MCS-150B Combined Motor Carrier Identification Report and HM Perm

Motor Carrier Identification Report

MCS-150B.NewEntrant.NPRM.011207

Motor Carrier Identification Report

OMB: 2126-0013

Document [pdf]
Download: pdf | pdf
OMB No. 2126-0013 Expiration Date:
A federal agency may not conduct or sponsor, and a person is not 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 OMB Control Number for this information collection is 2126-0013. Public reporting for this collection of information is estimated to be approximately 20 minutes per response, including the time for reviewing instructions, gathering
the data needed, and completing and reviewing the collection of information. All responses to this collection of information are mandatory. 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, Washington, D.C. 20590.

U.S. Department of Transportation
Federal Motor Carrier
Safety Administration
REASON FOR FILING (Check Only One)
NEW APPLICATION

Combined Motor Carrier Identification Report and HM Permit Application

BIENNIAL UPDATE OR CHANGES

OUT OF BUSINESS NOTIFICATION

REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

1. NAME OF MOTOR CARRIER

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL STREET ADDRESS/ROUTE NUMBER 4. CITY

5. MAILING ADDRESS (P O BOX)

7. STATE/PROVINCE

10. STATE/PROVINCE

8. ZIP CODE+4

9. COLONIA (MEXICO ONLY)

13. PRINCIPAL BUSINESS PHONE NUMBER

16. USDOT NO.

11. ZIP CODE+4

14. PRINCIPAL CONTACT CELLULAR PHONE NUMBER

17. MC OR MX NO.

18. DUN & BRADSTREET NO.

12. COLONIA (MEXICO ONLY)

15. PRINCIPAL BUSINESS FAX NUMBER

19. IRS/TAX ID NO.
EIN#

6. MAILING CITY

20. INTERNET E-MAIL ADDRESS
SSN#

21. COMPANY OPERATION (Check all that apply)
A. Interstate Carrier

B. Intrastate Hazmat Carrier

C. Intrastate Non-Hazmat Carrier

22. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year)

D. Interstate Shipper

E. Intrastate Shipper

F. Vehicle Registrant Only

YEAR

23. OPERATION CLASSIFICATION (Check All that Apply)
A. Authorized For-Hire
D. Private Passengers (Business)
G. U. S Mail
B. Exempt For-Hire
E. Private Passengers (Non-Business)
H. Federal Government
C. Private Property
F. Migrant
I. State Government
24. CARGO CLASSIFICATIONS (Check All that Apply)
A. GENERAL FREIGHT
F. LOGS, POLES
J. FRESH PRODUCE
P. GRAIN, FEED, HAY
B. HOUSEHOLD GOODS
BEAMS, LUMBER
K. LIQUIDS/GASES
Q. COAL/COKE
C. METAL; SHEETS;
G. BUILDING MATERIALS L. INTERMODAL CONT.
R. MEAT
COILS; ROLLS
H. MOBILE HOMES
M. PASSENGERS
S. GARBAGE, REFUSE, TRASH
D. MOTOR VEHICLES
I. MACHINERY,
N. OIL FIELD EQUIPMENT T. U.S. MAIL
E. DRIVE AWAY/TOWAWAY
LARGE OBJECTS
O. LIVESTOCK
U. CHEMICALS
25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Check All that Apply) C – CARRIED
C
S
A. DIV 1.1
B NB C
S
K. DIV 2.2A (Ammonia) B
NB
C
S
B. DIV 1.2
B NB C
S
L. DIV 2.3A
B
NB
C
S
C. DIV 1.3
B NB C
S
M. DIV 2.3B
B
NB
C
S
D. DIV 1.4
B NB C
S
N. DIV 2.3C
B
NB
C
S
E. DIV 1.5
B NB C
S
O. DIV 2.3D
B
NB
C
S
F. DIV 1.6
B NB C
S
P. Class 3
B
NB
C
S
G. DIV 2.1
B NB C
S
Q. Class 3A
B
NB
C
S
H. DIV 2.1 LPG
B NB C
S
R. Class 3B
B
NB
C
S
I. DIV 2.1(Methane) B NB C
S
S. COMB LIQ
B
NB
C
S
J. DIV 2.2
B NB C
S
T. DIV 4.1
B
NB

