OP-1(NNA) Application for U.S. Department of Transportation (USDOT

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

Form Approved
OMB No. 2126-0016
Expires: 09/30/2012

Instructions for Completing Form OP-1(NNA)--Application for U.S.
Department of Transportation (USDOT) Registration by Non-North AmericaDomiciled Motor Carriers
Please read these instructions before completing the application form. Retain the instructions and a copy
of the complete application for the applicant’s records. These instructions will assist an applicant in
preparing an accurate and complete application. Applications that do not contain the required information
will be rejected and may result in a loss of the application fee, if applicable. The application must be
completed in English and typed or printed in ink. If additional space is needed to provide a response to
any item, use a separate sheet of paper. Identify the applicant on each supplemental page and refer to
the section and item number in the application for each response.

PURPOSE OF THIS APPLICATION FORM:
The Form OP-1(NNA) is required to be filed by Non-North America-domiciled forhire motor carriers of passengers or property and motor private carriers who wish to
register to transport property or passengers in the United States.
WHAT TO FILE:
All applicants must submit the following:
1. An original and one copy of a completed revised FORM OP-1(NNA) Application for
U.S. Department of Transportation (USDOT) Registration by Non-North AmericaDomiciled Motor Carriers.
2. A signed and dated Form BOC-3, Designation of Agents for Service of Process,
which reflects the applicant’s full and correct name, as shown on the Form OP1(NNA), and applicant’s address, including the street address, the city, State,
country and zip code, must be attached to the application, unless the applicant
attaches a letter stating it will use a process agent service that will submit the Form
BOC-3 electronically. The BOC-3 form must show street address(es), and not post
office box numbers, for the person(s) designated as the agent(s) for service of
process and administrative notices in connection with the enforcement of any
applicable Federal statutes or regulations. A person must be designated in each
State in which the applicant will operate. Please refer to the section “Legal Process
Agents” for instructions for filing the Form BOC-3 when using a Process Agent
Service. The applicant may not begin operations unless the Form BOC-3 has
been filed with the Federal Motor Carrier Safety Administration.

3. A completed and signed Form MCS-150 Motor Carrier Identification Report.
4. If required under Section III, a filing fee of $300 payable in U.S. dollars on a U.S.
bank to the Federal Motor Carrier Safety Administration, by means of a check,
money order, or an approved credit card. Cash is not accepted.
GENERAL INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM:
•

All questions on the application form must be answered completely and
accurately. If a question or supplemental attachment does not apply to the
applicant, it should be answered “not applicable.”

•

The application must be typewritten or printed in ink. Applications written in
pencil will be rejected.

•

The application must be completed in English.

•

The completed certification statements and oath must be signed by the
applicant only. For example:
o If the company is a sole proprietorship, the owner must sign.
o If the company is a partnership, one of the partners must sign.
o If the company is a corporation, an official of the company must
sign (President, Vice President, Secretary, Treasurer, etc.).
The same person must sign the oath and certifications. An applicant’s
attorney or any other representative is not permitted to sign.

•

Use the attachment pages included, as appropriate, to provide any
descriptions, explanations, statements or other information that is required to
be furnished with the application. If additional space is needed to respond to
any question, please use separate sheets of paper. Identify the applicant on
each supplemental page and refer to the section and item number in the
application for each response.

•

Include only the city code and telephone number for telephone phone
numbers. Do not include the international access codes, such as (011-52).

ADDITIONAL ASSISTANCE

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FORM OP-1(NNA) OR MCS-150
Call 1-800-832-5660 for additional information on obtaining FMCSA
registration numbers (USDOT or MC) or to monitor the status of an
application.
SAFETY RATINGS
For information concerning a carrier’s assigned safety rating,
call: 1-800-832-5660.
U.S. DOT HAZARDOUS MATERIALS REGULATIONS
To obtain information on whether the commodities an applicant intends to
transport are considered as hazardous materials:
Refer to the provisions governing the transportation of hazardous
materials found under Parts 100 through 180 of Title 49 of the Code of
Federal Regulations (CFR), particularly the Hazardous Materials Table at
49 CFR § 172.101 or visit the U.S. DOT, Pipeline and Hazardous
Materials Safety Administration web site: http://hazmat.dot.gov. The web
site also provides information about DOT hazardous materials
transportation registration requirements.
SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM
SECTION I - APPLICANT INFORMATION
APPLICANT’S LEGAL BUSINESS NAME and DOING BUSINESS AS NAME.
The applicant’s name should be its full legal business name -- the name
on the incorporation certificate, partnership agreement, tax records, etc. If
the applicant uses a trade name that differs from its official business
name, indicate this under “Doing Business As Name.” Example: If the
applicant is John Jones, doing business as Quick Way Trucking, enter
“John Jones” under LEGAL BUSINESS NAME and “Quick Way Trucking”
under DOING BUSINESS AS NAME.
Because the FMCSA uses computers to retain information about licensed
carriers, it is important to spell, space, and punctuate any name the same
way each time the applicant writes it. Example: John Jones Trucking Co.,
Inc.; J. Jones Trucking Co., Inc.; and John Jones Trucking are considered
three separate companies.

