HOUSEHOLD GOODS)
MOTOR COMMON CARRIER OF HOUSEHOLD GOODS
MOTOR CONTRACT CARRIER OF HOUSEHOLD GOODS
BROKER OF PROPERTY (except HOUSEHOLD GOODS)
BROKER OF HOUSEHOLD GOODS
UNITED STATES BASED ENTERPRISE OWNED OR CONTROLLED BY
PERSONS OF MEXICO PROVIDING TRUCK SERVICES FOR THE
TRANSPORTATION OF INTERNATIONAL CARGO (except HOUSEHOLD
GOODS)
UNITED STATES BASED ENTERPRISE OWNED OR CONTROLLED BY
PERSONS OF MEXICO PROVIDING TRUCK SERVICES FOR THE
TRANSPORTATION OF INTERNATIONAL HOUSEHOLD GOODS

This section must be completed by ALL motor property carrier applicants. The dollar amounts
in parentheses represent the minimum amount of bodily injury and property damage (liability)
insurance coverage you must maintain and have on file with the FMCSA.
NOTE: Refer to the instructions for information on cargo insurance filing requirements for motor
common carriers and surety bond/trust fund agreement filings for property brokers.
Will operate vehicles having Gross Vehicle Weight Ratings (GVWR) of 10,000 pounds or
more to transport:
Non-hazardous commodities ($750,000).
Hazardous materials referenced in the FMCSA’s insurance regulations at 49 CFR 387.9
($1,000,000).
Hazardous materials referenced in the FMCSA’s insurance regulations at 49 CFR 387.9
($5,000,000).
Will operate only vehicles having Gross Vehicle Weight Ratings (GVWR) under 10,000
pounds to transport:
Any quantity of Division 1.1, 1.2, or 1.3 material; any quantity of Division 2.3, Hazard
Zone A, or Division 6.1 Packing Group I, Hazard Zone A material; or highway route
controlled quantities of a Class 7 material as defined in 49 CFR 173.403. ($5,000,000).
Commodities other than those listed above ($300,000).

Application for Motor Carrier and Broker Authority - OP-1 (con't)

SECTION IV
Safety

Certification

(Motor Carrier
Applicants
Only)

APPLICANTS SUBJECT TO FEDERAL MOTOR CARRIER SAFETY REGULATIONS If you will operate vehicles of more than 10,000 pounds GVWR and are, thus, subject to pertinent
portions of the U.S. DOT's Federal Motor Carrier Safety Regulations at 49 CFR, Chapter 3,
Subchapter B (Parts 350-399), you must certify as follows:
Applicant has access to and is familiar with all applicable U.S. DOT regulations relating to the
safe operation of commercial vehicles and the safe transportation of hazardous materials and it
will comply with these regulations. In so certifying, applicant is verifying that, at a minimum, it:
(1) Has in place a system and an individual responsible for ensuring overall compliance with
Federal Motor Carrier Safety Regulations;
(2) Can produce a copy of the Federal Motor Carrier Safety Regulations and the Hazardous
Materials Transportation Regulations;
(3) Has in place a driver safety training/orientation program;
(4) Has prepared and maintains an accident register (49 CFR 390.15);
(5) Is familiar with DOT regulations governing driver qualifications and has in place a system
for overseeing driver qualification requirements (49 CFR Part 391);
(6) Has in place policies and procedures consistent with DOT regulations governing driving
and operational safety of motor vehicles, including drivers’ hours of service and vehicle
inspection, repair, and maintenance (49 CFR Parts 392, 395 and 396);
(7) Is familiar with and will have in place on the appropriate effective date, a system for
complying with U.S. DOT regulations governing alcohol and controlled substances testing
requirements (49 CFR 382 and 49 CFR Part 40).
YES
EXEMPT APPLICANTS - If you will operate only small vehicles (GVWR under 10,000
pounds) and will not transport hazardous materials, you are exempt from Federal Motor Carrier
Safety Regulations, and must certify as follows:
Applicant is familiar with and will observe general operational safety guidelines, as well as any
applicable State and local laws and requirements relating to the safe operation of commercial
motor vehicles and the safe transportation of hazardous materials.
YES

