↦

Fill Out Your Mcsa 5889 Form

The MCSA 5889 form is a document utilized by the Federal Motor Carrier Safety Administration (FMCSA) to request essential changes in motor carrier records. This form accommodates updates related to a motor carrier's name, address, and reinstatement of operating authority. To ensure your information stays current, fill out the form by clicking the button below.

Launch Mcsa 5889 Editor Now

Article Structure

The MCSA 5889 form plays a critical role in the regulation of motor carriers in the United States, providing a structured way for entities to manage and communicate essential information concerning their operations. This form, utilized primarily by the Federal Motor Carrier Safety Administration (FMCSA), facilitates the process of updating key details such as legal names, "doing business as" (DBA) names, addresses, and reinstatements of operating authority. With the current expiration date of July 31, 2024, it’s important to understand that while the form itself will need to be renewed periodically, the underlying requirement for information collection remains active. Not only does the form contain sections for address changes and name updates, but it also defines the necessary details for reinstating operating authority, along with the fees associated with these alterations. Applicants are reminded that part of their obligation is to provide accurate information, as any errors or omissions could lead to significant consequences under federal law. Furthermore, it is noteworthy that submission options include online, via fax, or traditional mail, affording flexibility in how motor carriers can comply with these important regulatory requirements. For any inquiries, the FMCSA reassures applicants that they can seek assistance through dedicated contacts, ensuring that navigating this process can be as straightforward as possible.

Mcsa 5889 Example

FORM MCSA-5889	OMB No.: 2126-0060 Expiration: 7/31/2024

Please note, the expiration date as stated on this form relates to the process for renewing the Information Collection Request for this form with the Office of Management and Budget. This requirement to collect information as requested on this form does not expire. For questions, please contact the Office of Registration and Safety Information, Registration, Licensing, and Insurance Division.

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 for this information collection is 2126-0060. Public reporting for this collection of information is estimated to be approximately 15 minutes 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 voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Motor Carrier Safety Administration, MC-RRA, 1200 New Jersey Avenue, SE, Washington, D.C. 20590.

United States Department of Transportation

Federal Motor Carrier Safety Administration

FMCSA Office of Registration and Safety Information

Motor Carrier Records Change Form

FORM MCSA-5889

FMCSA — Office of Registration & Safety Information 6th Floor, 1200 New Jersey Ave. SE, Washington, DC Fax: (202) 366-3477 (Licensing)

(202)385-2422 (Insurance) Customer Service: (800) 832-5660

Name and address changes and reinstatements of operating authority can be requested on our web site at https://li-public.fmcsa.dot.gov/LIVIEW/PKG_ REGISTRATION.prc_option (supporting documents must be submitted separately). You may submit this form to the above address, via our web form at https://ask. fmcsa.dot.gov/app/ask, or fax it to 202-366-3477. There is no fee for an address change, but name changes cost $14 and reinstatements $80. For more assistance with these transactions and other Registration, Licensing and Insurance functions (including transfers of operating authority), see the FAQs at https://ask.fmcsa.dot.gov.

Please submit all the requested data in Section A as represented in your current USDOT records. Changes can be indicated in Section B for address changes, Section C for name changes, and Section D for Reinstatements. Credit card information can be submitted in Section E. Any partially-submitted data will be kept for 30 days. If the rest of the information is not submitted within that time, the submitted data will be discarded. FMCSA cannot make any changes until all required data is supplied.

Section

ALL MUST COMPLETE

TODAY’S DATE

REQUESTOR’S FAX NUMBER (include area code) REQUESTOR’S E-MAIL ADDRESS (if any)

MOTOR CARRIER IDENTIFICATION INFORMATION:

CURRENT LEGAL NAME (personal, partnership, or corporation)

CURRENT “DOING BUSINESS AS NAME” (if different from legal name)

DOCKET/MC NUMBER USDOT NUMBER

MX NUMBER: (MX only)

RFC NUMBER: (MX only) FF NUMBER: (freight forwarders only)

ADDRESSES (as currently listed in FMCSA systems):


STREET ADDRESS		CITY	STATE/PROV. ZIP CODE	PHONE (include area code)
PHONE NUMBERS:

CURRENT BUSINESS NUMBER	CURRENT CELL PHONE
(include area code)	NUMBER (include area code)

AFFILIATION WITH FMCSA-LICENSED ENTITIES OR OTHER APPLICANTS APPLYING FOR USDOT NUMBER REGISTRATION

Do you currently have, or have you had within the last three years of the date of this application, relationships involving common stock, common ownership, common management, common control or familial relationships with any FMCSA-regulated entities?