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SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM
BUSINESS ADDRESS/MAILING ADDRESS. The business address is the
physical location of the business. Example: 24 Calle 10-08 Zona 11
Granai 2 Quetzaltenago, Guatemala.
If applicant receives mail at an address different from the business
location, also provide the mailing address. Example: P. O. Box 3721.
NOTE: To receive FMCSA notices and to ensure that insurance documents
filed on applicant’s behalf are accepted, notify in writing the Federal Motor
Carrier Safety Administration, MC-RIO, W65-206, 1200 New Jersey
Avenue, S.E., Washington, DC 20590, if the business or mailing address
changes. If applicant also maintains an office in the United States, that
information should also be provided.
REPRESENTATIVE. If someone other than the applicant is preparing this
form, or otherwise assisting the applicant in completing the application,
provide the representative’s name, title, position, or relationship to the
applicant, address, and telephone and FAX numbers. Applicant’s
representative will be the person contacted if there are questions
concerning this application.
U.S. DOT NUMBER. Applicants are required to obtain a U.S. DOT Number
from the U.S. Department of Transportation (U.S. DOT) before initiating
service. Motor carriers that already have been issued a U.S. DOT
Number should provide it. Applicants that have not previously obtained a
U.S. DOT Number will be issued a U.S. DOT number along with their DOT
registration.
NOTE: A completed and signed Form MCS-150 Motor Carrier Identification
Report must be submitted along with this application.
FORM OF BUSINESS. A business is a corporation, a sole proprietorship, or a
partnership. If the business is a sole proprietorship, provide the name of
the individual who is the owner. In this situation, the Owner is the
registration applicant. If the business is a partnership, provide the full
name of each partner.
SECTION IA – ADDITIONAL APPLICANT INFORMATION
All applicants must answer each question in this section. The applicant
must provide the requested information concerning its current operations
in the United States and any motor carrier registration issued by any NonNorth American government.
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SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM
SECTION II - AFFILIATIONS INFORMATION
All applicants must disclose pertinent information concerning any
relationships or affiliations which the applicant has had with other entities
registered with FMCSA or its predecessor agencies. Applicant must
indicate whether these entities have been disqualified from operating
commercial motor vehicles anywhere in the United States.
SECTION III – TYPE (S) OF REGISTRATION REQUESTED
Check the appropriate box(es) for the type(s) of registration the applicant
is requesting. A separate filing fee is required for certain types of
registration requested. Filing fees are waived for for-hire motor carriers
exempt under 49 United States Code, Chapter 135, Subchapter I. Please
see Section III for more information.
SECTION IV - INSURANCE INFORMATION
Check the appropriate box(es) that describes the type(s) of business the
applicant will be conducting.
If the applicant is applying for motor passenger carrier registration, check
the box that describes the seating capacity of its vehicles. If all the
vehicles the applicant operates have a seating capacity of 15 passengers
or fewer, the applicant must maintain $1,500,000 minimum liability
coverage. If any one of the vehicles the applicant operates has a seating
capacity of 16 passengers or more, the applicant must maintain
$5,000,000 minimum liability coverage.
If the applicant is applying for motor property carrier registration and it
operates vehicles with a gross vehicle weight rating of 10,000 pounds or
more and hauls only non-hazardous materials, the applicant must
maintain $750,000 minimum liability coverage for the protection of the
public. Hazardous materials referred to in the FMCSA’s insurance
regulations in item (c) of the table at 49 CFR 387.303 (b)(2) require $1
million minimum liability coverage; those in item (b) of the table at 49 CFR
387.303 (b)(2) require $5 million minimum liability coverage.
If the applicant operates only vehicles with a gross vehicle weight rating of
less than 10,001 pounds but will be transporting any quantity of Division
1.1, 1.2 or 1.3 explosives, any quantity of poison gas (Division 2.3, Hazard
Zone A, or Division 6.1, Packing Group 1, Hazard Zone A materials), or
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SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM
highway route controlled quantity of radioactive materials, the applicant
must maintain $5 million minimum liability coverage.
Applicant does not have to submit evidence of insurance with the
application. However, applicant will be required to present acceptable
evidence of necessary insurance coverage to the FMCSA as part of a preauthorization safety audit. Appropriate insurance forms must be filed
within 90 days after the applicant submits its application: These include
Form BMC-91 or BMC-91X for bodily injury and property damage for all
applicants and Form BMC-34 for cargo insurance (household goods
