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Get FMCSA OP-1 2020-2024

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 Docket No. MC Fee No. This application is for all businesses requesting Operating Authority as a motor carrier broker and/or U.S.-based enterprise carrier of property or household goods. Signature Title Date Payment Instructions 1 Each type of Operating Authority requested in Section II of the application form requires a 300 processing fee. Calculate the total amount due as follows Number of boxes checked in Section II Total payment due 2 Select payment method Check or Money Order Make payable to FMCSA in United States currency. Form OP-1 Revised 09/27/2013 OMB No. 2126-0016 Expiration Date 10/31/2015 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. If you require more space attach the information to this application form. SECTION VI Household Goods Certifications 33. HOUSEHOLD GOODS MOTOR COMMON CARRIER APPLICANTS including United States-based Enterprise Carriers of International Household Goods must certify as follows 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. Disclose any relationship you have or have had with any other FMCSA-regulated entity including entities licensed by the FHWA OMCS or ICC within the past 3 years. Examples include but are not limited to a percentage of stock ownership a loan or a management position. If this requirement applies to you provide the name of the company MC/FF Number USDOT Number and that company s latest DOT safety rating. If you require more space attach the information to this application form. SECTION VI Household Goods Certifications 33. Calculate the total amount due as follows Number of boxes checked in Section II Total payment due 2 Select payment method Check or Money Order Make payable to FMCSA in United States currency. Payment must be drawn upon funds deposited in a bank located in the United States. Credit Card Complete the Credit Card Payment Authorization below. Credit Card Payment Authorization Select Credit Card Visa MasterCard Credit Card Number Name exactly as it appears on card Payment Amount Credit Card Billing Address Street Name and Number State City Zip Code Payment Date Mailing Instructions to apply online please see How to Apply Topic II in the instructions 1 Save a copy of the completed application form s all supporting documents if any and payment details for the company s business records.

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