FORM MCS-150 OMB No.: 2126-0013 Expiration: 10/31/2025
FORM MCS-150 • Page 3 of 3
29. PASSENGER CARRIER COMPLIANCE CERTIFICATION:
ALL MOTOR PASSENGER CARRIER APPLICANTS must certify as follows:
Applicant is fit, willing, and able to provide the proposed operations and to comply with all pertinent statutory and regulatory
requirements, including the U.S. Department of Transportation’s Americans with Disabilities Act regulations for over-the-road bus
companies located at 49 CFR Part 37, Subpart H, if applicable.
YES
Private entities that are primarily in the business of transporting people, whose operations affect commerce, and that transport
passengers in an over-the-road bus (defined as a bus characterized by an elevated passenger deck over a baggage compartment) are
subject to the U.S. Department of Transportation’s Americans with Disabilities Act regulations located at 49 CFR Part 37, Subpart H.
For a general overview of these regulations, go to the Federal Motor Carrier Safety Administration’s Web site at www.fmcsa.dot.gov/
rules-regulations/bus/company/ada-guidelines.htm.
30. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR, PARTNERS, OR OFFICERS, AND TITLES
(e.g., president, treasurer, general partner, limited partner)
1. 2.
31. CERTIFICATION STATEMENT (to be completed by one of the authorized company officials listed in #30):
I, , certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal
(please type or print name)
(please type or print names) (please type or print titles)
Hazardous Materials Regulations. Under penalties of perjury, I declare that the information entered on this report is, to the best of my
knowledge and belief, true, correct, and complete.
Signature: Date: Title:
(please type or print)
27. DRIVER INFORMATION:
DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS
Within 100-Mile Radius
Beyond 100-Mile Radius
28. IS YOUR USDOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FMCSA?
Yes No If yes, enter your USDOT Number:
