Fillable OR LICENSE APPLICATION OPERATING AUTHORITY CERTIFICATE (Virginia Department of Motor Vehicles)

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OR LICENSE APPLICATION OPERATING AUTHORITY CERTIFICATE (Virginia Department of Motor Vehicles)

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OA150-I (09/25/2020)
AUTHORITY TYPES
BROKER - PASSENGER -- Select this authority type if:
► you would like to obtain OR change a For-Hire Intrastate Operating Authority License to arrange for the transportation of passengers within Virginia
by companies authorized by the Virginia Department of Motor Vehicles (DMV) to transport passengers. The following requirements MUST be met:
● notify DMV in writing within 30 days if you discontinue your
services.
● maintain a surety bond or irrevocable letter of credit in the
amount of $25,000 for as long as the license is active.
NOTE: Refer to form OA435 - Passenger Carrier and
Passenger Broker Bond or form OA447 - For Hire
Operating Authority Certificate or License, Irrevocable
Letter of Credit located under "Forms and Publications" on
dmvNow.com.
♦ You must:
● ensure the transporting carrier is authorized by DMV to
transport passengers.
● provide your service to the general public without discrimination.
● report any change of address to DMV Motor Carrier Services
within 30 days.
● ensure the number of your license appears in any
advertisement for your services.
● maintain a copy of the certificate of public convenience and
necessity issued to those carriers through which transportation is
arranged.
SECTION 1 -- APPLICATION AND AUTHORITY TYPES
Selecting the correct "Authority Type" is important as these selections impact how DMV will process your application. Authority types available are
defined below:
ALL APPLICATIONS MUST INCLUDE:
- A $50.00 nonrefundable filing fee.
- A Surety Bond or Irrevocable Letter of Credit (Additional information
provided in the "Authority Types" section).
- A tariff if applying for Household Goods Authority (refer to Household
Goods section below).
- A Power of Attorney document (from your surety company).
CONTRACT PASSENGER -- Select this authority type if:
► you would like to obtain a For-Hire Intrastate Operating Authority Certificate to contract to transport groups of passengers within Virginia and will
charge a group fee for your services. The following requirements MUST be met:
♦ You must:
● conduct trips that are PREARRANGED under a contract made
with a group through a representative of the group.
● contract with groups for at LEAST a one-hour time period, even
if the trip lasts less than one hour.
- no other group(s) may be transported during the timeframe of
the contract.
● carry a copy of the contract or of a trip sheet in the vehicle
during the trip. The contract or trip sheet must contain:
- the name of the passengers who arranged for the use
of the vehicle
- the origin and destination of the trip
- the date and approximate pick up time
● maintain the contract or trip sheet at your place of business for
three years
● make the contract or trip sheet immediately available to any of
the following upon request:
- DMV
- law enforcement
- airport authority
● provide your service to the general public without discrimination.
● ensure the number of your certificate appears in any
advertisement for your services.
NOTE: advertisements for your services may not contain
untrue, misleading, or deceptive information.
● maintain a surety bond or irrevocable letter of credit in the
amount of $25,000. The bond must be kept in effect for 3 years
from the issue date of the operating authority certificate.
NOTE: Refer to form OA435 - Passenger Carrier and
Passenger Broker Bond or form OA447 - For Hire
Operating Authority Certificate or License, Irrevocable
Letter of Credit located under "Forms and Publications" on
dmvNow.com.
♦ You may not station your vehicle(s) in front of or across the
street from a hotel/motel, or within 100 feet of a taxicab stand
without a completed trip sheet or contract order in the vehicle(s), or
a written agreement with an airport authority or hotel/motel owner
providing office space for your business at the airport/hotel/motel.
♦ If your application is approved, you will be required to have
proof of insurance filed with DMV by your insurance company.
Required minimum amount is as follows:
Minimum Bodily Injury and
Property Damage Amount
Total Passengers
(including driver)
$350,000 1 to 6
$1,500,000 7 to 15
$5,000,000 16 or more
OPERATING AUTHORITY CERTIFICATE
OR LICENSE APPLICATION
(APPLICATION AND INSTRUCTIONS)
Purpose: Use this form to apply for authority to operate as a motor carrier within Virginia under the authority types identified below. For information on how
to obtain For-Hire Intrastate Operating Authority for types of for-hire services not identified below, visit www.dmvNow.com.