C
C
C
C
C
C
C
C
C
C

J. Local Government
K. Indian Tribe
L. Other ____________________
V. COMMODITIES DRY BULK
W. REFRIGERATED FOOD
BB. CONSTRUCTION
X. BEVERAGES
CC. WATER WELL
Y. PAPER PRODUCTS
DD. OTHER
Z. UTILITY
AA. FARM SUPPLIES

S – SHIPPED B(BULK) – IN CARGO TANKS NB(NON-BULK) – IN PACKAGES
C
S
U. DIV 4.2
B
NB
S
EE. HRCQ
S
V. DIV 4.3
B
NB
C
FF. CLASS 8
S
W. DIV 5.1
B
NB
GG. CLASS 8A
S
C
S
S
X. DIV 5.2
B
NB
C
S
HH. CLASS 8B
S
Y. DIV 6.2
B
NB
C
S
II. CLASS 9
S
Z. DIV 6.1A
B
NB
C
S
JJ. ELEVATED TEMP MAT.
S
AA. DIV 6.1B
B
NB
C
S
KK. INFECTIOUS WASTE
S
BB. DIV 6.1 Poison B
NB
C
S
LL. MARINE POLLUTANTS
S
CC. DIV 6.1 SOLID B
NB
C
S
MM. HAZARDOUS SUB (RQ)
S
DD. CLASS 7
B
NB
C
S
NN. HAZARDOUS WASTE
C
S
OO. ORM

B
B
B
B
B
B
B
B
B
B
B

NB
NB
NB
NB
NB
NB
NB
NB
NB
NB
NB

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.
School Bus
Straight
Trucks

Truck
Tractors

Trailers

Hazmat Cargo
Tank Trucks

Hazmat Cargo
Tank Trailers

Motor
Coach

Van

Mini-bus

Limousine

Number of vehicles carrying number of passengers (including the driver) below
1-8

9-15

16+

16+

1-8

9-15

1-8

9-15

16+

OWNED
TERM LEASED
TRIP LEASED
27. DRIVER INFORMATION

INTERSTATE

INTRASTATE

TOTAL DRIVERS

TOTAL CDL DRIVERS

Within 100-Mile Radius
Beyond 100-Mile Radius
28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION?

Yes ______

No ______

If Yes, enter your U.S. DOT Number. ____________________________________________________________
29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)
1. ____________________________________________________________
(Please print Name)

Form MCS-150B (Rev. 08/2006)

2. ___________________________________________________________
(Please print Name)

Expiration Date: 07/31/2007

OMB No. 2126-0013
30. WHICH OF THE FOLLOWING HAZARDOUS MATERIAL(S) DOES YOUR COMPANY TRANSPORT, CHECK ALL THAT APPLY:
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 L (3,500 gallons)
31. IF YOU CHECK QUESTION 30, ARE YOU APPLYING FOR OR RENEWING A HM SAFETY PERMIT? PLEASE CHECK ONE:
INITIAL

RENEWAL

32. IF YOUR COMPANY DOES NOT HAVE A U.S. DOT NUMBER, HOW MANY ACCIDENTS AS DEFINED IN 49 CFR 390.5 HAS YOUR COMPANY HAD IN THE PAST 365 DAYS?
_____________________________________________________________________________________________________________________________________________
33. DOES YOUR COMPANY CERTIFY THEY HAVE A SATISFACTORY SECURITY PROGRAM IN PLACE AS REQUIRED IN 49 CFR PART
385, SUBPART E?