carriers only).
The FMCSA does not furnish copies of insurance forms. The applicant
must contact its insurance company to arrange for the filing of all required
insurance forms.
If an application is granted by the FMCSA, DOT registration is still
not effective and operations under that registration may not begin
unless an insurance filing has been made with and accepted by the
FMCSA as required under 49 CFR 387.7, 387.31 and 387.301.
SECTION V - SAFETY CERTIFICATIONS
Applicants for motor carrier registration must complete the safety
certifications. The applicant should check the “YES” response only if the
applicant can attest to the truth of the statements. The carrier official’s
signature at the end of this section applies to the Safety Certifications.
The “Applicant’s Oath” at the end of the application form applies to all
certifications. False certifications are subject to the penalties described in
that oath.
Applicants should complete all applicable Attachment pages and, if
necessary to complete the responses, attach additional pages identifying
the applicant on each supplemental page and referring to the section and
item number in the application for each response.
SECTION VI - HOUSEHOLD GOODS REQUIREMENTS
Applicants applying for registration as a household goods motor carrier as
defined in 49 U.S.C. 13102(12) must provide certain information regarding
their arbitration program and tariff. They must also certify they are familiar
with FMCSA’s consumer protection requirements applicable to household
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SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM
goods transportation. Applicants must disclose all relationships involving
common stock, common ownership, common management, or common
familial relationships between the applicant and any other motor carrier,
freight forwarder, or broker of household goods within 3 years of the date
of the filing of this application. The signature should be that of the same
company official who completes the Applicant’s Oath.
SECTION VII - SCOPE OF OPERATING REGISTRATION SOUGHT
Applicant must indicate, by checking one or more boxes, the description(s)
of the registration(s) for which application is being made.
SECTION VIII - COMPLIANCE CERTIFICATIONS
All applicants are required to certify accurately to their willingness and
ability to comply with statutory and regulatory requirements and to their
understanding that their agent for service of process is their official
representative in the U.S. to receive filings and notices in connection with
enforcement of any Federal statutes and regulations.
Applicants are required to certify their willingness to produce records for
the purpose of determining compliance with the applicable safety
regulations of the FMCSA.
Applicants are required to certify that they are not now prohibited from
filing an application because a previously granted FMCSA registration is
currently under suspension or was revoked less than 30 days before the
filing of this application.
SECTION IX - APPLICANT’S OATH
The applicant or an authorized representative may prepare applications.
In either case, the applicant must sign the oath and all safety certifications.
(For information on who may sign, see “General Instructions for
Completing the Application Form” in the instructions for this application.)
LEGAL PROCESS AGENTS
All motor carrier applicants must designate a process agent in each State
where operations are conducted. For example, if the applicant will operate only
in California and Arizona, it must designate an agent in each of those States; if
the applicant will operate in only one State, an agent must be designated for that
State only. Process agents who will accept filings and notices on behalf of the
applicant are designated on FMCSA Form BOC-3. Form BOC-3 must be filed
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SPECIFIC INSTRUCTIONS FOR COMPLETING EACH SECTION OF THE APPLICATION FORM
with the application, unless the applicant uses a Process Agent Service. If the
applicant opts to use a Process Agent Service, it must submit a letter with the
application informing the FMCSA of this decision and have the Process Agent
Service electronically file the BOC-3 with FMCSA within 90 days after the
applicant submits its application. Applicants may not begin operations unless
the Form BOC-3 has been filed with the FMCSA.
STATE NOTIFICATION
Before beginning operations, all applicants must contact the appropriate
regulatory agencies in every State in and through which the carrier will operate to
obtain information regarding various State rules applicable to interstate
registrations. It is the applicant’s responsibility to comply with registration, fuel
tax, and other State regulations and procedures. Please refer to the additional
information provided in the application packet for further information.
MAILING INSTRUCTIONS:
To file for registration an applicant must submit an original and one copy of
this application with the appropriate filing fee to FMCSA. Note: Retain a copy of
the completed application form and any attachments for the applicant’s records.
Mailing address for applications:
Check or Money Order (Make payable to the FMCSA in U.S. dollars)
•