Instructions: To ensure accurate and timely processing of your application, read and follow all steps outlined in the Operating Authority Certificate Application
Instructions (OA 150-I).
NOTE: The application process for operating authority involves multiple steps, including the submission of various pieces of information, and requires
the applicant's continuing involvement and cooperation with DMV staff. It is critical that all required information is current and that it is submitted
timely. If after 90 days you have failed to respond to a request for information, DMV may cancel your application. If your application has been
canceled and you later decide to reapply for operating authority, you will need to begin the process as a new applicant.
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 Household Goods authority
type applicants.
OA150-I (09/25/2020)
Page 2 of Instructions
HOUSEHOLD GOODS -- Select this authority type if:
► you would like to obtain a For-Hire Intrastate Operating Authority Certificate to transport household goods٭ (See Definition below) within Virginia.
The following requirements MUST be met:
♦ You must:
● provide your service to the general public without discrimination.
● transport household goods as defined below.
● carry a copy of the bill of lading when you are transporting the
household goods.
NOTE: You must maintain a copy of the bill of lading at your
place of business for at least three years.
● follow the procedures below if you receive a written claim of
loss or damage:
- On the claim itself, write the date you received it.
- Within 30 days, send the claimant a written acknowledgement
of receipt of the claim.
- Within 120 days you must
◊ pay the claim, OR
◊ send written notification that you decline to pay the
claim,OR
◊ make a firm compromise settlement offer in writing.
- If the claim is not processed or disposed of within 120 days,
send the claimant a written report of the status of the claim
every 30 days, along with the reasons for the delay.
● file a tariff that includes all of your rates and any rules, policies
or guidelines you will impose on your customers.
● NOT charge rates exceeding those listed in the tariff filed with
DMV for deliveries over 30 miles.
NOTE: For additional instructions and a sample tariff for
Household Goods Carriers see form OA450 located under
"Forms and Publications" on dmvNow.com.
♦ Before you can change your rates, you must
● notify DMV, in writing, at least 30 days before you wish to make
the change, and
● have received written approval from DMV.
♦ You or your agent may publish a joint tariff with another carrier
(s) if a power of attorney or notice of concurrence is filed with DMV.
● You must send written notification to DMV, at least 60 days in
advance, before you can revoke the power of attorney or notice
of concurrence.
♦ You may not, by contract or otherwise, shorten the length of
time a person has for filing a claim to less than 30 days or shorten
the time for filing a suit to less than two years.
♦ You must maintain a surety bond or irrevocable letter of credit in
the amount of $50,000. The bond must be kept in effect for 5 years
from the issue date of the operating authority certificate.
NOTE: Refer to form OA436 - Household Goods Carrier Bond
or form OA456 - For Hire Operating Authority Certificate
or License, Irrevocable Letter of Credit located under
"Forms and Publications" on dmvNow.com.
♦ If your application is approved, you will be required to have
proof of insurance filed with DMV by your insurance company.
Required minimum amount is as follows:
٭ 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.
Minimum Bodily Injury and
Property Damage Amount
Minimum Cargo Amount
$750,000 $50,000
SECTION 1 -- APPLICATION AND AUTHORITY TYPES (continued)
SIGHT SEEING -- Select this authority type if:
► you would like to obtain a For-Hire Intrastate Operating Authority Certificate to transport the general public to and from points of interest in Virginia
primarily for the passengers' experience and enjoyment and/or to promote tourism. The following requirements MUST be met:
♦ You must:
● provide service to the general public without discrimination.
● NOT refuse service without good cause.
● operate only on a round trip basis.
● issue a ticket that displays the points of interest and the round-
trip fare.
● ensure the number of your certificate appears in any
advertisement for your services.
- advertisements for your services may not contain
untrue, misleading, or deceptive information.
♦ You must maintain a surety bond or irrevocable letter of credit in
the amount of $25,000. The bond must be kept in effect for 3 years
from the issue date of the operating authority certificate.
NOTE: Refer to form OA435 - Passenger Carrier and
Passenger Broker Bond or form OA447 - For Hire
Operating Authority Certificate or License, Irrevocable
Letter of Credit located under "Forms and Publications" on
dmvNow.com.
♦ If your application is approved, you will be required to have
proof of insurance filed with DMV by your insurance company.