Yes

No

34. IS YOUR COMPANY REQUIRED BY ANY STATE(S) TO HAVE A PERMIT FOR ANY OF THE HAZARDOUS MATERIALS LISTED
IN QUESTION 30?

Yes

No

35. IF YOUR ANSWER TO QUESTION 34 IS YES, CHECK THE STATE(S) IN WHICH YOU HAVE THE PERMIT.

AL

AK

AR

AZ

CA

CO

CT

DC

DE

FL

GA

HI
MI

ID

IL

IN

IA

KS

KY

LA

MA

MD

ME

MN

MO

MS

MT

NC

ND

NE

NH

NJ

NM

NV

NY

OH

OK

OR

PA

PR

RI

SC

SD

TN

TX

UT

VT

VA

WA

WV

WI

WY

NOTE:
All motor carriers must comply with all pertinent Federal, State, local and tribal statutory and regulatory requirements when operating within the United States. Such requirements
include, but are not limited to, all applicable statutory and regulatory requirements administered by the U.S. Department of Labor, or by a State agency operating a plan pursuant to
Section 18 of the Occupational Safety and Health Act of 1970 (“OSHA State plan agency”). Such requirements also include all applicable statutory and regulatory environmental
standards and requirements administered by the U.S. Environmental Protection Agency or a State, local or tribal environmental protection agency. Compliance with these statutory and
regulatory requirements may require motor carriers and/or individual operators to produce documents for review and inspection for the purpose of determining compliance with such
statutes and regulations.
36. CERTIFICATION STATEMENT (TO BE COMPLETED BY AN AUTHORIZED OFFICIAL)
I, ____________________________________, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or the Federal Hazardous Materials Regulations. Under
penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true, correct, and
(Please print Name)
complete.

Signature

____________________________________

Form MCS-150B (Revised: 10/2006)

Date _________________________________

Title ____________________________________________

Expiration Date: 07/31/2007

Instructions for completing the
Combined Motor Carrier Identification Report and Hazardous Materials Permit
Application (MCS-150B)
Included within this instruction packet is information to help you answer the following questions:
What forms do I need to complete?
How do I know if I should fill out the MCS-150B?
How do I complete the Combined Motor Carrier Identification Report and Hazardous Materials Permit
Application (MCS-150B)?

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.

Classification

USDOT Number
MCS-150

MCS-150A MCS-150B

Operating Authority
OP-1

OP-1(P)

OP-1(FF)

Interstate
Motor Carrier (excludes Hazardous Material
Carriers)
Authorized For-Hire

x

x

Exempt For-Hire

x

x

Private Property

x

x

Private Passenger (business and non-business)

x

x

Passenger For-Hire

x

x

x

x

Broker

x

Freight Forwarder

x

Hazardous Material Carrier

See Note 1

Hazardous Material Shipper

See Note 2

Shipper (Non-Hazardous Material)

See Note 3

Cargo Tank Facility
Registrant (you obtain the plates, but you never
drive for yourself)

x

See Note 1

x

x
x

Intrastate
Non-Hazardous Material Carrier

See Note 2

Hazardous Material Carrier

See Note 2

See Note 2

Hazardous Material Shipper

See Note 2

See Note 2

Shipper (Non-Hazardous Materials)

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, 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 you are not required to fill out this form. If you are an Intrastate
Hazardous Material Carrier, you are not required to fill out this form unless you perform some other operation that
requires you to complete the MCS-150 or the 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 Interstate Motor Carrier, you must fill out this form because you are a
Interstate Motor Carrier.

How Do I Know If I Should Fill Out the MCS-150B?
The MCS-150B, Combined Motor Carrier Identification Report and HM Safety Permit Application is for Motor
Carriers that transport any of the following Hazardous Material in Interstate commerce:
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]),
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 liter (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).

All Motor Carriers meeting the above description must file the MCS-150B application before beginning operations.
In addition, you need to fill out the form MCS-150A, entitled, the Safety Certification for a U.S. DOT number.

Note: The MCS-150B takes the place of the MCS-150 when Carriers are required to have a Hazardous Material
Safety Permit.
Hazardous Material Shippers: If you are a Hazardous Material Shipper, but not a Motor Carrier, you are not
required to file the MCS 150 or MCS 150B... This information will be used to identify Motor Carriers subject to the
Federal Motor Carrier Safety and Hazardous Material Regulations. Carriers may voluntarily update information
using this report.

How Do I Complete the Motor Carrier Identification Report (MCS-150B)?
These instructions will assist you in preparing a complete and accurate MCS-150B application. Upon
mailing this form to FMCSA, you should expect to receive your USDOT Number within 4 weeks. To
receive your USDOT Number immediately, you may apply online by going to http://www.fmcsa.dot.gov/forms
/print/r-l-forms.htm.
Note: Applications that are submitted with errors or are incomplete (including applications
submitted with no signature or date) will be rejected and returned, resulting in a delay in the
time it takes to obtain your USDOT Number.

Field Descriptions:
Below is guidance for completing select fields of the MCS-150B application.
Note: When filling out this application, please print clearly in ink or type all information.
Top of Form: Reason for Filing - Depending on the reason you are filing this application, you will be required to
fill out different sections of this form. Use this table to guide you when selecting your reason for filling and in
identifying applicable fields to complete.
If you would like to:

Then select the following under
Reason for Filing:

Obtain a USDOT Number

New application

File the MCS-150B Biennial update
or to update your MCS-150B
information
Notify FMCSA that you are no
longer operating as a Motor Carrier
Reapply after your USDOT
Number has been revoked or your
Hazmat Safety Permit has expired.