SECTION V
Affiliations

AFFILIATION WITH OTHER FORMER ICC, FHWA OR OMCS, NOW FMCSALICENSED ENTITIES. Disclose any relationship you have or have had with any other FMCSAregulated entity within the past 3 years. For example, this could be through a percentage of stock
ownership, a loan, or a management position. If this requirement applies to you, provide the name
of the company, MC-number, DOT number, and that company's latest U.S. DOT safety rating. (If
you require more space, attach the information to this application form.)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Application for Motor Carrier and Broker Authority - OP-1 (con't)

HOUSEHOLD GOODS MOTOR COMMON CARRIER APPLICANTS including United
States-based enterprises owned or controlled by persons of Mexico providing truck services for the
transportation of international household goods shipments must certify as follows:

SECTION VI

Household
Goods
Certifications

Applicant is fit, willing, and able to provide the specialized services necessary to transport
household goods. This assessment of fitness includes applicant’s general familiarity with former
ICC, FHWA, or OMCS now FMCSA regulations for household goods movements and also requires
an assurance that applicant has or is willing to acquire the protective equipment and trained
operators necessary to perform household goods movements and that applicant will offer arbitration
as a means of settling loss and damage disputes on collect-on-delivery shipments. The proposed
operations will serve a useful public purpose responsive to a public demand or need.

YES
HOUSEHOLD GOODS MOTOR CONTRACT CARRIER APPLICANTS must certify as
follows:
Applicant is fit, willing, and able to provide the specialized services including United States-based
enterprises owned or controlled by persons of Mexico providing truck services for the transportation
of international household goods shipments necessary to transport household goods. This
assessment of fitness includes applicant’s general familiarity with former ICC, FHWA, or OMCS,
now FMCSA regulations for household goods movements and also requires an assurance that
applicant has or is willing to acquire the protective equipment and trained operators necessary to
perform household goods movements and that applicant will offer arbitration as a means of settling
loss and damage disputes on collect-on-delivery shipments. The proposed service will be consistent
with the public interest and the transportation policy of 49 U.S.C. 10101.

YES
HOUSEHOLD GOODS BROKER APPLICANTS must certify as follows:
Applicant is fit, willing, and able to provide household goods brokerage operations and to comply
with all pertinent statutory and regulatory requirements. The involved services will be consistent
with the public interest and the transportation policy of 49 U.S.C. 10101.

YES
NOTE: Applicant may attach a supporting statement to this application to provide additional
information about any of the above certifications. This evidence is optional.

Application for Motor Carrier and Broker Authority - OP-1 (con't)
SCOPE OF OPERATING AUTHORITY. Check one or both of the boxes below

SECTION VII

Applicants for
Contract
Carriage of
Household
Goods

SECTION VIII
Applicant's
Oath

Contracting shippers have one or more of the distinct needs delineated in Interstate
Van Lines, Inc., Extension - Household Goods, 5 I.C.C.2d 168 (1988).

Briefly describe the distinct need(s):

Contracts provide for assignment of one or more vehicle for the exclusive use of each
shipper in the manner specified in Interstate Van Lines, Inc. Extentions- Household Goods,
5 I.C.C.2d 168 (1988).

This oath applies to all supplemental filings to this application. The signature must be that of applicant,
not legal representative.

I, __________________________________________________________, verify under penalty of
Name and title
perjury, under the laws of the United States of America, that all information supplied on this form or relating
to this application is true and correct. Further, I certify that I am qualified and authorized to file this
application. I know that willful misstatements or omissions of material facts constitute Federal criminal
violations punishable under 18 U.S.C. 1001 by imprisonment up to 5 years and fines up to $10,000 for each
offense. Additionally, these misstatements are punishable as perjury under 18 U.S.C. 1621, which provides
for fines up to $2,000 or imprisonment up to 5 years for each offense.
I further certify under penalty of perjury, under the laws of the United States, that I have not been
convicted, after September 1, 1989, of any Federal or State offense involving the distribution or possession of
a controlled substance, or that if I have been so convicted, I am not ineligible to receive Federal benefits,
either by court order or operation of law, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988 (21
U.S.C. 862).

Signature ______________________________________________________ Date ___________________

4

Application for Motor Carrier and Broker Authority - OP-1 (con't)
Fee Policy
Filing fees must be payable to the Federal Motor Carrier Safety Administration, by check
drawn upon funds deposited in a bank in the United States or money order payable in U.S.
currency or by approved credit card.
Separate fees are required for each type of authority requested. If applicant requests multiple
types of permanent authority on one application form (for example, common and contract carrier
authority) or if applicant submits more than one form in the OP-1 Series in a single filing, multiple
fees are required. The applicant may submit a single payment for the sum of the applicable fees.
Filing fees must be sent, along with the original and one copy of the application, to Federal Motor
Carrier Safety Administration, P. O. Box 70935, Charlotte, NC 28272-0935. For express mail
only: QLP Wholesale Lockbox-NC0810, Lockbox #70935, 1525 West WT Harris Blvd.,
Charlotte, NC 28262. For credit card only: FMCSA, IT Operations Division, 400 Seventh St.,
SW, Room 8218, Washington, D.C., 20590.
After an application is received, the filing fee is not refundable.
The FMCSA reserves the right to discontinue processing any application for which a check is
returned because of insufficient funds. The application will not be processed until the fee is paid
in full.

Filing Fee
Information

All applicants must submit a filing fee for each type of authority requested. The enclosed fee schedule will
show the appropriate filing fee. The total amount due is equal to the fee times the number of boxes checked

in Section II. Fees for multiple authorities may be combined in a single payment.

0
Total number of boxes checked in Section II: _______ x filing fee $__________ = $___________

INDICATE AMOUNT $__________________________ AND METHOD OF PAYMENT

CHECK or

MONEY ORDER, payable to: FMCSA

VISA

MASTERCARD

Credit Card Number ___________________________________ Expiration Date ________________
Signature _____________________________________________Date _________________________

Instructions for Completing the
Motor Property Carrier and Broker Authority Application
(OP-1)
Included within this instruction packet is information to help you answer the following questions:
What forms do I need to complete?
What are the steps I need to take to get Operating Authority?
What is the cost for obtaining Operating Authority?
How do I complete the OP-1 Application for Motor Property Carrier and Broker Authority

What Forms Do I Need to Complete?
The following chart will help you to determine which FMCSA Registration and Operating Authority forms you are
required to fill out. Boxes marked with an “X” in your corresponding Classification indicate forms that you must
complete.

USDOT Number
Classification
Interstate
Motor Carrier (excludes Hazardous Material
Carriers)
Authorized For-Hire
Exempt For-Hire
Private Property
Private Passenger (business and nonbusiness)
Passenger For-Hire
Broker
Freight Forwarder
Hazardous Material Carrier
Hazardous Material Shipper
Shipper (Non-Hazardous Material)
Cargo Tank Facility
Registrant (you obtain the plates, but you never
drive for yourself)

MCS-150

MCS-150A MCS-150B

x
x
x

x
x
x

x

x

x

x

Operating Authority
OP-1

OP-1(P)

OP-1(FF)

x

x
x
x

See Note 1

x

See Note 1

x

See Note 2
See Note 3

x
x

Intrastate
Non-Hazardous Material Carrier
Hazardous Material Carrier
Hazardous Material Shipper
Shipper (Non-Hazardous Materials)

See Note 2
See Note 2

See Note 2

See Note 2

See Note 2

See Note 3

Note 1: If you are an Interstate Hazardous Material Carrier, you will be required to fill out EITHER the MCS-150
or the MCS-150B, but not both. If you transport any of the following Hazardous Material in Interstate commerce,
you will be required to fill out the MCS-150B instead of the MCS-150:
Highway Route Controlled Quantities (HRCQ) of Radioactive materials;
More than 25 kg (55 pounds) of a Division 1.1, 1.2, or 1.3 material or a quantity of Division 1.5 material
that requires placarding;
For materials that meet the definition of “material poisonous by inhalation” (TIH) as defined in 49 CFR
171.8: More than 1 liter (1.08 quarts) per package of a material meeting the definition of a Hazard Zone A
TIH material, a material meeting the definition of a Hazard Zone B TIH material in a bulk package

(capacity greater than 450 liters [119 gallons]), or a material meeting the definition of a Hazard Zone C or
D TIH material in a bulk packaging that has a capacity greater than 13,248 L (3,500 gallons);
Shipments of compressed or refrigerated liquid methane or liquefied natural gas with a methane content
of at least 85% in a bulk packaging that has a capacity greater than 13,248 liter (3,500 gallons).
Note 2: If you are a Hazardous Material Shipper, or an Intrastate Hazardous Material Carrier, you are not
required to fill out this form unless you perform some other Interstate operation that requires you to complete the
MCS-150 or MCS-150B.
Note 3: If you are a Shipper of Non-Hazardous Material only, you do not need to fill out this form. If you are both
a Shipper of Non-Hazardous Material and a Motor Carrier, you must fill out this form because you are a Motor
Carrier.

What Are the Steps I Need to Take to Get Operating Authority?
Operating Authority is granted by the U.S. Department of Transportation’s (US DOT) Federal Motor Carrier Safety
Administration (FMCSA). This Authority is needed by Motor Carriers who transport goods regulated by FMCSA
and Motor Carriers who transport passengers or household goods.

How to Obtain Operating Authority
There are six steps involved with obtaining Operating Authority. You initiate the process in Step 1 by submitting
the necessary OP-1 form. The remaining steps will be handled by your Insurance Company and Process Agent
and will take between four and six weeks to complete.
You may not begin operating until you have received the Certificate, Permit, or License for Operating
Authority in Step 6.

Step 1

Step 2

Step 3
10-Day
Protest period

Carrier
submits
OP-1,
OP-1(P), or
OP-1(FF)

Carrier
receives
grant letter

Step 4
Carrier’s Insurance
Company files forms

Step 6
Carrier receives
certificate, permit, or
license for Operating
Authority

Step 5
Carrier’s Process Agent(s)
registers

Step 1
Carriers and Brokers begin the Operating Authority process by filling out one of the following forms:
OP-1—Operating Authority for Common Property, Contract Property, Common Household Goods, Contract
Household Goods, Broker, Enterprise transporting international cargo only, and Enterprise transporting
international household goods only;
OP-1(P)—Operating Authority for Passenger; or
OP-1(FF)—Operating Authority for Freight Forwarder.
The applications can be filled out either online or by using paper applications that can be downloaded, printed,
filled out, and mailed to FMCSA. Both can be found at http://www.fmcsa.dot.gov/forms/print/r-l-forms.htm.
If you file online, you can reduce your processing time by up to three weeks allowing you to begin
operations sooner. However, if you submit the paper form with an error or incomplete information, your
application will be delayed until all the errors can be corrected, resulting in additional time required to process
your application.

Step 2
Upon receipt and acceptance of your application by FMCSA, which will take approximately three weeks from the
date the application is mailed, all Motor Carrier and Broker applicants will receive a grant letter. This letter will
include the MC or FF Number assigned to your operation and additional information about the steps your
Insurance Company and Process Agents must take to complete your Operating Authority Registration (see Step 3
and Step 4 for additional information.) If you apply online, you will receive the MC or FF Number immediately and
will receive your grant letter within 15 days. The MC or FF Number is given to you for use by your Insurance
Company and Process Agents to make the appropriate fillings to complete the process for obtaining your
Operating Authority.
Although you have received your MC or FF Number, you may not operate until Step 6 is complete.

