Solicitud

OMB NO: 2126-0016 EXPIRATION DATE:
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. The OMB Control Number forthis information collection is 2126-0016. Public reporting for this collection of information is estimated to be approximately 4 hours per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of information are mandatory. Send comments regarding this burden estimate or anyother aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Motor Carrier Safety Administration, MC-MMI, Washington, D.C. 20590.

U.S. Department of Transportation Federal Motor Carrier Safety Administration

FORM OP-1(MX) Application to Register Mexican Carriers for Motor Carrier Authority ToOperate Beyond U.S. Municipalities and Commercial Zones on the U.S.-Mexico Border

This application is for all Mexico-domiciled carriers requesting to register to operate as motor carriers of passengers or property in interstate commerce between Mexico and points in the United States beyond the municipalities and commercial zones adjacent to the border, and for all Mexican persons or entities whohad previously filed applications for registration under NAFTA provisions and who are required to supplement the information in their original applications by completing and re-filing the revised Form OP-1(MX).

For FMCSA Use Only Docket No. MX_____________________________________ DOT No. __________________________________________ Filed ____________________________________________ Fee No.__________________________________________ CC Approval Number _______________________________ Application Tracking Number _________________________

SECTION I - APPLICANT INFORMATION LEGAL BUSINESS NAME: _________________________________________ DOING BUSINESS AS NAME: (Trade Name, if any) _____________________

Form OP-1(MX)

BUSINESS ADDRESS: (Actual Street Address):____________________________________________________________

___
(Street Name and Number)

__________ _____________________________________________________
(City) (State) (Country) (Zip Code)

(Colonia) (_______)________________
(Telephone Number)

(_______)________________
(Fax Number)

MAILING ADDRESS: (If different from above) _______________________________________________________________
(Street Name and Number)

____________________________________________________________

___
(City) (State) (Country) (Zip Code)

(Colonia) U.S. ADDRESS: (Does the applicant currently have an office in the United States? If yes,
give address and telephone number.) (Street Name and Number)

____________________________________________________________

__
(City) (State)(Country) (Zip Code)

(_______)________________
(Telephone Number)

(_______)________________
(Fax Number)

APPLICANT’S REPRESENTATIVE: (Person who can respond to inquiries)
(Name and title, position, or relationship to applicant) (Street Name and Number)

____________________________________________________________

__
(City) (State) (Country) (Zip Code)

(Colonia – Mexicanaddresses only) (_______)________________
(Telephone Number)

(_______)________________
(Fax Number)

US DOT NUMBER (If available) ______________________________________

Form OP-1(MX)

FORM OF BUSINESS (Check one) CORPORATION (Give Mexican or U.S. State of Incorporation) _________ ____________________________________________________ SOLE PROPRIETORSHIP (Give full name of individual)...