Yes No

If yes, provide the name of the company, USDOT Number, MC/FF/MX Number, and the company’s latest USDOT safety rating.

Applicant must indicate whether these entities are currently disqualified from operating commercial motor vehicles anywhere in the United States pursuant to section 219 of the Motor Carrier Safety Improvement Act of 1999 (MCSIA) (Public Law 106-159, 113 Stat. 1748 (Dec. 9, 1999)).

FORM MCSA-5889 • Page 1 of 3

Rev 01/05/2021

FORM MCSA-5889				OMB No.: 2126-0060 Expiration: 7/31/2024


	USDOT NUMBER*	MC/FF/MX	LEGAL NAME*	DBA NAME	CURRENT
		NUMBER			SAFETY RATING*

	USDOT NUMBER*	MC/FF/MX	LEGAL NAME*	DBA NAME	CURRENT
		NUMBER			SAFETY RATING*

	US NUMBER*	MC/FF/MX	LEGAL NAME*	DBA NAME	CURRENT
		NUMBER			SAFETY RATING*

*These are required fields.

APPLICANT’S OATH

I verify under penalty of perjury, under the laws of the United States of America, that all information supplied on this form or relating to this application is true and correct. Further, I certify that I am qualified and authorized to file this application. I know that willful misstatements or omissions of material facts constitute Federal criminal violations punishable under 18 U.S.C. § 1001 by imprisonment of up to 5 years and fines up to $250,000 for each offense.

Additionally these statements are punishable as perjury under 18 U.S.C. § 1621, which provides for fines of up to $250,000 or imprisonment of up to 5 years for each offense.

I further certify under penalty of perjury, under the laws of the United States, that I have not been convicted, after September 1, 1989, of any Federal or State offense involving the distribution of possession of a controlled substance, or that if I have been so convicted, I am not ineligible to receive Federal benefits, either by court order or operation of law, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, formerly Pub. L. 100-690, Title V, Section 5301, Nov. 18, 1988, 102 Stat. 4310, renumbered and amended Pub. L. 101-647, Title X, Section 1002 (d), Nov. 29, 1990, 104 Stat. 4827 (21 U.S.C. 862).

APPLICANT NAME (print or type)

APPLICANT TITLE

APPLICANT SIGNATURE

Section

ADDRESS CHANGES ONLY

Submit Address Change Requests via our web form at https://ask.fmcsa.dot.gov/app/ask or fax to (202) 366-3477.

MX Carriers only:

I am enclosing a copy of my Tarjeta de Circulacion (required).


NEW STREET ADDRESS		NEW CITY		NEW STATE/COUNTRY PHONE (include area code) ZIP CODE

Check if new physical and mailing addresses are the same. Otherwise, complete mailing address information below.


NEW MAILING ADDRESS		MAILING CITY		MAIL STATE/COUNTRY PHONE (include area code) ZIP CODE

Section

NAME CHANGES ONLY

Submit Name Change Requests and documentation via our web form at https://ask.fmcsa.dot.gov/app/ask or fax to (202) 366-3477.

IS THERE ANY CHANGE IN OWNERSHIP, MANAGEMENT, OR CONTROL OF THE COMPANY? ARE YOU A MEXICAN CARRIER?

