Get Omb 2126 0013 Ny Form

Filling out the Omb 2126 0013 Ny Form online is essential for motor carriers that operate in interstate or foreign commerce. This guide provides clear and supportive instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Omb 2126 0013 Ny Form online easily.

1. Click ‘Get Form’ button to access the form and open it in the designated editor.
2. Identify the type of application by checking the appropriate box: New application, Biennial update or changes, Out of business notification, or Reapplication.
3. Enter the legal name of the business entity that owns or controls the motor carrier operation in block 1.
4. If applicable, provide the trade name if different from the legal name in block 2.
5. For block 3, enter the principal place of business street address where safety records are maintained.
6. Complete block 4 by entering the city for the principal place of business.
7. If the mailing address differs from the physical address, enter it in block 5 and complete the corresponding city block 6.
8. Specify the postal abbreviation for the state or Canadian province in block 7.
9. Enter the zip code plus 4 number in block 8.
10. If you are a Mexican motor carrier, complete block 9 with the 'colonia' or 'barrio' where your business is located.
11. For block 10 and 11, mirror the instructions for the physical address when providing the mailing address details.
12. Fill in block 13 with the principal place of business telephone number.
13. Provide a cellular phone number in block 14, followed by the fax number in block 15.
14. Enter any identification number assigned by the U.S. Department of Transportation in block 16.
15. If applicable, provide the operating authority number in block 17.
16. Provide your Dun & Bradstreet business number in block 18, if available, or leave it blank.
17. Enter the employer identification number or social security number in block 19.
18. Complete block 20 with the email address of the official point of contact.
19. Circle the appropriate operation classification in block 21.
20. In block 22, enter the total annual mileage for the previous year.
21. Circle all appropriate operation classifications in block 23.
22. In block 24, circle all types of cargo you usually transport, entering 'Other' if necessary.
23. For hazardous materials, complete block 25 by identifying the types transported and indicating if you are a carrier or shipper.
24. Provide the number of vehicles owned or leased in block 26.
25. Fill in the average number of interstate/intrastate drivers used daily in block 27.
26. If your U.S. DOT number was revoked, provide it in block 28.
27. List two names of sole proprietors, officers, or partners in block 29.
28. Complete block 30 by checking any relevant materials you transport.
29. Indicate whether you need an HM Safety Permit in block 31.
30. Provide the number of accidents your company had in block 32 if applicable.
31. Confirm security program compliance in block 33.
32. In block 34, indicate whether a state permit is required for the transported materials.
33. If applicable, check the states for which you have a permit in block 35.
34. In block 36, print or type the name of the individual authorized to sign, including signature, date, and title.
35. Review all entries for accuracy before submitting.
36. Save changes, download, print, or share the completed form as needed.

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