Washington Metropolitan Area Transit Commission

Page 1 of 4



    WASHINGTON METROPOLITAN AREA TRANSIT COMMISSION
    8701 Georgia Avenue, Suite 808
    Silver Spring, MD 20910-3700
    (301) 588-5260
    www.wmatc.gov


    APPLICATION TO OBTAIN, TRANSFER, OR AMEND IRREGULAR ROUTE AUTHORITY


    USE THIS FORM to obtain, transfer, or amend authority to transport passengers for hire in motor vehicles over irregular routes between points in the Washington Metropolitan Area Transit District (Metropolitan District). A transfer of authority includes a merger, acquisition or other transfer of control over a carrier or a carrier’s assets or operations.
    THE METROPOLITAN DISTRICT consists of the following:
    * The District of Columbia;
    * Alexandria, Falls Church, Arlington County, and Fairfax County, Virginia, and the political subdivisions located therein;
    * Montgomery County and Prince George’s County, Maryland, and the political subdivisions located therein;
    * Washington Dulles International Airport; and
    * All other cities now or hereafter existing in Maryland or Virginia within the borders of the foregoing cities, counties, and airport.
    DO NOT USE THIS FORM to make a simple name change or to add a seating capacity restriction to an existing certificate or to obtain authority for passenger transportation solely in Virginia.
    INSTRUCTIONS
    1. Check type of application(s) below.
    2. Part I -- Read and complete.
    3. Part II – Upload Attachment A and if necessary, Attachment B.
    4. Part III – Read and submit Verification
    5. Pay filing fee(s). See below.
    Note: Application filing fees are in addition to any publication cost and costs associated with a hearing if one becomes necessary.

    Filing Fee
    TYPE OF APPLICATION (Check as Appropriate)*
    Invalid Input
    $300.00
    Obtain Unrestricted Certificate of Authority - Operate any size vehicle ($5 million insurance)

    Invalid Input
    $300.00
    Obtain Restricted Certificate of Authority - Operate only vehicles seating 15 persons or less ($1.5 million insurance)

    $300.00
    Invalid Input
    Invalid Input
    Invalid Input

    $300.00
    Invalid Input
    Invalid Input
    Invalid Input

    $300.00
    Invalid Input
    Invalid Input
    Invalid Input

    $150.00
    Invalid Input

    $150.00
    Invalid Input

    $
    Invalid Input
    Total Due
    INVALID - Please check only one box.

    PART 1
    Applicant Information

    Form of Business*
    Please check one box.
    Invalid Input
    Select one option that describes applicant's form of business
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input

    Name and Address*
    Applicant's complete legal name, street address, and phone MUST be completed.*
    For transfer applications, the applicant is the one to whom authority is being transferred.
    A trade name is not required. If applicant wishes to conduct business under a name different from its legal name, indicate the trade name and include Attachment B.
    For more information about Attachments A and B, see Part 2.
    Legal Name*
    Invalid Input
    (as it appears on attachment A) What's this?
    Trade Name
    Invalid Input
    (as it appears on attachment B) What's this?

    Street*
    Invalid Input
    Apt./Suite
    Invalid Input
    City*
    Invalid Input
    State*
    Invalid Input
    Zip*
    Invalid Input

    Mailing Address
    Street
    Invalid Input
    Apt./Suite
    Invalid Input
    City
    Invalid Input
    State
    Invalid Input
    Zip
    Invalid Input

    Phone Number*
    Invalid Input
    Other Phone
    Invalid Input
    Fax Number
    Invalid Input
    Email*
    Invalid Input

    Contact
    Please enter contact information - First Name, Last Name, Title, Street, City, State, Zip, Phone Number, and Email.
    Applicants other than sole proprietors MUST designate a representative to receive
    filings, inquiries and correspondence regarding this application.
    Sole proprietors may, but need not, designate a representative.
    Invalid Input
    First Name
    Invalid Input
    Middle Name
    Invalid Input
    Last Name
    Invalid Input
    Title
    Invalid Input
    Street
    Invalid Input
    Apt./Suite
    Invalid Input
    City
    Invalid Input
    State
    Invalid Input
    Zip
    Invalid Input

    Phone Number
    Invalid Input
    Other Phone
    Invalid Input
    Fax Number
    Invalid Input
    Email
    Invalid Input


    Agent
    IF Applicant's place of business is outside the Metropolitan District, an agent must be designated
    inside the Metropolitan District to accept service on behalf of applicant.
    See page one for description of Metropolitan District.
    Please enter agent information - First Name, Last Name, Street, City, State, Zip, Phone Number, and Email.
    Invalid Input
    First Name
    Invalid Input
    Middle Name
    Invalid Input
    Last Name
    Invalid Input
    Street
    Invalid Input
    Apt./Suite
    Invalid Input
    City
    Invalid Input
    State
    Invalid Input
    Zip
    Invalid InputError. Your agent must be located inside the Metropolitan District.

    Phone Number
    Invalid Input
    Other Phone
    Invalid Input
    Fax Number
    Invalid Input
    Email
    Invalid Input
    Please enter valid telephone numbers.