Biennial Update or changes

And complete the following
fields:
All applicable fields, except 16 and
28
Fields 16, 30, and all other fields
that have changed since you last
submitted

Out of business notification

Only fields 1-16 and 30

Reapplication (after revocation of
New Entrant or expiration of
permit)

All fields, 1-30, as appropriate.
Use the USDOT Number assigned
to you in field number 16

Note: If you were previously assigned a USDOT Number, you may not need to reapply. Please go to FMCSA’s
Web site at http://www.fmcsa.dot.gov or contact 1-800-832-5660 to see if a USDOT Number has been assigned
to you. If you use the Web site to locate your USDOT Number, follow these steps: Select Registration and
Licensing, then click the link for the “SAFER system,” choose “Licensing and Insurance” under the search menu,
and enter either your Doing Business As name or your Legal Name and the State in which you are
headquartered.

1. Name of Motor Carrier — This is the legal name of the business entity (i.e., Sole Proprietorship/ Individual,
Partnership, or Corporation) that owns/controls the Motor Carrier or Hazardous Material Shipper operation. The
name entered here should be your full legal business name – the name on the incorporation certificate,
partnership agreement, tax records, etc. For example, if you are a:
Sole Proprietorship/Individual, please enter your legal name: John A. Doe;
Partnership, please enter the legal names of both partners: John A. Doe and Jane B. Smith;
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.
2. Trade or D.B.A (Doing Business As) — If your trade name is different from your official business name (the
name entered in field 1), please enter that name here. For example, if you entered John A. Doe in field 1, 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 field 1, please leave this field blank.

3. Principal Street Address —The principal street address is the address 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
P.O. Box may not be entered for your Principal Street Address. Also applies to fields 4 and 7-9.
9. Colonia (Mexico Only) — If you are a Mexican Motor Carrier or Shipper, enter the Mexican “Colonia” or
“Barrio” for your Principle Street address where the safety records are located.
5. Mailing Address —The mailing address is where you want all correspondence from FMCSA to be sent. If it is
the same as the principal street address, please leave this field blank. Also applies to fields 6 and 10-12.
12. Colonia (Mexico Only) — If you are a Mexican Motor Carrier or Shipper and entered a mailing address,
please enter the Mexican “Colonia” or “Barrio” corresponding to your mailing address.
13. Principal Business Phone Number — Please enter your primary telephone number, including area code, for
the principal place of business.
14. Principal Contact Cellular Phone Number — Please enter cellular phone number, including area code. If
this is your principal contact number, also enter it under Principal Business Phone Number.
15. Principal Business Fax Number — If you have a fax number, please enter it here, including area code.
16. USDOT NO — If you are not a new applicant, please enter your USDOT Number here.
17. MC OR MX NO. — If you have already been assigned an “MC” or “MX” number for Operating Authority,
please enter it here. This includes “MC” or “MX” numbers that are still pending.
18. Dun & Bradstreet NO. — If you have a Dun & Bradstreet business number, please enter it here.
19. IRS/TAX ID NO. — Please enter either the employer identification number (EIN) assigned to your Motor
Carrier operation by the Internal Revenue Service, or enter your Social Security Number (SSN).
20. Internet E-Mail Address — Enter the e-mail address, if you have one, for the official point of contact.
21. Company Operation — Your company operation type will tell FMCSA what type of Motor Carrier you are and
will determine if your business is regulated under the Federal Motor Carrier Safety Administration. Please select
from the following (more than one may apply):
A. Interstate Carrier — You are an Interstate Carrier if you transport property or passengers in support of
interstate commerce, and those goods or passengers cross State lines, either before you received
them, while you are transporting them, or after you have transferred them. The transportation of the
property or passengers may include transport by plane, train, or boat in addition to your commercial
motor vehicle. In addition, if the origination and destination indicated on the bill of laden are not in the
same State, you are an Interstate Carrier.
You are also considered to be an Interstate Carrier if the cargo or passengers you are transporting
have or will:
Cross State lines (including a place outside the United States);
Move from the United States or US territory to a foreign country or vice versa;
Stay in the same State, but pass through another State or foreign country during transport.
B. Intrastate Hazmat Carrier — You are an Intrastate Hazardous Material Carrier if:
You transport Hazardous Material that is regulated by USDOT within the same State;
The origination and destination of the Hazardous Material as indicated on the bill of laden are both
within that State;
You do not leave the boundaries of that State at any time during your transport of that Hazardous
Material.