Step 3
At the same time your grant letter is issued, your application will be placed in the FMCSA Register for 10 calendar
days. During this protest period, the public can file objections with FMCSA stating why you should not obtain
Operating Authority. FMCSA will accept protests sent by mail as long as they are postmarked by the last day of
the protest period. If there is a protest filed against your application, FMCSA will provide you with information on
the adjudication process. Your Insurance Company and Process Agent can file their documents during this period.
You can view the FMCSA Register by going to http://www.fmcsa.dot.gov. From there, select “Registration and
Licensing”, then select “Licensing and Insurance System”. Click the continue button. From there, select the
“FMCSA Register” option in the drop-down menu.

Step 4
This step can begin any time after you have received your MC or FF Number and is not dependant on Step 2 or 3
being completed. Appropriate insurance forms must be filed by your Insurance Company within 20 days after your
grant letter is mailed and the date the notice of your application is published in the FMCSA Register. Your
Insurance Company must file the appropriate forms based on your company’s operation plan. Those forms will
be one or more of the following:
Form BMC-91 or BMC-91X for bodily injury and property damage;
Form BMC-34 for cargo liability;
Form BMC-84 for broker surety bond and Form BMC-85 for broker trust fund agreement.
The FMCSA does not furnish copies of these insurance forms. You must contact your Insurance Company to
arrange for the filing of all required insurance forms and confirm with the Insurance Company that FMCSA has
received those forms. Any delay on the part of your Insurance Company will result in a delay in the time it takes
you to receive your Operating Authority and may result in your application being dismissed.

Step 5
A Process Agent is a representative upon whom court papers may be served in any proceeding brought against a
Motor Carrier, Broker, or Freight Forwarder.
All Motor Carrier applicants must designate a Process Agent in each State that they operate in or through. Broker
applicants must designate a Process Agent in each State in which their offices are located and in which they will
establish contracts. Brokers can act as their own Process Agents in the state in which they are domiciled, but will
need Process Agents in the other States they operate in as well. Additional information about Process Agents can
be found at by visiting the FMCSA Web site at http://www.fmcsa.dot.gov. From there, select “Registration and
Licensing”, then “What is a Process Agent”.
Process Agents must file the BOC-3 form on your behalf. This form must be filed within 20 days after your grant
letter is mailed and the date the notice of your application is published in the FMCSA Register. Any delay by the
Process Agent in filing the Form BOC-3 will result in a delay in the receipt of your Operating Authority and may
result in your application being dismissed.

Step 6
Once the application, insurance, and Process Agent filings have been approved by FMCSA, and the protest
period has ended without any protest being filed against the applicant, the Carrier, Broker or Freight Forwarder
applicant are given final Authority in the form of a certificate, permit, or license, allowing you to begin operations.
This document will be mailed to the applicant and will serve as an official record of your Operating Authority.

What is the Cost for Obtaining Operating Authority?
Fee Schedule (Effective March 1999)
Operating Authority*…………………………………………………………………..…$300.00
Includes: Common Property, Contract Property, Common Household Goods, Contract Household Goods, Broker,
Freight Forwarder, Passenger, Enterprise Transporting International Cargo, and Enterprise Transporting
International Household Goods.
Notice of Name Change……………………………………………………………… …$ 14.00
Separate fees must be submitted for each kind of Authority sought. For instance, requests for Common Property
Motor Carrier and Contract Property Motor Carrier Authority will require two $300 fees. Payments can be
combined.
REFUNDS FOR FILING FEES ARE NOT PERMITTED.
Please refer to the last page of the application form for instructions on mailing the application to the Federal Motor
Carrier Safety Administration of the US Department of Transportation. NOTE: RETAIN A COPY OF THE
COMPLETED APPLICATION FORM AND ANY ATTACHMENTS FOR YOUR OWN RECORDS.
If you are submitting this form online, the applicant’s legal name or the representative’s name must
match the name and billing address of the credit card used to pay the filing fee.

How Do I Complete the OP-1 Application for Motor Property Carrier and Broker Authority?
These instructions will assist you in preparing accurate and complete application filings. Applications that do not
contain the required information will be rejected and may result in a loss of the application fee. If additional
space is needed to provide a response to any item, please use a separate sheet of paper, placing the applicant’s
name, section, and item number on each additional page.
Note: When filling out this application, please print clearly in ink or type all information.
.

