OA142 (04/24/2018)
Purpose: Use this form to apply for or change your existing for-hire intrastate operating authority. This form can only be used to apply for or change the
for-hire intrastate operating authority types identified in Section 1 of this application. For information on how to obtain For-Hire Intrastate
Operating Authority for other types of for-hire services, refer to the DMV publication Motor Carrier Guidelines, found at www.dmv.virginia.gov/
webdoc/pdf/mcts247.pdf.
Instructions: Complete all required sections as noted on the application and submit to Motor Carrier Services at the above address. If you have questions or
require additional information, send correspondence to the Motor Carrier Services at the address above or refer to Section 8 of this application
for additional contact information.
NOTE: You are not required to complete this form if you are transporting property for compensation solely in/on a passenger car, motorcycle,
autocycle, moped, or a motor vehicle with a gross vehicle weight rating of 10,000 pounds or less. However, you must maintain insurance as
required in § 46.2-2143.1 of the Code of Virginia.
FOR-HIRE INTRASTATE OPERATING AUTHORITY
PERMIT APPLICATION
Please be aware of the following prohibition: If you have been or are found guilty of performing, offering, advertising, providing, procuring,
or arranging by contract, agreement, or arrangement to transport passengers for compensation without the required license, permit, or
certificate through either a conviction resulting from a Virginia Uniform Summons or a civil penalty appropriately assessed by DMV, you will be
denied the license, permit, or certificate requested for a period of 12 months beginning from the date of the conviction or assessment of the civil
penalty. This prohibition does not apply to property carrier applicants.
1. APPLICATION AND AUTHORITY TYPES
APPLICATION TYPE (check one)
Check this box if you are applying for an original
for-hire intrastate operating authority permit.
Check the appropriate AUTHORITY TYPE
below and complete all Sections 1 through 7.
ORIGINAL APPLICATION
Check this box if you are applying for a
duplicate for-hire intrastate operating authority
permit. Check the appropriate AUTHORITY
TYPE below and complete Sections 2, 6 and 7.
DUPLICATE PERMIT
Check this box if you are changing your
existing for-hire intrastate operating authority
permit. Complete all Sections 1 through 7 AND
specify change being made below:
CHANGE / AMEND APPLICATION
SPECIFY CHANGE BEING MADE
Check this box if you are applying to cancel
your for-hire intrastate operating authority
permit. Check the appropriate AUTHORITY
TYPE below and complete Sections 2 and 6.
CANCEL AUTHORITY TYPE
Check this box if you are requesting to close
your account. Complete Sections 2 and 6.
CLOSE ACCOUNT
AUTHORITY TYPE (check one)
EMPLOYEE HAULER CARRIER
Check this box for businesses that transport
employees to and from their place of work.
You MUST provide proof of insurance as
follows:
Minimum Bodily Injury &
Property Damage Amount
Total Passengers
(including driver)
$350,000 1 to 6
$1,500,000 7 to 15
$5,000,000 16 or more
NON-PROFIT/TAX-EXEMPT PASSENGER CARRIER
Check this box for non-profits that use only
minibuses to transport its own members or the
elderly, disabled, or economically
disadvantaged members of a community. You
MUST provide proof of insurance as follows:
Minimum Bodily Injury &
Property Damage Amount
Total Passengers
(including driver)
$1,500,000 7 to 15
$5,000,000 16 to 31
TAXICAB
Check this box for businesses that transport
passengers in vehicles that are designed to
transport no more than six passengers,
excluding the driver. All operations must be in
compliance with local taxicab ordinances when
applicable. You MUST provide proof of
insurance as follows:
Minimum Bodily Injury &
Property Damage Amount
$125,000
PROPERTY CARRIER
Check this box for businesses that transport Property (general freight, manufactured/processed commodities, household goods 30 miles or less from point
of origin). You MUST provide proof of insurance as follows:
Minimum Bodily Injury &
Property Damage Amount
Cargo*
$750,000 $50,000
* Cargo insurance only applies to the transportation of household goods; however, cargo insurance is not required if you transport household goods only
in passenger cars, motorcycles, autocycles, mopeds, and vehicles with a gross vehicle weight rating of 10,000 pounds or less.
Household goods – personal effects and property used or to be used in a dwelling, when transported or arranged to be transported (i) between residences
or (ii) between a residence and a storage facility with the intent to later transport to a residence. Transportation of such goods must be arranged and paid
for by, or on behalf of, the householder.
BUSINESS STREET ADDRESS (do not give P.O. Box)
CITY
ZIP CODESTATE
FEDERAL TAX IDENTIFICATION NUMBER/SSNBUSINESS NAME (For individual applicants, give your full legal name)
2. BUSINESS INFORMATION
TRADE NAME OR DOING BUSINESS AS (if different from Business Name)
BUSINESS MAILING ADDRESS (if different from above)
CITY
ZIP CODESTATE
PRIMARY CONTACT PERSON NAME FAX NUMBERTELEPHONE NUMBER
PRIMARY CONTACT PERSON TITLE PRIMARY CONTACT PERSON EMAIL ADDRESS