First-Class Mail
Federal Motor Carrier Safety Administration
P.O. Box 530226 Atlanta, GA 30353-0226

•

Express Mail
Bank of America Lockbox #530226 1075 Loop Road
Atlanta, GA 30337

•

Credit Card (MasterCard or Visa only) Federal Motor Carrier Safety
Administration 1200 New Jersey Avenue SE, MC-RIO Washington, DC
20590

NOTE: Sending payment to the wrong address will delay application processing
by 2-3 weeks.

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Form Approved
OMB No. 2126-0016
Expires:__________

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

FORM OP-1(NNA)
Application for U.S. Department of Transportation (USDOT) Registration
by Non-North America-Domiciled Motor Carriers
For FMCSA Use Only
Docket No. MC_____________________________________
DOT No. __________________________________________
Filed ____________________________________________
Fee No. __________________________________________
CC Approval Number _______________________________
Application Tracking Number _________________________

PUBLIC BURDEN STATEMENT

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 currently valid OMB Control Number. The OMB Control Number for
this information collection is 2126-0016. Public reporting for this collection of information is estimated to be approximately
4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of
information are mandatory under the provisions of 49 U.S.C. 31144 and 13902. 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.

SECTION I - APPLICANT INFORMATION
LEGAL BUSINESS NAME: _________________________________________
DOING BUSINESS AS NAME: (Trade Name, if any)

_____________________

_______________________________________________________________

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BUSINESS ADDRESS: (Actual Street Address):
_______________________________________________________________
(Street Name and Number)

__________ _____________________________________________________
(City)

(State)

(_______)________________

(Country)

(Zip Code)

(_______)________________

(Telephone Number)

(Fax Number)

MAILING ADDRESS: (If different from above)
_______________________________________________________________
(Street Name and Number)

_______________________________________________________________
(City)

(State)

(Country)

(Zip Code)

U.S. ADDRESS: (Does the applicant currently have an office in the United States? If yes,
give address and telephone number.)

(Street Name and Number)

______________________________________________________________
(City)

(State)

(_______)________________

(Country)

(Zip Code)

(_______)________________

(Telephone Number)

(Fax Number)

APPLICANT’S REPRESENTATIVE: (Person who can respond to inquiries)
(Name and title, position, or relationship to applicant)
(Street Name and Number)

______________________________________________________________
(City)

(State)

(_______)________________

(Country)

(Zip Code)

(_______)________________

(Telephone Number)

(Fax Number)

US DOT NUMBER (If available) ______________________________________

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FORM OF BUSINESS (Check one)
F CORPORATION (Give foreign, U.S. or other State of Incorporation) ______
____________________________________________________
F SOLE PROPRIETORSHIP (Give full name of individual)
_______________________________________________________
(First Name)

(Middle Name)

(Surname)

F PARTNERSHIP (Give full name of each partner)______________________
_________________________________________________________

SECTION IA – ADDITIONAL APPLICANT INFORMATION
1.

Does the applicant currently operate in the United States?
F Yes

1a.

F No

If yes, indicate the locations where the applicant operates and the ports of
entry utilized.
______________________________________________________
______________________________________________________
______________________________________________________

2.

Has the applicant previously completed and submitted a Form MCS-150?
F Yes

2a.

F No

If yes, give the name under which it was submitted.
______________________________________________________
______________________________________________________

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3.

Does the applicant presently hold, or has it ever applied for operating
authority or registration from the former U.S. Interstate Commerce
Commission, the U.S. Federal Highway Administration, the Office of Motor
Carrier Safety, or the Federal Motor Carrier Safety Administration of the
U.S. Department of Transportation under the name shown on this
application, or under any other name?
F Yes

3a.

F No

If yes, please identify the lead docket number(s) assigned to the
application or grant of authority or registration.
______________________________________________________
______________________________________________________

3b.

If the application was rejected before the time a lead docket number(s)
was assigned, please provide the name of the applicant shown on the
application.
______________________________________________________
______________________________________________________

3c.

If yes, did FMCSA revoke the applicant’s operating authority or provisional
registration because the applicant failed to receive a Satisfactory safety
rating or because the FMCSA otherwise determined the applicant’s basic
safety management controls were inadequate?
F Yes

3d.

F No

If the applicant answered yes to 3c above, it must explain how it has
corrected the deficiencies that resulted in revocation, explain what
effectively functioning basic safety management systems the applicant
has in place, and provide any information and documents that support its
case. (If the applicant requires more space, attach the information to
this application form.)
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________

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4.

Does the applicant hold a Federal Tax Number from the U.S.
Government?
F Yes

F No

4a.

If yes, enter the number here: _________________________________

5.

Is the applicant required to register as a motor carrier with any non-North
American government?
F Yes

5a.

F No

If yes, give the name under which the applicant is registered with the nonNorth American government, the applicant’s registration number, and the
name of the non-North American government that issued the registration.
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________

5b.

If applicant has applied to register with a non-North American government
but has not yet been registered, indicate the application date.
______________________________________________________

SECTION II – 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 3 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 application form.)
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Name of affiliated
company

MC or MX
Number

U.S. DOT
Number

U.S. DOT
Safety Rating

Ever Disqualified
from operating
CMVs in the U.S.?