SECTION I
FMCSA Authority
If you have ever been issued Operating Authority by one of the following agencies: Interstate Commerce
Commission (ICC), Federal Highway Administration (FHWA), Office of Motor Carrier Safety (OMCS), or Federal
Motor Carrier Safety Administration (FMCSA); or if you have an application for Authority being processed now by
FMCSA, check the "yes" box and indicate the MC Number (also called a lead docket number) you have been
assigned, for example: MC-987654.
Applicant’s Legal Business Name
This is the legal name of the business entity (i.e., Corporation, Partnership, or Sole Proprietorship/Individual) that
owns/controls the Motor Carrier or Broker operation. The name entered here should be your full legal business
name — the name that appears on the incorporation certificate, partnership agreement, tax records, etc. For
example, if you are a:
Corporation — Please enter the name on your incorporation certificate. This name must include the type of
Corporation that you are: John Doe INC, John Doe LLC
Sole Proprietor/Individual — Please enter your full legal name: John A. Doe.
Partnership — Please enter the legal names of both Partners: John A. Doe and Jane B. Smith.
Note: If the name you submit here does not match what was/will be submitted on your insurance papers, there
will be a delay in the granting of your Operating Authority.
Doing Business As Name
If your Trade Name is different from your Official Business Name (the name entered in the Applicant’s Legal
Business Name field), please enter that name here. For example, if you entered John A. Doe as the Legal
Business Name, but your Trade Name or Doing Business As name is John’s Trucking Company, you would enter
John’s Trucking Company in this field. If your Trade Name is the same as what was entered in the Legal
Business Name field, please leave this field blank.
Because FMCSA uses computers to retain information about licensed carriers, it is important to spell, space, and
punctuate any name the same way each time you write it. For example: John Jones Trucking Co., Inc.; J. Jones
Trucking Co., Inc.; and John Jones Trucking are considered three separate companies.
Business Address
The Business Address is the principal place of business (physical location), for example: 756 Bounty Street;
15433 State Highway 23.
This is the location that FMCSA will use for safety audits, compliance reviews, or other activities that
require FMCSA to physically visit a Motor Carrier. For this reason, a PO Box may not be entered as your
Business Address. If you file for a USDOT Number, your Business Address on this form must match your
Principal Address on the MCS-150 application. For this reason, a PO Box may not be entered as your
business address.
Mailing Address
The mailing address is where you want all correspondence from FMCSA to be sent. If it is the same as the
Business Address, please leave this field blank.

To receive pertinent FMCSA notices and to ensure that insurance documents filed on the applicant's behalf are
accepted, you must inform FMCSA if your Business or Mailing Address changes. You can do this by changing
your address information online at http://www.fmcsa.dot.gov or by sending information in writing to 400 7th Street,
SW, Rm. 8214, Washington, DC 20590. If you notify them in writing, please include your name and MC Number.
Representative
If someone other than the applicant is preparing this form, please provide the representative's name, title/position
or relationship to the applicant, the address, telephone, and fax numbers. That person will be the person
contacted if there are questions concerning this application.
USDOT Number
Applicants subject to the Federal Motor Carrier Safety Regulations are required to register with the Federal Motor
Carrier Safety Administration of the US Department of Transportation before initiating service. Motor Carriers that
already have been issued a USDOT registration number should provide it. If you have not already registered for
a USDOT Number, please refer to the chart at the beginning of the application to see if you are required to obtain
one. For additional information, please visit FMCSA’s Web site at http://www.fmcsa.dot.gov or call (800) 8325660.
Form of Business
There are three main categories of business: Corporation, Sole Proprietorship/Individual, or Partnership. If the
applicant/business is a:
Corporation — Please provide the name of the State where the Corporation is incorporated.
Sole Proprietorship — Please provide the name of the individual who is the business owner. This name should
match the name entered under Legal Business Name.
Partnership — Provide the name of each Partner. These names should match the names entered under Legal
Business Name.