Required minimum amount is as follows:
Minimum Bodily Injury and
Property Damage Amount
Total Passengers
(including driver)
$350,000 1 to 6
$1,500,000 7 to 15
$5,000,000 16 or more
OA150-I (09/25/2020)
Page 3 of Instructions
Complete all fields in this section as described below:
BUSINESS NAME - enter the legal name used to register your business.
FEDERAL TAX IDENTIFICATION NUMBER - Internal Revenue Service
assigned number that identifies your business entity.
TRADE NAME OR DOING BUSINESS AS - enter the name by which
people know your business. Only complete this field if this name is
different than your "Business Name".
BUSINESS STREET ADDRESS - enter the street number and name of
your business' physical location. This location must be where the routine
day to day operations of the business are conducted, owned or leased by
the applicant, satisfy all applicable local zoning regulations, houses all
records, and be equipped with a working telephone listed in the business
name.
CITY - enter the city name of your business' physical location.
STATE - enter the state name of your business' physical location.
ZIP CODE - enter the postal zip code for your business' physical location.
BUSINESS MAILING ADDRESS - enter the mailing address (street
number and name OR P.O. Box) for your business. Only required if
different than business' physical location.
CITY - enter the city of the mailing address for your business.
STATE - enter the state of the mailing address for your business.
SECTION 2 -- BUSINESS INFORMATION
ZIP CODE - enter the postal zip code of the mailing address for your
business.
COUNTY NAME - if your business is located in Virginia, enter the county
name for the business' physical location (if applicable).
BUSINESS TELEPHONE NUMBER - the number at which your business
can be reached during business hours, this number must be listed or
advertised in the name of the business.
BUSINESS FAX NUMBER - FAX transmissions sent to the physical
location of your business will use this number.
PRIMARY CONTACT PERSON NAME - enter the name of the person
who will serve as the primary DMV contact for any questions regarding
your application or business.
PRIMARY CONTACT TELEPHONE - enter the best number to reach the
primary contact person listed for your business.
PRIMARY CONTACT FAX NUMBER - enter the best number to send
FAX transmissions to the business' primary contact person.
PRIMARY CONTACT PERSON TITLE - enter the official business title of
the business' primary contact person.
PRIMARY CONTACT EMAIL ADDRESS - enter the email address for the
business' primary contact person.
SECTION 3 -- BUSINESS ENTITY INFORMATION
READ INSTRUCTIONS carefully, then complete with applicable business officials.
Carefully read this section, then sign and date where indicated.
SECTION 5 -- CERTIFICATION
A $50.00 non-refundable filing fee must be included with this application. If this application is returned to you, you may be required to pay another
$50.00 filing fee.
SECTION 6 -- PAYMENT METHODS
CONTACT INFORMATION
If you have additional questions or need assistance, you can contact a Motor Carrier Services Representative at:
804-249-5130 (voice) (800) 272-9268 (deaf and hearing impaired only)
(804) 367-1058 (fax) mcsonline@dmv.virginia.gov (e-mail)
SECTION 4 -- LICENSE / CERTIFICATE INFORMATION
Answer questions in this section accurately and provide additional information as appropriate.
IRP ACCOUNT NUMBER / IFTA LICENSE NUMBER - enter the IRP
account number(s) or IFTA license number that you currently hold or
have previously held.
BASE STATE - enter the name of the jurisdiction that serves as your
base state for IFTA/IRP.
CERTIFICATE / LICENSE TYPE - if your business has had an operating
authority certificate or license denied, suspended or revoked, enter the
type of certificate or license that was denied, suspended or revoked.
CERTIFICATE / LICENSE NUMBER - enter the certificate or license
number(s) associated with the denial, suspension or revocation.
CERTIFICATE / LICENSE WAS - Check appropriate box to indicate if
your certificate or license was denied, suspended or revoked.
REASON - enter the reason why your certificate or license was denied,
suspended or revoked.