Yes — if you answer yes to one of the questions, you must report a transfer of	No — there is no change in ownership; skip the next box and enter new
authority or select one of the options in the next box:	name below it:

I am making one of the following changes which does not require a transfer (select one) but does require documentation (include with form submission):

Hand-over to or addition/deletion of close blood relatives, i.e., child, spouse, or sibling (notarized letter enclosed)

Addition of partner through marriage (marriage license enclosed)

Changes to existing corporation (copy of articles of incorporation from the state government enclosed)

Deletion of partner through death (copy of death certificate enclosed)

Deletion of spouse due to divorce (copy of divorce agreement enclosed)

Incorporating (copy of articles of incorporation from the state government enclosed)

I am an MX carrier and am also enclosing a copy of my Tarjeta de Circulacion

NEW LEGAL NAME (personal, partnership, or corporation)

I authorize the Federal Motor Carrier Safety Administration to charge $14 to the credit card below for this name change.

NEW “DOING BUSINESS AS NAME” (if different from legal name)

I have attached payment in the amount of $14 in the form of a check or money order, payable to FMCSA, to the address in Section E.

FORM MCSA-5889 • Page 2 of 3

FORM MCSA-5889	OMB No.: 2126-0060 Expiration: 7/31/2024

Section

REINSTATEMENT OF OPERATING AUTHORITY ONLY

Submit Reinstatement Requests via our web form at https://ask.fmcsa.dot.gov/app/ask or fax to (202) 385-2422.

I WOULD LIKE TO REINSTATE THE FOLLOWING AUTHORITY(s):

Motor carrier operating authority

Broker authority

Freight Forwarder authority

PLEASE CHECK THE BOX TO INDICATE YOUR ASSENT TO THIS STATEMENT:

I understand that reinstatements may not be processed immediately. It is the responsibility of the motor carrier to ensure that they are in full compliance with all FMCSA regulations prior to beginning interstate operations. Authority will not be reinstated until BOC-3 Form (Designation of Process Agent) and required insurance are on file. More instructions can be found at http://www.fmcsa.dot.gov/registration/insurance-requirements.

and CHECK ONE OF THE FOLLOWING OPTIONS:

I authorize the Federal Motor Carrier Safety Administration to reinstate the operating authority of the Motor Carrier/Broker/Freight Forwarder identified above. I understand that the credit card below will be charged $80, and that this Authorization will be stored electronically with the credit card number obscured, except for the last four numbers.

I authorize the Federal Motor Carrier Safety Administration to reinstate the operating authority of the Motor Carrier/Broker/Freight Forwarder identified above. I have attached payment of $80 in the form of a check or money order, payable to FMCSA, to the address in section E.

Section

PAYMENT: NAME CHANGES AND REINSTATEMENTS ONLY

Pursuant to 49 CFR 360.3(c), fees are not refundable. After the application or document has been accepted for filing by the FMCSA, the filing fee will not be refunded, regardless of whether the document is granted or approved, denied, rejected, dismissed or withdrawn.

VISA

MasterCard

$14 (Name Change)

CREDIT CARD NUMBER

American Express

Discover

EXPIRATION DATE

PAYMENT:

$80 (Reinstatement)

NAME ON CARD

BILLING ADDRESS

CITY

Alabama

ZIP CODE

SIGNATURE

DATE

STATE/PROVINCE

Alaska

CHECKS/MONEY ORDERS ONLY: I am NOT paying by credit card, but with a check or money order, which I will send with this form to:

Alberta

Overnight express mail: U.S. Bank Government Lockbox

Regular mail: Federal Motor Carrier Safety Administration

American Samoa

P.O. Box 6200-33

Attn: Federal Motor Carrier Safety Admin., 6200-33

Arizona

Portland, OR 97228-6200

17650 NE Sandy Blvd.

Arkansas

Portland, OR 97230

British Columbia

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Guam

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Manitoba

Marshall Islands

Maryland

Massachusetts

Michigan

Micronesia

Minnesota

Mississippi

FORM MCSA-5889 • Page 3 of 3

Missouri

Montana

Get Mcsa 5889 PDF Form

Form Characteristics

Fact Name	Details
OMB Number	2126-0060
Expiration Date	July 31, 2024
Fee Structure	No fee for address changes; $14 for name changes; $80 for reinstatements.
Voluntary Responses	All responses are voluntary and not subject to penalties for non-compliance.
Public Reporting Time	Estimated time for completion is approximately 15 minutes per response.
Submission Options	Form can be submitted via web form, fax, or mail to FMCSA.