SECTION III – TYPE(S) OF REGISTRATION REQUESTED
Applicant must submit a filing fee for certain types of registration requested (for
each checked box).
Applicant seeks to provide the following transportation service:
PASSENGER REGISTRATION
‰

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
‰

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)

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SECTION IV – INSURANCE INFORMATION
MOTOR PASSENGER CARRIER APPLICANTS
All motor passenger carriers operating in the United States, including non-North Americadomiciled carriers, must maintain public liability insurance. The amounts in parentheses
represent the minimum amount of coverage required.
Applicant will use (check only one):
‰ Any vehicle has a seating capacity of 16 passengers or more ($5,000,000)
‰ All vehicles have seating capacities of 15 passengers or fewer only ($1,500,000)
MOTOR PROPERTY CARRIER APPLICANTS (including Household Goods Carriers)
NOTE: Refer to SECTION IV under the Instructions to the Form OP-1(NNA) for
information on cargo insurance filing requirements for household goods carriers.
‰

‰

Applicant will operate vehicles having a gross vehicle weight rating (GVWR) of 10,000
pounds or more to transport:
‰

Non-hazardous commodities ($750,000)

‰

Hazardous materials referenced in the FMCSA insurance regulations at
49 CFR § 387.303(b)(2)(c) ($1,000,000).

‰

Hazardous materials referenced in the FMCSA insurance regulations at
49 CFR § 387.303(b)(2)(b) ($5,000,000).

Applicant will operate only vehicles having a GVWR under 10,000 pounds to transport:
‰

Any quantity of Division 1.1, 1.2 or 1.3 explosives; and quantity of poison gas (Division
2.3, Hazard Zone A or Division 6.1, Packing Group 1, Hazard Zone A materials); or
highway route controlled quantity of radioactive materials ($5,000,000).

Does the applicant presently hold public liability insurance?
F Yes F No
If applicant does hold such insurance, please provide the information below:
Insurance Company: ___________________________________________
Address: ___________________________________________________
___________________________________________________
Maximum Insurance Amount: ____________________________________
Policy Number: _______________________________________________
Date Issued: _________________________________________________
Insurance Effective Date: _______________
Insurance Expiration Date: ______________

SECTION V – SAFETY CERTIFICATIONS
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Applicant maintains current copies of all U.S. DOT Federal Motor Carrier
Safety Regulations, Federal Motor Vehicle Safety Standards, and the
Hazardous Materials Regulations (if a property carrier transporting hazardous
materials), understands and will comply with such Regulations, and has
ensured that all company personnel are aware of the current requirements.
_____Yes
Applicant certifies that the following tasks and measures will be fully
accomplished and procedures fully implemented before it commences
operations in the United States:
1. Driver qualifications:
The carrier has in place a system and procedures for ensuring the continued
qualification of drivers to operate safely, including a safety record for each
driver, procedures for verification of proper licensing of each driver,
procedures for identifying drivers who are not complying with the U.S. safety
regulations, and a description of a retraining and educational program for
poorly performing drivers.
_____Yes
The carrier has procedures in place to review drivers’ employment and driving
histories for at least the last 3 years, to determine whether the individual is
qualified and competent to drive safely.
_____Yes
The carrier has established a program to review the records of each driver at
least once every 12 months and will maintain a record of the review.
_____Yes
The carrier will ensure, once operations in the United States have begun, that
all of its drivers operating in the United States are at least 21 years of age and
possess a valid Commercial Drivers License or Non-resident Commercial
Drivers license.
_____Yes
2. Hours of service:
The carrier has in place a record keeping system and procedures to monitor
the hours of service performed by drivers, including procedures for continuing
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review of drivers’ log books, and for ensuring that all operations requirements
are complied with.
_____Yes
The carrier has ensured that all drivers to be used in the United States are
knowledgeable of the U.S. hours of service requirements, and the carrier has
clearly and specifically instructed the drivers concerning the application to
them of the 11 hour, 14 hour, and 60 and 70 hour rules, as well as the
requirement for preparing daily log entries in their own handwriting for each
24 hour period.
_____Yes
The carrier has attached to this application statements describing the
monitoring procedures to ensure that drivers complete logbooks correctly,
and describing the carrier’s record keeping and driver review procedures.
_____Yes
The carrier will ensure, once operations in the United States have begun, that
its drivers operate within the hours – of - service rules and are not fatigued
while on duty.
_____Yes
3. Drug and alcohol testing:
The carrier is familiar with the alcohol and controlled substance testing
requirements of 49 CFR part 382 and 49 CFR part 40 and has in place a
program for systematic testing of drivers.
_____Yes
The carrier has attached to this application the name, address, and
telephone number of the person(s) responsible for implementing and
overseeing alcohol and drug programs, and also of the drug testing laboratory
and alcohol testing service that are used by the company.
_____Yes
4. Vehicle condition:
The carrier has established a system and procedures for inspection, repair
and maintenance of its vehicles in a safe condition, and for preparation and
maintenance of records of inspection, repair and maintenance in accordance
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with the U.S. DOT’s Federal Motor Carrier Safety Regulations and the
Hazardous Materials Regulations.
_____Yes
The carrier has inspected all vehicles that will be used in the United States
before the beginning of such operations and has proof of the inspection onboard the vehicle as required by 49 CFR 396.17.
_____Yes
The carrier will ensure, once operations in the United States have begun, that
all vehicles it operates in the United States were manufactured or have been
retrofitted in compliance with the applicable U.S. DOT Federal Motor Vehicle
Safety Standards in effect at the time of manufacture.
______Yes
The carrier will ensure that all vehicles operated in the United States are
inspected at least every 90 days by a certified inspector in accordance with
the requirements for a Level I Inspection under the criteria of the North
American Standard Inspection, as defined in 49 CFR 350.105, once
operations in the United States begin and until such time as the carrier has
held permanent registration from the FMCSA for at least 36 consecutive
months. After the 36-month period expires, the carrier will ensure that all
vehicles operated in the United States are inspected in accordance with 49
CFR 396.17 at least once every 12 months thereafter.
_____Yes
The carrier will ensure, once operations in the United States have begun, that
all violations and defects noted on inspection reports are corrected before
vehicle and drivers are permitted to enter the United States.
_____Yes
5. Accident monitoring program:
The carrier has in place a program for monitoring vehicle accidents and
maintains an accident register in accordance with 49 CFR 390.15.
_____Yes
The carrier has attached to this application a copy of its accident register
for the previous 12 months, or a description of how the company will maintain
this register once it begins operations in the United States.
Form OP-1(NNA) 0001/1