C. Intrastate Non-Hazmat Carrier — You are an Intrastate Non-Hazardous Material Carrier if:
You transport passengers or property, other than Hazardous Material, within the same State;
The origination and destination of those goods indicated on the bill of laden are both within that State;
You do not leave the boundaries of that State at any time during your transport of those materials.
D. Interstate Shipper — You are an Interstate Shipper if you send or receive property that is transported
in interstate (across State lines) or foreign commerce (the property leaves the United States). If you
offer AND transport cargo, then you are a considered both a Shipper and a Carrier. For the purposes
of Federal Motor Carrier Safety Regulations and this form:
The term Interstate Shipper refers only to those Interstate Shippers who send or receive
Hazardous Material. If you do not send or receive Hazardous Material, do not select this option;
If you are a Shipper of only Non-Hazardous Material (not a Registrant or Carrier), you do not
need to apply for a USDOT Number
If you are an Interstate Hazardous Material Shipper, you are not required to fill out this form.
However, you must comply with the Federal Motor Carrier Safety (FMCSR’s) and Hazardous
Material Regulations.
E. Intrastate Shipper — You are an Intrastate Shipper if you send or receive property that is transported
within the boundaries of a State. If you both offer AND transport cargo, then you are a Shipper and a
Carrier. For the purposes of the Federal Motor Carrier Safety Regulations (FMCSR), and this form:
The term Intrastate Shipper refers only to those Intrastate Shippers who send or receive Hazardous
Material. If you do not send or receive Hazardous Material, do not select this option;
If you are a Shipper of only Non-Hazardous Material (not a Registrant or Carrier), you do not need to
apply for a USDOT Number;
If you are an Intrastate Hazardous Material Shipper, you are not required to fill out this form.
However, you must comply with the Federal Motor Carrier Safety (FMCSR’s) and Hazardous Material
Regulations.
F. Vehicle Registrant Only — You are a Vehicle Registrant Only if you are the person/entity who
registers a commercial motor vehicle(s) with a State to obtain license plates and always operate the
vehicle(s) under the direction and control of another person/entity. If you only obtain the State license
plates and never operate the vehicle(s), you are also a Vehicle Registrant Only.
For example, if your company is one that only rents or leases vehicles, or if you own your own truck
and drive it under another trucking company's USDOT Number and Operating Authority, you are
considered a Vehicle Registrant Only. IF YOU ARE A VEHICLE REGISTRANT ONLY, SKIP TO
QUESTION 30, AND SIGN AND DATE THE FORM.
22. Carrier Mileage — Please enter the total mileage of all commercial motor vehicles (CMV) in your operation to
the nearest 10,000 miles for the past calendar year and last year’s date. If you did not operate a CMV during the
last calendar year, please leave this field blank.
23. Operation Classification — Operation classification is based on the type of business you are engaged in
and will help determine the FMCSA regulations you are subject to. It will also determine if you require Operating
Authority. Your business may qualify you for multiple operation classifications, please make your selections
carefully:
A. Authorized For-Hire — An Interstate Motor Carrier who receives compensation for transporting
passengers, FMCSA-regulated goods, or household goods that are owned by others.
To determine if your commodities are regulated, please refer to:
Administrative ruling 119: http://www.fmcsa.dot.gov/documents/adminrule.pdf.