OA 150 (04/24/2018)
AUTHORITY TYPE REQUESTED
BUSINESS STREET ADDRESS (do not give P.O. Box)
CITY
ZIP CODESTATE
FEDERAL TAX IDENTIFICATION NUMBERBUSINESS 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
COUNTY NAME (if Virginia Address) TELEPHONE NUMBER FAX NUMBER
PRIMARY CONTACT PERSON NAME FAX NUMBERTELEPHONE NUMBER
PRIMARY CONTACT PERSON TITLE PRIMARY CONTACT PERSON EMAIL ADDRESS
3. BUSINESS ENTITY INFORMATION
Virginia law requires DMV to determine if persons applying for operating authority are fit to provide the service. Va. Code §19.2-389(30) authorizes the release
of criminal history information to DMV in order to evaluate certificate/license applicants. In addition, DMV will review your driving record. The information
requested below must be provided for:
l The owner of the business if you are applying as a sole proprietor (individual),
l Each partner of the business if applying as a partnership, limited partnership (LP), or limited liability partnership (LLP),
l Each member and /or manager if applying as a limited liability company (LLC), or
l Each officer if applying as a corporation.
If any of the business officials listed below holds a driver's license issued by a state other than Virginia, you must enclose a current CERTIFIED copy of that
person's driving record with this application.
1. APPLICATION AND AUTHORITY TYPES
SIGHT SEEINGHOUSEHOLD GOODSBROKER - PASSENGER CONTRACT PASSENGER
OPERATING AUTHORITY
CERTIFICATE OR LICENSE APPLICATION
FULL LEGAL NAME
DRIVER LICENSE
NUMBER
ISSUING STATE
(certified copy required
if not issued by VA)
DATE OF BIRTH
SOCIAL SECURITY
NUMBER
4. LICENSE / CERTIFICATE INFORMATION
Does your business have
an IFTA or an IRP account?
YES - enter applicable information
NO - Skip to the next question
IFTA LICENSE NUMBER BASE STATE
IRP ACCOUNT NUMBER BASE STATE IRP ACCOUNT NUMBER BASE STATE
Has your business or any official of the business had any type of local, state, or federal certificate or license denied, suspended, or revoked?
YES - list certificate / license type(s) and number(s) below.NO
Certificate / License Type
Certificate / License
Number
Certificate / License was:
(check if applicable)
Reason
SUSPENDED/REVOKED
DENIED
SUSPENDED/REVOKED
DENIED
Have you as a sole proprietor, or a partner, or the business name provided above, or any business official listed above, ever been convicted or assessed a civil
penalty for operating, offering, advertising, providing, procuring, furnishing or arranging to transport passengers for compensation without first obtaining a license,
permit or certificate from DMV?
YES - provide additional detail below.NO
FULL LEGAL NAME
CONVICTION
CIVIL PENALTY
COURT(if conviction)
FULL LEGAL NAME
CONVICTION
CIVIL PENALTY
COURT(if conviction)
OA 150 (04/24/2018) -- Page 2
5. CERTIFICATION
I certify that I will comply with all of the applicable provisions of the Code of Virginia, Title 46.2, and with all applicable requirements prescribed by the Virginia
Department of Motor Vehicles. I affirm that all taxes, fees, penalties, interest, and judgements due the Commonwealth of Virginia have been paid or satisfied and
that I am in compliance with the Worker's Compensation Act of Title 65.2 and with the Business, Professional, and Occupational License Tax requirements. I
further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the
information included in all supporting documentation is true and accurate. I make these certifications and affirmations under penalty of perjury and I understand
that knowingly making a false statement or representation on this form is a criminal violation. I understand that any Virginia Operating Authority certificate or
license issued to me can be suspended and revoked if any of the information in the application is found to be untrue or inaccurate.
DATE (mm/dd/yyyy)APPLICANT OR AUTHORIZED REPRESENTATIVE SIGNATURE
APPLICANT OR AUTHORIZED REPRESENTATIVE TITLEAPPLICANT OR AUTHORIZED REPRESENTATIVE NAME
Ä
STOP
AVOID DELAYS in processing your application, review instructions to ensure you have completed this application correctly.
6. PAYMENT METHODS
Applicants must include a NON-REFUNDABLE $50.00 fee with this application. If this application must be returned to you for any reason, you may be required to
pay another $50.00 filing fee.
(Check one:)
CREDIT CARD / E-Check -- provide contact number →
CHECK / MONEY ORDER -- Made payable to DMV
TELEPHONE NUMBER
NOTE: In our continuing effort to safeguard customer information, DMV does not accept credit card payments by mail or email. You may pay with a credit card
by having a Motor Carrier Services Representative contact you. We accept checks and money orders via mail.
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OR LICENSE APPLICATION OPERATING AUTHORITY CERTIFICATE (Virginia Department of Motor Vehicles)

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Completed 2 November 2020

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