SECTION II
Type of Authority
You may use this application to apply for multiple types of Operating Authority. Please indicate which type(s) of
Authority you are requesting by placing a check next to the appropriate box(es). Note: A separate $300 filing fee
is required for each type of Operating Authority requested. In addition, the types of Authority you select will impact
the levels of insurance you are required to carry by FMCSA. Please select only those types corresponding to the
types of business you will be performing. Below are descriptions of the different types of Authority you may apply
for:
Common Carrier of Property — A Common Carrier of Property is an Authorized For-Hire Motor Carrier that
can transport regulated commodities and must maintain liability and cargo insurance.
Contract Carrier of Property — A Contract Carrier of Property is an Authorized For-Hire Motor Carrier that can
transport regulated commodities and must maintain liability insurance. A Contract Carrier can not be a
Common Carrier without filing another application with FMCSA for Common Carrier Authority and filing proof
of cargo insurance with the Federal Motor Carrier Safety Administration.
Common Carrier of Household Goods — A Household Goods Common Carrier is an Authorized For-Hire
Motor Carrier who transports household goods and must maintain liability and cargo insurance. Household
goods are personal effects or property used, or to be used, in a dwelling. They include property being moved
from a factory or a store, if purchased with the intent to use in a dwelling, and transported at the request of the
householder who pays for the transportation charges.
Contract Carrier of Household Goods — A Household Goods Contract Carrier is an Authorized For-Hire
Motor Carrier who transports household goods and must maintain liability insurance. Household goods are
personal effects or property used, or to be used, in a dwelling. They include property being moved from a
factory or a store, if purchased with the intent to use in a dwelling, and transported at the request of the
householder who pays for the transportation charges. A Contract Carrier can not be a Common Carrier

without filing another application with the FMCSA for Common Carrier Authority and filing proof of cargo
insurance with the Federal Motor Carrier Safety Administration.
Broker of Property — An Individual, Partnership or Corporation who arranges, or offers to arrange, for the
transportation of property belonging to others by an authorized Interstate Motor Carrier. Brokers do not
assume responsibility for the cargo, nor do they take possession of it.
Broker of Household Goods — An Individual, Partnership or Corporation that arranges for transportation of
household goods (usually from one house to another) belonging to others, using Authorized For-Hire carriers
to provide the actual transportation. The Broker does not assume responsibility for the household goods
and does not take possession of those goods.
Enterprise Carrier of International Cargo — US-based companies owned/controlled by Mexican citizens or
nationals, which provide transportation of international cargo only.
Enterprise Carrier of International Household Goods — US-based companies owned/controlled by Mexican
citizens or nationals, which provide transportation of international household goods only.

SECTION III
Insurance Information
Your insurance coverage requirements will be based on the gross vehicle weight rating of your vehicles and the
property (including type of Hazardous Material) the applicant will haul. Please check the appropriate box(es) to
describe the type of business you will be conducting. Refer to Step 4 under “How to Obtain Operating Authority”
for more information.
If you operate vehicles with a gross vehicle weight rating exceeding 10,000 pounds, please check this item
and indicate which of the subsequent items pertain to you.
If you only operate vehicles with a gross vehicle weight rating under 10,000 pounds, please check this item
and indicate which of the subsequent items pertain to you.

SECTION IV
Safety Certification
Check only one of the boxes in this section.
Applicants for Motor Carrier Operating Authority must complete this safety certification.
The first section of questions in the certification statement describes the activities or actions that carriers must
follow in order to be compliant with USDOT Federal Motor Carrier Safety Regulations. You should check the
“yes” response only if you can attest to the truth of the statements.
The second section relates to EXEMPT APPLICANTS. If you operate only vehicles with a gross vehicle
weight rating less than 10,000 pounds and will not transport Hazardous Material, then you are exempt from
the safety certification in the first section. However, you must indicate that you are familiar with and will
observe general operational safety fitness guidelines and applicable State and local laws relating to the safe
operation of commercial motor vehicles.