*If the commodity you are transporting does not appear on these lists as exempt, then it is
regulated.
Note: If you are an Authorized For-Hire Carrier, you will be required to file for Operating Authority
(MC or MX Number) using either an OP-1 or OP-1(P) form.
B. Exempt For-Hire — An Interstate Carrier who receives compensation for transporting passengers or
exempt (non-FMCSA-regulated) goods that are owned by others. A passenger Carrier is not exempt
unless you transport your own employees.
To determine if your commodities are regulated, please refer to:
Administrative ruling 119: http://www.fmcsa.dot.gov/documents/adminrule.pdf.
*If the commodity you are transporting does not appear on these lists as exempt, then it is
regulated.
C. Private Property — A Corporation, Sole Proprietor/Individual, or Partnership that transports its own
cargo, usually as a part of a business that produces, uses, sells, and/or buys the cargo that is being
hauled.
D. Private Passengers (Business) — A Private Passenger (business) is a “for profit” individual/business
that engages in the interstate transportation of passengers as part of their business, but it is incidental
to the primary purpose of their business. This service is not available to the public at large. For
example, a hotel chain that provides a free shuttle service from the airport to the hotel and must cross
a State line to get back and forth is a Private Passenger (business). The shuttle service furthers the
business, but is not a source of income.
Please refer to regulation 49 CFR 390.5 “Definitions” for more information on private passenger
(business) and private passenger (non-business).
E. Private Passenger (non-business) — A Private Passenger (non-business) is a “not for profit”
individual/business that engages in the interstate transportation of passengers as part of their
business, but it is incidental to the primary purpose of their business. This service is not available to
the public at large. For example, a non-profit youth center that uses a bus to transport the youth to
field trips is Private Passenger (non-business). The shuttle service furthers the business, but is not
the primary purpose of the business.
Please refer to regulation 49 CFR 390.5 “Definitions” for more information on Private Passenger
(business) and Private Passenger (non-business).
F. Migrant — Interstate transportation, including a Contract Carrier, but not a Common Carrier, of 3 or
more migrant workers to or from their employment by any motor vehicle other than a passenger
automobile or station wagon.
G. U.S. Mail — Transportation of US mail under contract with the US Postal Service.
H. Federal Government— Transportation of property or passengers by a U.S. Federal Government
agency.
I.

State Government — Transportation of property or passengers by a U.S. State Government agency.

J.

Local Government — Transportation of property or passengers by a local municipality.

K. Indian Tribe — Transportation of property or passengers by an Indian tribal government.
L. Other — Transportation of property or passengers by an operation classification not described above.
Please do not use this field to indicate if your vehicles are leased. You must still select an appropriate
operation classification.

24. Cargo Classifications — Cargo classification refers to the types of materials you transport or ship. You may
transport materials from multiple categories. Circle all the letters of the types of cargo you transport. If "Other" is
circled, please enter the name of the commodity in the space provided.
Note: If you indicate that you transport passengers, it means that you use a motor coach, school bus, mini-bus,
van or limousine to transport passengers. Do not select this field if someone rides along to assist you when your
primary business is to transport property. If you check this option, you will also have to indicate the number of
vehicles owned or leased under the motor coach, school bus, mini-bus, van, or limousine section of question 26.
25. Hazardous Materials Carried Or Shipped — If you ship or transport Hazardous Material, please complete
this question. Otherwise, proceed to question 26.
Note:

If you transport or ship Hazardous Material, you may have to fill out the MCS-150B.

The columns labeled “C” and “S” relate to Carrier and Shipper. Please circle “C” in the columns preceding
the Hazardous Material you transport and “S” in the columns preceding the Hazardous Material you ship. If
you are both a Shipper and a Carrier of goods, circle both “S” and “C”.
The columns labeled “B” and “NB” relate to bulk and non-bulk. If you transport a Hazardous Material in a
package with a capacity greater then 119 gallons, circle “B” in the column following the Hazardous Material
you transport or ship. If you transport a Hazardous Material in a package with a capacity of less then 119
gallons, circle “NB” in the column following the Hazardous Material.
The HAZARDOUS MATERIALS types listed below correspond to the classes and divisions listed in 49 CFR
173.2. Below are descriptions for each lettered code:
A.
B.
C.
D.
E.
F.

Div 1.1 Explosives (with mass explosion
hazard)
Div 1.2 Explosives (with projection hazard)
Div 1.3 Explosives (with predominantly fire
hazard)
Div 1.4 Explosives (with no significant blast
hazard)
Div 1.5 Explosives (Very insensitive explosives;
blasting agents)
Div 1.6 Explosives (Extremely insensitive
detonating substances)

V.

Div 4.3 Dangerous When Wet Material

W.

Div 5.1 Oxidizer

X.

Div 5.2 Organic Peroxide

Y.

Div 6.2 Infectious Substance (Etiologic agent)

Z.
AA.

G.

Div 2.1 Flammable Gas

BB.

H.

Div 2.1 LPG (Liquefied Petroleum Gas)

CC.

I.

