Application Instructions for Short Form
Most
items on the application are self-explanatory.
Please make note of the following:
1. Provide Legal Name as it appears on federal
Form MCS-150.
2. Provide "doing business as" (DBA)
name, as it appears on federal Form MCS-150.
14. Provide a 24-hour phone number where the CARRIER
may be contacted in case of an incident or emergency involving a power unit
owned or operated by the applicant company. This number can include voice-mail,
an answering machine, or an answering service during non-business hours. This
number CANNOT be the number for a commercial emergency response telephone
service such as Chemtrec.
16.
Provide the USDoT HazMat Registration Number issued to the applicant by the US
Department of Transportation Pipeline and Hazardous Materials Safety
Administration (PHMSA). If the applicant does not carry hazardous materials of
a type or quantity that requires a federal hazardous materials registration
number, please put "N/A" in the space provided. [NOTE: This number
changes with each annual registration. The applicant should provide the most
recently issued number.]
17.
Provide the applicant's USDoT Motor Carrier Number as defined in 49 CFR Part
390.21.
18. Provide the Motor Carrier Docket number
issued to the applicant by the FMCSA (previously known as the ICC number).
19. Provide the U.S. EPA Identification Number
for the applicant's transportation activity, if the applicant company is
required to have such number in accordance with federal requirements for
transporting hazardous waste under 40 CFR 263.11. EPA guidance requires the
transporter "headquarters" to obtain a U.S. EPA identification
number. Do not supply generator or treatment, storage and disposal facility
numbers. If the applicant's services do not require an U.S. EPA ID number,
please put "N/A" in the space provided.
23. Indicate whether the applicant company
transports hazardous waste subject to the manifest requirements of 40 CFR
262.20 et. seq., or applicable state law relating to the Uniform Hazardous
Waste Manifest.
28. Indicate the previous twelve-month period for
which information in this application is provided. The applicant may use the
calendar year, fiscal year, or program year (e.g., IRP registration year). If
the applicant elects to change the reporting year in a subsequent application,
the applicant must inform the base state of its intention.
29. Applicant shall provide the average number of
power units owned, leased or operated for the time period indicated in Part 1,
Section C, Item 27 on page 1. For purposes of the Uniform Program, the
definition of a power unit is the same as "truck" and "truck
tractor" as defined in 49 CFR 390.5. The following categories of vehicles
may be excluded from the average reported.
30. If the applicant owns, leases, or operates
cargo tanks, please provide the average number of units for each category [(a)
and (b)] in the space provided. Otherwise, please put "NONE" in the
space provided.
31.
Applicant shall provide the
International Registration Plan (IRP) percentages (or their equivalent) for
miles traveled in each state for the previous IRP reporting year for each
fleet. All percentages should be rounded to two decimal places (e.g., 13.247 percent
should be reported as 13.25 percent) and the sum of these percentages must
equal 100 percent. Intrastate carriers
should allocate 100 percent to the state in which they operate.
If
a carrier maintains IRP mileage, it must use its IRP percentages. If the
carrier maintains IFTA fuel tax reporting mileage, but not IRP mileage, it must
use the IFTA percentages for this purpose. Percentages must include non-IRP and
non-IFTA fleet mileage. If the carrier does not maintain mileage records for
either IRP or IFTA, the carrier must calculate the apportioned mileage and
provide a brief explanation of the methodology used to calculate the
percentages.
32. Each applicant must provide the percentage of
its operations that can be considered transportation of hazardous materials.
The percentage of hazardous materials activity for less-than-truckload
shipments shall be the weight of all hazardous materials shipments divided by
the total weight of all shipments for either the last calendar year or the
applicant's fiscal year. For truckload shipments, the percentage of hazardous
materials activity shall be the number of placarded or marked shipments divided
by the total number of shipments for the most recent twelve-month period for
which this information is available. A carrier that transports both
less-than-truckload and truckload shipments of hazardous materials shall
calculate the percentage of hazardous materials activity on a proportional
basis.
The
applicant should place a check mark in the box next to the range that
corresponds to the percentage of the applicant's total operations that involves
the transportation of hazardous materials. Any worksheets or documentation that
supports the applicant's answer to this item should be retained and are subject
to review during an audit of the carrier's operations.
The
certifications must be checked and the application must be signed by an
official of the applicant company, authorized to certify applications for
registrations and permits.