Guidelines on Utilizing Mcsa 5889

Filling out the MCSA 5889 form requires careful attention to detail. This form enables applicants to request changes to their motor carrier information with the Federal Motor Carrier Safety Administration. Below are the steps necessary to accurately complete the form.

Begin by entering today’s date in the designated field.
Provide your fax number with the area code.
If you have an email address, include it in the appropriate field.
Complete the Motor Carrier Identification Information section:

Enter your current legal name.
If applicable, provide your "Doing Business As" (DBA) name.
Include your Docket/MC number, USDOT number, MX number (if applicable), and RFC number (if applicable).
List your freight forwarder number if relevant.

Fill in your current address as recorded in FMCSA systems, including:

Street address
City
State
Zip code
Phone number

Provide your current business and cell phone numbers.
Answer the question regarding relationships with FMCSA-regulated entities and provide additional details if required.
Sign the applicant’s oath certifying the correctness of the information provided.
If applicable, move to Section B for address changes and fill in the new address information.
For name changes, complete Section C, including any necessary documentation.
Address any reinstatement requests in Section D and check the appropriate options.
Finally, complete Section E for payment options, including credit card or check information.

What You Should Know About This Form

What is the MCSA 5889 form used for?

The MCSA 5889 form is used by motor carriers and other regulated entities to request changes in their identification information held by the Federal Motor Carrier Safety Administration (FMCSA). This includes updates to company names, addresses, and reinstatements of operating authority. It is an important tool for ensuring that the FMCSA has current and accurate information about companies operating commercial motor vehicles.

How can I submit the MCSA 5889 form?

You can submit the MCSA 5889 form in several ways. It can be sent via mail to the FMCSA's Office of Registration and Safety Information, or it can be submitted through the FMCSA's web form. Fax submissions are also accepted. Make sure to check which method is most convenient for you and adhere to any specific requirements for each method.

Is there a fee for submitting the MCSA 5889 form?

There is no fee for changing your address on the form. However, if you are requesting a name change, there is a $14 fee, and it costs $80 for reinstating operating authority. Fees can be paid by credit card or by attaching a check or money order with your submission.

What information is required on the MCSA 5889 form?

The form requires several key pieces of information such as your current legal name, doing business as (DBA) name, and your USDOT number. You also need to complete sections depending on whether you are changing your name, address, or requesting a reinstatement. Make sure to provide complete and accurate information as any errors can delay processing.

How long does it take to process the MCSA 5889 form?

Processing times can vary. Typically, if all required information is complete and accurate, processing your request may take some time. Be sure to check any updates or confirmations from FMCSA regarding the status of your submission to avoid any operational disruptions.

What happens if I submit incomplete information?

If you submit incomplete information, the FMCSA cannot process your form. The partially submitted data will be retained for 30 days, during which you can complete the missing information. If you do not submit the required information within that timeframe, your submission will be discarded, and you will need to start over.

Can I use the MCSA 5889 form if my business has changed ownership?

Yes, but you need to provide documentation about the change in ownership alongside your submission. If there is a significant change, such as a transfer of shares or management control, this should be reported on the form, and appropriate supporting documents must be included to facilitate the processing of your request.

What if I have questions while filling out the MCSA 5889 form?

If you have questions or need assistance, the FMCSA provides resources and customer service support. You can reach out via the contact details listed on the form, or visit the FMCSA website for FAQs and additional guidance. It’s always a good idea to seek help if you’re unsure about any part of the process.

Where can I find additional information on submitting the MCSA 5889 form?

Additional information can be found on the FMCSA's official website, where you will see instructions and resources dedicated to the MCSA 5889 form. For specific queries, the site features an Ask FMCSA help section to guide you through your needs. This ensures that you are well-informed before submission.

Common mistakes

Completing the MCSA 5889 form can seem straightforward, but many people make common mistakes that can delay the process. Understanding these pitfalls can ease the experience and ensure a smoother submission. Here are nine frequently encountered errors when filling out this essential form.