Div 2.1 Methane Gas

DD.

J.

Div 2.2 Non-Flammable Compressed Gas

EE.

K.

Div 2.2 A (Anhydrous Ammonia)
Div 2.3 A (Poison Gas which is Poison
Inhalation Hazard (PIH) Zone A

FF.

L.

GG.

M.

Div 2.3 B (Poison Gas which is PIH Zone B)

HH.

N.

DIV 2.3 C (Poison Gas which is PIH Zone C)

II.

O.

DIV 2.3 D (Poison Gas which is PIH Zone D)

JJ.

P.

Class 3 Flammable and CombustibleLiquid

KK.

Q.

Class 3 A (Flammable Liquid which is a PIH
Zone A)

LL.

Div 6.1 A (Poison Liquid which is a PIH Zone
A)
Div 6.1 B (Poison Liquid which is a PIH Zone
B)
Div 6.1 Poison (Poisonous Liquid with no
inhalation hazard.)
Div 6.1 Solid (Meets the definition of a
poisonous solid.)
Class 7 Radioactive Materials.
HRCQ (Highway Route Controlled Quantity of
Radioactive Material)
Class 8 Corrosive Material
Class 8 A (Corrosive Liquid which is a PIH
Zone A)
Class 8 B (Corrosive Liquid which is a PIH
Zone B)
Class 9 Miscellaneous Hazardous Material
Elevated Temperature Material (Meets
definition in 49 CFR 171.8 for an elevated
temperature material)
Infectious Waste (Meets definition in 49 CFR
171.8 for an infectious waste)
Marine Pollutants (Meets Definition in 49 CFR
171.8 for a marine pollutant)

R.

Class 3 B (Flammable Liquid which is a PIH
Zone B)

S.

Combustible Liquid (Refer to 49 CFR 173.20
(b))

T.

Div 4.1 Flammable Solid

U.

Div 4.2 Spontaneously Combustible Material

Hazardous Sub (RQ) (Meets definition in 49
MM. CFR 171.8 of a reportable quantity of a
hazardous substance)
Hazardous Waste (Meets definition in 49 CFR
NN.
171.8 of a hazardous waste)
ORM (Meets definition in 49 CFR 171.8 of
OO.
Other Regulated Material)

Note: Information on Poison Inhalation Hazards is found in column 7 of the Hazardous Material table, (49
CFR 172.101). Specific Hazardous Material information can be obtained by accessing the Hazmat Table
found at http://hazmat.dot.gov/regs/rules.htm.

26. Number of Vehicles That Can Be Operated In The U.S. — This question is asking for the number of each
type of vehicle or trailer that you own or lease for each category. If you own or lease a vehicle that is used to
transport passengers, enter the number of vehicles owned or leased for each passenger carrying capacity. For
example, if you own 3 straight trucks and 1 trailer and term lease 2 additional trailers, the table would be filled out
like this:

Straight
Trucks

Owned

3

Term
Leased
Trip
Leased

Truck
Trailers
Tractors

Hazmat
Cargo
Tank
Trucks

Hazmat
Cargo
Tank
Trailers

MiniVan
Limousine
bus
Number of vehicles carrying number of passengers (including the
driver) below
School Bus

Motor
Coach

1-8

9-15

16+

16+

1-8

9-15

1-8

9-15

16+

1
2

If you transport passengers and have a term lease on 2 limos that carry 9 passengers each (including the driver)
and own 1 mini-bus that carries 18 passengers (including the driver), the table would be filled out like this:

Straight
Trucks

Truck
Trailers
Tractors

Owned

Hazmat
Cargo
Tank
Trucks

Hazmat
Cargo
Tank
Trailers

MiniVan
Limousine
bus
Number of vehicles carrying number of passengers (including the
driver) below
School Bus

Motor
Coach

1-8

9-15

16+

16+

1-8

9-15

1-8

9-15

1

Term
Leased
Trip
Leased

2

Passenger vehicles are defined as:
Motor coach — A vehicle designed for long distance transportation of passengers, usually equipped with
storage racks above the seats and a baggage hold beneath the passenger compartment;
School Bus — A vehicle designed and/or equipped mainly to carry primary and secondary students to and
from school, usually built on a medium or large truck chassis;
Mini-bus — A motor vehicle designed or used to transport 16 or more passengers, including the driver, and
typically built on a small truck chassis. A mini-bus has a smaller seating capacity than a motor coach;
Van — A small motor vehicle designed or used to transport 15 or fewer passengers, including the driver.
Note: If you use a van to transport something other than passengers, do NOT indicate that here;
Limousine — A passenger vehicle usually built on a lengthened automobile chassis.
27. Driver Information — Enter the number of interstate/intrastate drivers used on an average workday. Parttime, casual, term-leased, trip-leased, and company drivers are to be included. Also, enter the total number of