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Revised 06/28/11

_____Yes
The carrier has established an accident countermeasures program and a
driver training program to reduce accidents.
_____Yes
The carrier has attached to the application a description and explanation of
the accident monitoring program it has implemented for its operations in the
United States.
_____Yes
6. Production of records:
The carrier can and will produce records demonstrating compliance with the
safety requirements within 48 hours of receipt of a request from a
representative of the USDOT/FMCSA or other authorized Federal or State
official.
_____Yes
The carrier is including as an attachment to this application the name,
address and telephone number of the employee to be contacted for
requesting records.
_____Yes
7. Hazardous Materials (to be completed by carriers of hazardous
materials only).
The HM carrier has full knowledge of the U.S. DOT Hazardous Materials
Regulations, and has established programs for the thorough training of its
personnel as required under 49 CFR part 172, Subpart H and
49 CFR 177.816. The HM carrier has attached to this application a
statement providing information concerning (1) the names of employees
responsible for ensuring compliance with HM regulations, (2) a description of
their HM safety functions, and (3) a copy of the information used to provide
HM training.
_____Yes _____N/A
The carrier has established a system and procedures for inspection, repair
and maintenance of its reusable hazardous materials packages (cargo tanks,
portable tanks, cylinders, intermediate bulk containers, etc.) in a safe
Form OP-1(NNA) 0001/1

19

Revised 06/28/11

condition, and for preparation and maintenance of records of inspection,
repair, and maintenance in accordance with the U.S. DOT Hazardous
Materials Regulations.
_____Yes

_____N/A

The HM carrier has established a system and procedures for filing and
maintaining HM shipping documents.
_____Yes

_____N/A

The HM carrier has a system in place to ensure that all HM trucks are marked
and placarded as required by 49 CFR part 172, Subparts D and F.
_____Yes

_____N/A

The carrier will register under 49 CFR part 107, Subpart G, if transporting any
quantity of hazardous materials requiring the vehicle to be placarded.
_____Yes

_____N/A

7A. For Cargo Tank (CT) Carriers (of HM):
The carrier submits with this application a certificate of compliance for
each cargo tank the company utilizes in the U.S., together with the name,
qualifications, CT number, and CT number registration statement of the
facility the carrier will be utilizing to conduct the test and inspections of such
tanks required by 49 CFR part 180.
_____Yes

_____N/A

___________________________________________
Signature of applicant

By signing these certifications, the carrier official is on notice that the representations
made herein are subject to verification through inspections in the United States and
through the request for and examination of records and documents. Failure to support
the representations contained in this application could form the basis of a proceeding to
assess civil penalties and/or lead to the revocation of the authority granted.