One major mistake is neglecting to include today's date. Section A asks for it, yet many overlook this requirement. Failing to date the form can lead to unnecessary confusion, especially regarding the timing of your application. Always take a moment to ensure that this simple but vital detail is not skipped.

Another common error involves incomplete or inaccurate identification information. Applicants sometimes provide wrong or outdated names and numbers, such as the USDOT number or the current legal name. Each mistake here can complicate verification. Before submission, double-check your details against official records to prevent any misalignment.

A lack of clarity in Section B can also cause issues. When indicating address changes, some applicants forget to specify if the new mailing address is the same as the physical address. If these sections aren’t clearly differentiated, it may lead to miscommunication about your actual location.

In addition, misunderstandings about the ownership or management structure often result in incorrect responses in Section C. If there's a change in ownership, it’s crucial to state it appropriately. Incorrect information here can lead to the rejection of your application.

People also sometimes skip the necessary documentation required for name changes or corporate structure alterations. If you indicate a name change, ensure you include the required documentation, such as a marriage license or articles of incorporation. Omitting these documents can halt processing and lead to further complications.

Section D, which pertains to reinstatement requests, often encounters inaccuracies. Some applicants fail to confirm their compliance with FMCSA regulations before seeking reinstatement. This oversight can lead to a denial of the request. It’s important to thoroughly review compliance requirements prior to submission.

Another frequent mistake is incorrectly filling out payment information. Applicants may enter the wrong credit card details or fail to specify whether they are paying by credit card or check. This ambiguity can stall the process, so be sure to clearly indicate your method of payment.

Additionally, some individuals underestimate the importance of contact information. Errors in the requestor's fax number or email address can hinder communication regarding the application. Always double-check that these details are accurate and up to date.

Lastly, making assumptions about how to submit the form can lead to errors. Some applicants opt not to read the instructions thoroughly and wrongly assume they can handle submissions their own way. Instead, ensure you follow the specified submission methods stated in the form, whether mailing, faxing, or using the web form provided.

Being aware of these nine common mistakes can help ensure a more successful and efficient filing process for the MCSA 5889 form. Take your time, review details carefully, and follow the provided guidelines to avoid hiccups in your submission.

Documents used along the form

The MCSA 5889 form serves as a vital document for motor carriers in the United States, primarily concerning name changes, address updates, and reinstatement requests. Alongside this form, various other documents are often utilized to facilitate the registration and operation of motor carriers. Understanding these related forms can streamline the process for applicants.

BOC-3 Form (Designation of Process Agent): This form designates an agent in each state where a motor carrier operates. It is necessary for receiving legal documents and must be on file for compliance with federal regulations.
Form 2290 (Heavy Highway Vehicle Use Tax Return): Motor carriers must file this form annually for vehicles that weigh 55,000 pounds or more. It determines the tax owed for heavy highway vehicle usage.
MC Application (Form OP-1): This application is required for operators seeking authority to transport freight or passengers across state lines. Approval from the FMCSA is necessary for legal operations.
Insurance Filing (MCS-90): This document provides proof of insurance, ensuring that motor carriers maintain adequate coverage for their operations as mandated by the FMCSA.
DOT Accident Report Form: In the event of an accident, this form is used to report details to the FMCSA, helping ensure compliance with safety regulations and assessment of insurance needs.
FMCSA Safety Report: Carriers are typically required to submit safety performance data, which includes inspection and crash reports. This document helps determine adherence to safety standards.

Collectively, these forms and documents integrate into the broader regulatory framework that supports safe and legal motor carrier operations in the United States. Each serves a specific purpose and helps to uphold the standards set forth by the Federal Motor Carrier Safety Administration.