    Note: If you have not advanced to the next page, check your application for error messages (marked in red) indicating missing information.
    Common Control*
    Invalid Input. Please check one box.
    Check one box to indicate whether applicant has a control relationship with one or more existing
    WMATC carriers. If so, specify the WMATC carrier(s).

    Note: a control relationship is when, directly or indirectly, a WMATC carrier owns or controls applicant, applicant owns or controls a WMATC carrier, or a WMATC carrier and applicant are both owned or controlled by the same person or company. Examples of a control relationship include, but are not limited to: a parent-subsidiary relationship, overlapping management personnel, common ownership of applicant and a WMATC carrier by a person or holding company, or interlocking directorates.

    Invalid Input
    number(s)
    Invalid Input
    Invalid Input

    Other Passenger Carrier Authority*
    Please check one box.Please check one or more boxes, and its required number, if needed.
    Check one or more boxes to indicate whether applicant currently holds passenger carrier authority
    from a federal and/or state agency. If so, list applicant's assigned carrier number.
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input

    Fitness Findings*
    Please check one box.
    Check one box to indicate whether any transportation regulatory agency has
    investigated applicant and/or found applicant unfit within the past five years.

    Invalid Input
    Invalid Input
    Invalid Input

    Bankruptcy*
    Please check one box.
    Check one box to indicate whether applicant is currently in bankruptcy

    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input

    Vehicles*
    Check one or more boxes to indicate type of vehicle
    Check one or more boxes to indicate the type(s) of vehicle(s) applicant plans to use
    to provide for-hire passenger transportation.
    For each type of vehicle checked, please provide a count of the vehicle(s) applicant
    plans to begin operations with.
    For each type of vehicle checked, indicate the maximum seating capacity, including
    the driver


    Invalid Input
    No. of
    Vehicles

    Invalid Input
    Seating
    Capacity
    Invalid Input Invalid Input


    Invalid Input


    Invalid Input

    Invalid Input Invalid Input


    Invalid Input


    Invalid Input

    Invalid Input Invalid Input


    Invalid Input


    Invalid Input

    Invalid Input Invalid Input


    Invalid Input


    Invalid Input

    Invalid Input Invalid Input


    Invalid Input


    Invalid Input

    Invalid Input Invalid Input


    Invalid Input


    Invalid Input


    Invalid Input
    Specify type
    Invalid Input Invalid Input

    Service and Rates*
    Invalid Input
    Check one or more boxes to indicate the type(s) of transportation service
    and rates applicant proposes to charge.
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input

    Invalid Input

    Note: If you have not advanced to the next page, check your application for error messages (marked in red) indicating missing information.
    Please wait...

    PART 2
    Attachments A and B


    Attachment A:
    File must be under the size of 4MB and must be .pdfFile must be under the size of 4MB and must be .pdf
    What's this?
    All Applicants MUST provide an Attachment A.
    Sole Proprietors:Attach a copy of proprietor's driver's license.
    General Partnerships:Attach a copy of the partnership's agreement.
    Corporations, LLCs, LLPs, and LPs: Attach a Certificate of Good Standing from
    the state where applicant was formed. The certificate must be dated within 6 months
    of the date the application is filed.

    Attachment B:
    File must be under the size of 4MB and must be .pdfFile must be under the size of 4MB and must be .pdf
    What's this?
    Error. On page 2 of the application form you indicated you propose using a trade name, but you have not uploaded Attachment B, proof of trade name registration.
    If applicant wishes to use a trade name, include proof of trade name registration
    from the jurisdiction where applicant's principal place of business is located.
    DC:Department of Consumer and Regulatory Affairs.
    MD:Department of Assessments and Taxation
    VA: Circuit Court in the county or city where applicant's principal place of business is located.

    Note: If applicant's principal place of business is located outside the District of Columbia, Maryland, and Virginia, applicant may submit proof of trade name registration from either: 1) the jurisdiction where applicant's principal place of business is located; or 2) from the jurisdiction inside the Metropolitan District where applicant's local office or designated agent is located.



    PART 3
    Applicant's Verification

    Applicant’s verification applies to all information submitted in support of this application, including supplemental filings made after this initial submission.

    ›› An application by a sole proprietor must be verified by the sole proprietor.

    ›› An application by a corporation, LLC or similar entity must be verified by an officer.

    ›› An application by a partnership must be verified by a general partner.


    * Invalid Input

    * Invalid Input

    1. Applicant owns or leases, or has the means to acquire through ownership or lease, one or more motor vehicle(s) that meets the Commission’s safety requirements and is suitable for the transportation proposed in this application.

    2. Applicant has, or has the means to acquire, a motor vehicle liability insurance policy that provides the minimum amount of coverage required by Commission Regulation No. 58-02.

    3. Applicant has access to, is familiar with and will comply with the Compact, the Commission’s rules, regulations and orders, and Federal Motor Carrier Safety Regulations as they pertain to transportation of passengers for hire.


    Name*

    Invalid Input
    Date*

    Invalid Input
    Title (not required for sole proprietors)*

    Invalid Input Invalid Input


    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Invalid Input
    Amount Due $
    Invalid Input

    Note: If you have not advanced to the next page, check your application for error messages (marked in red) indicating missing information.