Charter Bus Service On-Line Registration

Charter Bus On-Line Registration Template.pdf

Charter Service Operations

Charter Bus Service On-Line Registration

OMB: 2132-0543

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FTA Charter Registration: Private Charter Operator Registration: New Private Charter Op... Page 1 of 2
United States Department of Transportation
Federal Transit Administration

Private Charter Operator
Registration

Submit
New

FTA Charter Registration

Qualified Human Service
Registration

Search
Existing

Submit
New

Search
Existing

New Private Charter Operator Registration
*

=

Required

Business Information
Company
Name:
Doing
Business
As
(D/B/A):

*

Address:

*

I

Street:
State: I --Select--

City:

_

_

Zip Code:

Phone:

*

Primary
Email
Address:

*

I -I

I

Fax:

*

______I -I

I -I

I

Web
Address:
include http:ll or
https:ll at
beginning of URL

__________________________

An email
address with
multiple
recipients is
preferred

Federal or
State
Motor
Carrier
Identifying
Number:

______I -I

*

The data field

is not your tax
ID

____

____

Number of *
Vehicles Buses:
Vans:
Owned:
I hereby certify that my business has valid
insurance coverage for areas that I provide
charter service to and for those areas that I intend
to provide charter service to. *
Willing to provide free or reduced rates to
Qualified Human Service Organizations?

Geographic Service Area (select your service areas; at least one area is.
required)

https://ftawebprod.fta.dot.gov/CharterRegistrationlCharterService/CharterServiceNew.aspx

7/25/2017

FTA Charter Registration: Private Charter Operator Registration: New Private Charter Op... Page 2 of 2

List of States and Cities
previously added:
None

Specify one state at a time with the applicable cities:

Select State:

--Select--

vi

Provide service for entire state?
City: AARONSBURG
(Hold CTRL for
multiple selections)

ABBEVILLE
II'IT

OTSFORD

ABBYVILLE
ABELL
ABERCROMBIE
ABERDEEN

y

lAddi
-OR
Are you interested in originating service anywhere in the
continental U.S.? El
-

This information will be automatically mapped to the appropriate zip codes.

Contact Information
*

Business
Phone:

*

First Name:

Last Name:

_________________

____________________

_______________

Contact
Name:
Alternative
POC Email
Address:

(For internal use by administrators of the webslte. This information will not be provided to the public.)

-

-

Submit
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https://ftawebprod.fta.dot.gov/CharterRegistration/CharterService/CharterServiceNew.aspx

7/25/2017


File Typeapplication/pdf
File Titledocument
File Modified2017-07-26
File Created2017-07-26

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