Similar forms

The MCSA 5889 form is similar to several other important documents utilized in the transportation and motor carrier industry. Here are six documents that share similarities:

Form MCSA-5888 - Application for U.S. DOT Number: This form is used for obtaining a U.S. DOT Number, which is essential for commercial vehicles. Like the MCSA 5889, it collects critical information regarding the entity's operations and is essential for regulatory compliance.
Form BOC-3 - Designation of Agents for Service of Process: This document designates individuals or companies as agents to receive legal documents. Like the MCSA 5889, it is vital for maintaining compliance with federal regulations relating to operating authority.
Form MCSA-1591 - Safety Compliance Review Request: This form is submitted to request a compliance review by the FMCSA. Similar to the MCSA 5889, it involves providing necessary operational details to ensure adherence to safety regulations.
Form MCSA-5887 - Application for Freight Forwarder Registration: This document is for those looking to register as freight forwarders. Like the MCSA 5889, it requires extensive information about the applicant's business operations.
Form MCSA-5140 - Request for Reinstatement of Authority: Used to request reinstatement after a lapse in operating authority, it shares similar purposes with the MCSA 5889 by ensuring compliance and continuation of operations.
Form MCSA-5851 - Application for Broker Authority: This is for businesses wishing to operate as brokers in transportation. Much like the MCSA 5889, this form collects comprehensive data on the broker’s business operations to ensure they meet regulatory guidelines.

Each of these forms plays a critical role in facilitating compliance with federal regulations and maintaining the integrity of the transportation industry.

Dos and Don'ts

Things to Do:

Read the instructions carefully before starting.
Fill out all required fields, such as the legal name and USDOT number.
Double-check the accuracy of your information before submission.
Use your current USDOT records to ensure consistency.
Submit any necessary supporting documents, especially for name and address changes.
Provide your contact information, like fax number and email address.
Indicate any changes clearly in the appropriate sections.
Keep a copy of the completed form for your records.
Use the designated payment methods for any applicable fees.
Submit the form via the correct channels, such as fax or web submission.

Things Not to Do:

Do not leave any required fields blank.
Avoid providing outdated information from previous forms.
Do not submit partial data, as it may lead to a rejection.
Don’t forget to review your application before sending it off.
Avoid using informal language or abbreviations.
Do not ignore the expiration date of the OMB Control Number.
Don’t attempt to submit the form without necessary documentation.
Do not assume your application is complete without checking each section.
Avoid submitting multiple forms for the same request.
Do not use a credit card that has expired for payments.

Misconceptions

The MCSA 5889 form, designed for motor carriers, often comes with several misconceptions. Understanding the truth behind these beliefs can help individuals navigate the process smoothly. Below are common misconceptions clarified.

The MCSA 5889 form is not required. Many believe it is optional, but submitting this form is necessary for certain changes related to motor carrier operations.
Name changes are free. A fee of $14 is applicable for processing name changes, which can lead to confusion.
Address changes can be made anytime. While address changes can be submitted, they should be done promptly, as FMCSA cannot process changes until all required data is submitted.
The form expires every year. Although the form itself has an expiration date for renewal purposes, the information collection requirement remains active.
Filing the form guarantees immediate processing. There is no immediate guarantee. FMCSA ensures compliance before proceeding with any requests.
You can submit the form without all required information. Incomplete forms will not be processed. All required fields must be filled in.
It is okay to submit the form without a payment method. Name changes and reinstatements require a payment method to be included; otherwise, processing will not occur.
Only major changes need to be reported. All updates, regardless of size, are important; reporting ensures compliance and accurate records.

By addressing these misconceptions, individuals can better understand their responsibilities and ensure timely and accurate submissions.

Key takeaways

Key Takeaways for Filling Out and Using the MCSA 5889 Form

The MCSA 5889 form is used for requesting changes to motor carrier records, including name and address updates.
Ensure all information is accurate and matches current records in the USDOT database.
Section A requires essential details about the motor carrier, including legal name and USDOT number.
Address change requests can be submitted without a fee, while name changes incur a charge of $14.
For reinstatements of operating authority, a payment of $80 is required.
Submit supporting documents separately if required for name changes or ownership transfers.
Incomplete submissions will be kept for 30 days; after that, they will be discarded if not fully completed.
Filling out the form is voluntary, but providing accurate information is crucial to avoid penalties.
Access the form via the FMCSA website or submit it through their web form or fax.
Be mindful of the OMB Control Number that needs to be displayed when responding to information requests.

Browse Other Templates

Kentucky Amended Tax Return - This form is ideal for individuals with simple tax situations and limited income sources.

Va 21-8940 - The form collects information on commercial life insurance received by the claimant.