16+

drivers (Interstate/Intrastate) and the total number of drivers who have a Commercial Drivers License (CDL).
Note: The total number of CDL drivers can not be greater than the total number of drivers. Count each person
only once. See field number 21 for the definition of inter- and intra-state.
100-mile radius driver — Driver operates only within a 100 air-mile radius of the normal work reporting
location. For example, if you have 10 drivers working for you, 5 of whom perform interstate travel and 5
who perform intrastate travel (2 within a 100-mile radius and 3 beyond 100 miles). Of your 10 drivers, 8 of
them have their CDL. This is how the form would be filled out:
DRIVER INFORMATION

INTERSTATE

TOTAL DRIVERS

TOTAL CDL DRIVERS

10

8

2

Within 100-Mile Radius
Beyond 100-Mile Radius

INTRASTATE

5

3

28. If your USDOT Number registration has been revoked by the Federal Motor Carrier Safety Administration
(FMCSA), please enter that number in the space provided.
29. If you are a Sole Proprietor, please enter your name and title below; otherwise, please enter the name of two
company officials and their titles (for example, officers, partners, etc.).
30. Please place a check mark next to each type of Hazardous Material that your company transports. If your
company does not transport any of these materials, you will need to fill out the MCS-150 application instead.
31. Mark the “initial” box if you currently DO NOT have an HM Safety Permit and wish to obtain one. If you
currently hold an HM Safety Permit and would like to renew it then mark the “renewal” box.
32. If your company currently does not have a Federal USDOT Number, then enter the number of accidents as
defined in 49 CFR 390.5 that your company has had in the past 365 days. The definition of “accident” in 49 CFR
390.5 is:
1) an occurrence involving a commercial motor vehicle operating on a highway in interstate or intrastate
commerce which results in (except as provided in paragraph 2 of this definition):
(i)
A fatality;
(ii)
Bodily injury to a person who, as a result of the injury, immediately receives medical
treatment away from the scene of the accident; or
(iii)
One or more motor vehicles incurring disabling damage as a result of the accident,
requiring the motor vehicle(s) to be transported away from the scene by a tow truck or
other motor vehicle.
2) The term accident does not include:
(i)
An occurrence involving only boarding and alighting from a stationary motor vehicle; or
(ii)
An occurrence involving only the loading or unloading of cargo.
33. Confirm that your company has a satisfactory security program in place as required in 49 CFR Part 385,
subpart E.
34. If your company is required to have a STATE permit to transport any of the materials listed in question 30,
answer “yes”. If you are not required to have a State permit, check “no”.
35. If you checked “yes” in question 34, then place a check in the box next to each State for which you have a
permit to transport the Hazardous Material listed in question 30.
36. Certification Statement — Please print or type the name of the individual authorized to sign documents on
behalf of the entity listed in field 1. That individual must sign, date, and show his or her title in the spaces
provided (Certification Statement, see 49 CFR 390.19).
Note: If you do not sign and date this form, your application will be rejected and a USDOT
Number will not be assigned.

Mailing Instructions
To mail this form, fold and tape (not staple or glue) the completed report so that the self-addressed, postage-paid
panel is on the outside.

NOTICE
This collection of information is mandatory and is required by 49 CFR Part 385 and authorized by 49 U.S.C. 504
(1982 & Supp. III 1985). All motor carriers operating in interstate or foreign commerce must file the Form MCS150B, Motor Carrier Identification Report.
Public reporting for this collection of information is estimated to be 20 minutes per response, including the time for
reviewing instructions and completing and reviewing the collection of information. All responses to this collection
of information are voluntary, 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 2126-0013. 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-MBI, U.S. Department of Transportation, Washington,
D.C. 20590.
All responses to this collection of information are mandatory and will be provided confidentiality to the extent
allowed by law.


File Typeapplication/pdf
File Modified2007-01-12
File Created2007-01-12

© 2024 OMB.report | Privacy Policy