SECTION V
Affiliations
In the past three years, if the applicant has held ownership (even a percentage of stock ownership), provided
a loan to, or held a management position with a trucking entity/company that is regulated by FMCSA, please
list that entity’s name, MC Number, USDOT Number, and the latest USDOT Safety Rating. This includes any
entity or company that is/was licensed by the former ICC, FHWA, or OMCS.

SECTIONS VI
Household Goods Certifications

If you are applying for either the Household Goods Common Carrier, Household Goods Contract Carrier, or
Household Goods Broker Operating Authority, please check “yes” next to the appropriate section to certify that
you have met the requirements of the statement.

SECTIONS VII
Applicants for Contract Carriage of Household Goods
(Please complete this section ONLY if you are a Contract Household Goods Carrier).
If you are applying for Household Goods Contract Carrier Authority, you also must provide the information
concerning your operations in Section VII.

SECTION VIII
Applicant’s Oath
The "Applicant's Oath" applies to all certifications on this form. False certifications are subject to the penalties
described in the oath.
Applications may be prepared by the applicant or an authorized representative. In either case, the oath must be
signed by the applicant. In the case of Corporations, an authorized employee in the ownership structure may sign.
An individual with power of attorney to act on behalf of the applicant may sign, provided that proof of the power of
attorney is submitted with the application.
State Notification
Before beginning new or expanded Interstate operations, all applicants must contact the appropriate regulatory
agencies to obtain information regarding various State regulations in every State in and through which the Carrier
will operate.

STATUS: After your application is processed by FMCSA, you can check its status on the Internet. Application,
Insurance, and Process Agent information appears on the Licensing and Insurance Web site as soon as it is
entered into the database or filed electronically. The Web site address is http://www.fmcsa.dot.gov. From there,
select “Registration and Licensing”, then select “Licensing and Insurance System”.

ADDITIONAL ASSISTANCE
INFORMATION SOURCES
To receive information on your Operating Authority or insurance and Process Agent filings status, please use
FMCSA's Automated Response Capability (ARC) telephone system. This system is available 24 hours a day, 7
days a week. To access the system, dial (202) 358-7000. Please have your MC Number (referred to as your
docket number in the system) available when you call. You will receive your MC Number in the grant letter (Step
2 in the “How to Obtain Operating Authority” section of these instructions).
For assistance in filing your application, please contact FMCSA at 800-832-5660 and select the appropriate
prompts.
US DEPARTMENT OF TRANSPORTATION INFORMATION SOURCES
USDOT Registration and Safety Ratings
To obtain your USDOT Number, you may either:
Apply online at http://www.fmcsa.dot.gov, which will provide you with a USDOT Number instantly;
Print the form from FMCSA’s Web site (http://www.fmcsa.dot.gov/forms/print/r-l-forms.htm)
and mail it to FMCSA by following the mailing instructions included in the application; or
Call (800) 832-5660 to request a form be mailed to you;

To request a safety fitness review, you must contact your local FMCSA field office. To find the contact
information for your local field office, please either:
Visit the FMCSA Web site at http://www.fmcsa.dot.gov and select “Contact Us”. Select the field office
corresponding with your State; or
Call (800) 832-5660;

Note: If you already have an assigned safety rating, you may view your status online at FMCSA’s Web site,
http://www.fmcsa.dot.gov, by selecting “Registration and Licensing”, going to ”SAFER System” and choosing
“Company Snapshot,” or by calling (800) 832-5660.
USDOT Hazardous Materials Regulations
To obtain information on whether the commodities you intend to transport are considered to be Hazardous
Material, refer to provisions governing Hazardous Material in the Federal Hazardous Material Regulations at Parts
100 through 185 of Title 49 of the Code of Federal Regulations (CFR), particularly the Hazardous Materials Table
at 49 CFR Part 172, or contact the FMCSA (202) 366-6121.
To obtain information about DOT Hazardous Material transportation registration requirements, contact the
USDOT agency responsible for it at (202) 366-4109.