Form OP-1(NNA) 0001/1

20

Revised 06/28/11

Safety and Compliance Information and Attachments for Section V
1.

Individual responsible for safe operations and compliance with applicable
regulatory and safety requirements.
NAME

2.

ADDRESS

POSITION

Location where current copies of the Federal Motor Carrier Safety
Regulations and other regulations are maintained.

Form OP-1(NNA) 0001/1

21

Revised 06/28/11

ATTACHMENT FOR SECTION V, NO. 1, DRIVER QUALIFICATIONS
Intentionally Left Blank

Form OP-1(NNA) 0001/1

22

Revised 06/28/11

ATTACHMENT FOR SECTION V, NO. 2, HOURS OF SERVICE
MONITORING STATEMENTS
Statements describing monitoring procedures for ensuring correctness of
logbook completion by drivers and describing record keeping and driver review
procedures.

Form OP-1(NNA) 0001/1

23

Revised 06/28/11

ATTACHMENT FOR SECTION V, NO. 3, DRUG AND ALCOHOL TESTING
Person(s) responsible for implementing and overseeing alcohol and drug
programs.
NAME

ADDRESS

POSITION

The drug testing laboratory and the alcohol testing service that are used by the
carrier.
NAME

Form OP-1(NNA) 0001/1

ADDRESS

24

TELEPHONE NO.

Revised 06/28/11

ATTACHMENT FOR SECTION V, NO. 4,
Intentionally Left Blank

Form OP-1(NNA) 0001/1

25

Revised 06/28/11

ATTACHMENT FOR SECTION V, NO. 5,
ACCIDENT MONITORING PROGRAM
1. Describe how company will maintain accident register (49 CFR 390.15(b))
once it begins operations in U.S.

Form OP-1(NNA) 0001/1

26

Revised 06/28/11

ATTACHMENT FOR SECTION V, NO. 5,
ACCIDENT MONITORING PROGRAM
2. Describe and explain accident monitoring program for operations in U.S. (49

CFR 391.25 and 391.27).

Form OP-1(NNA) 0001/1

27

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ATTACHMENT FOR SECTION V, NO. 6, PRODUCTION OF RECORDS
Contact person(s) for requesting records:
Name

Form OP-1(NNA) 0001/1

Address

Telephone Number

28

Revised 06/28/11

ATTACHMENT FOR SECTION V, NO. 7, HAZARDOUS MATERIALS (TO BE
COMPLETED BY CARRIERS OF HAZARDOUS MATERIALS ONLY)
Statement respecting person(s) (other than drivers) responsible for ensuring
compliance with HM regulations (49 CFR 172.704) for HM activities.

Form OP-1(NNA) 0001/1

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ATTACHMENT FOR SECTION V, NO. 7A,
(FOR CARGO TANK CARRIERS OF HM)
Cargo Tank Information (HM) (49 CFR part 180, Subpart E):

Form OP-1(NNA) 0001/1

30

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SECTION VI - HOUSEHOLD GOODS REQUIREMENTS
Household Goods Motor Carrier Applicants must :
1. Provide evidence of participation in an arbitration program and a copy of the notice
they provide to shippers of the availability of binding arbitration.
2. Identify their tariff and provide a copy of the notice to shippers of the availability of
that tariff for inspection, indicating how that notice is provided.
3. Disclose all relationships involving common stock, common ownership, common
management, or common familial relationships between the applicant and any other
motor carrier, freight forwarder, or broker of household goods within 3 years of the
date of the filing of this application.
Applicant certifies that it has access to, has read, is familiar with, and will observe all
applicable Federal laws relating to consumer protection, estimating, consumers’ rights
and responsibilities, and options for limitations of liability for loss and damage.
_______________________________
Signature

Name of affiliated person
or company

Form OP-1(NNA) 0001/1

Common
Stock
(Yes/No)

Common
Ownership
(Yes/No)

31

Common
Management
(Yes/No)

Revised 06/28/11

Family
Relation
(Yes/No)

SECTION VII – SCOPE OF REGISTRATION SOUGHT
1. Applicant seeks to provide the following transportation service in
foreign/international commerce:
‰

For a non-North American carrier to transport property between points outside of
United States and all points in the United States.

‰

For non-North American passenger carriers, charter and tour bus operations
between points outside of United States and points in the United States.

‰

For a non-North American passenger carrier to provide transportation services
as a private motor carrier of passengers.

2. Indicate the principal border crossing points which applicant intends to utilize.
____________________________________________________________
____________________________________________________________
____________________________________________________________

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32

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SECTION VIII – COMPLIANCE CERTIFICATIONS
All applicants must certify as follows:
¾

Applicant is willing and able to provide the proposed operations or service and to comply with all
pertinent statutory and regulatory requirements and regulations issued or administered by the U.S.
Department of Transportation, including operational regulations, safety fitness requirements, motor
vehicle safety standards, and minimum financial responsibility requirements.
_______ Yes

¾

Applicant understands that the agent(s) for service of process designated on FMCSA Form BOC-3 will
be deemed applicant’s official representative(s) in the United States for receipt of filings and notices in
administrative proceedings under 49 U.S.C. 13303, and for receipt of filings and notices issued in
connection with the enforcement of any Federal statutes or regulations.
_______ Yes

¾

Applicant is willing and able to produce for review or inspection documents which are requested for the
purpose of determining compliance with applicable statutes and regulations administered by the
Department of Transportation, including the Federal Motor Carrier Safety Regulations, Federal Motor
Vehicle Safety Standards and Hazardous Materials Regulations, within 48 hours of any written request.
Applicant understands that the written request may be served on the person identified in the attachment
for Section V, number 6, or the designated agent for service of process.
_______ Yes

¾

Applicant is willing and able to have all vehicles operated in the United States inspected at least every
90 days by a certified inspector and have decals affixed attesting to satisfactory compliance with
applicable inspection criteria. This requirement will end after applicant has held permanent registration
from FMCSA for three consecutive years.
_______ Yes

¾

Applicant is not presently disqualified from operating a commercial vehicle in the United States.
_______ Yes

¾

Applicant is not prohibited from filing this application because its FMCSA registration is currently under
suspension or was revoked less than 30 days before the filing of this application.
_______ Yes
___________________________________________
Signature

All motor carriers operating within the United States, including non-North American motor carriers applying for operating
authority under this form, 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 an OSHA state plan agency
pursuant to Section 18 of the Occupational Safety and Health Act of 1970. 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.

Form OP-1(NNA) 0001/1

33

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SECTION IX – APPLICANT’S OATH

APPLICANT’S OATH MUST BE COMPLETED (SIGNED) BY APPLICANT
I, _________________________________________________________,
(First Name)

(Middle Name)

(Surname)

(Title)

verify under penalty of perjury, under the laws of the United States of America,
that I understand the foregoing certifications and that all responses are true
and correct. I certify that I am qualified and authorized to file this application.
I know that willful misstatement or omission of material facts constitute Federal
criminal violations under 18 U.S.C. §§ 1001 and 1621 and that each offense is
punishable by up to 5 years imprisonment and a fine under Title 18, United
States Code, or civil penalties under 49 U.S.C. §521(b)(2)(B) and 49 U.S.C.
Chapter 149.

I further certify that I have not been convicted in U.S. Federal or State courts,
after September 1, 1989, of any offense involving the distribution or possession
of controlled substances, or that if I have been so convicted, that I am not
ineligible to receive U.S. 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)

____________________________________________________________
(Applicant’s Title, e.g., President or Owner)

Form OP-1(NNA) 0001/1

34

Revised 06/28/11

FMCSA FILING FEES
Fee Schedule effective January 1996
Fee for Registration . . . $300.00
FEE POLICY
•

Filing fees apply only to For-hire carriers of passengers or property. The
fee is waived if a For-hire carrier is exempt under 49 U.S.C. Chapter 135,
Subchapter I.

•

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 registration requested. If
applicant requests registration as a for-hire motor carrier and as a motor
private carrier, 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 the appropriate address under the paragraph titled
MAILING INSTRUCTIONS on page 10 of the instructions to this form.

•

After an application is received, the filing fee is non-refundable.

•

An application submitted with a personal check will be held for 30 days from
the date received. The FMCSA reserves the right to discontinue processing
any application for which a check is returned due to insufficient funds. No
application will be processed until the fee is paid in full.

Form OP-1(NNA) 0001/1

35

Revised 06/28/11

FILING FEE INFORMATION
Applicants must submit a filing fee of $300.00 for each type of registration that
requires a filing fee. The total amount due is equal to the fee(s) times the
number of boxes checked in Section III (where a filing fee applies) of the Form
OP-1(NNA). Fees for multiple authorities may be combined in a single
payment.
Total number of boxes
checked in Section III (requiring a filing fee) ___ x filing fee $ _____ = $_____
INDICATE AMOUNT $_____________ AND METHOD OF PAYMENT:
FCHECK OR F MONEY ORDER, PAYABLE TO: FEDERAL MOTOR CARRIER
SAFETY ADMINISTRATION
F VISA F MASTERCARD
Credit Card Number ____________________________________________
Expiration Date: _______________________________________________
Signature _________________________________ Date: _____________

Form OP-1(NNA) 0001/1

36

Revised 06/28/11