Vehicle Transport/Disposal Addendum and Vehicle Transport/Disposal Certification and Approval (if applicable) other documentation as described in these instructions and fee payment to: State of Washington Business Licensing Service PO Box 9034 Olympia Washington 98507-9034 For more information contact: Phone: 360-705-6744 FAX: 360-705-6699
Washington Utilities and Transportation Commission Tariff 15-C -- Household Goods *Revised in Docket TV-151474 Effective: October 6 2016 Section 1 – General Application 1 st Revised Page No 5* Gross Weight: The weight of the shipment including the tare weight of the vehicle customer's goods all packing containers and all packing materials
STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTORIST SERVICES APPLICATION FOR TRANSPORTER LICENSE PLATE _____ License Plate Number(s) Assigned _____ Name of Business/Applicant _____ Street Address _____ City State Zip As a representative of the above named business I hereby apply for _____ (Number of Plates)
Permits may be used on sold vehicles that do not have current valid Washington license registration and on out-of-state licensed vehicles (The out -of-state plates have to be removed from the vehicle when it is sold unless sold to a resident of the state issuing that plate ) The title must be applied for within 45 days of the dat e of sale
The Washington State NEMT Program As allowed by federal regulations and in accordance with the NEMT SPA HCA contracts with six transportation brokers who serve 13 geographic regions and cover all 39 counties in Washington State Some brokers serve single‐ county regions and others serve multi‐county regions
Jan 01 2021 · transport service calls Removed general WAC reference 182-546 and added WAC for treat and refer and noncovered services Added link to Treat and Refer section of the guide Removed blue box about instances of when covered Removed transport language under ALS assessment Treat but no transport is covered in some instances Referenced
Client Name (Last First Middle Initial) Date of transport ProviderOne Client ID (If Applicable) Address City State ZIP Code County of Residence Homeless Transient Other: Birthdate (MM/DD/YYYY) SSN Gender Male Female Service Status (check the appropriate box) Voluntary Involuntary Voluntary Services Attestation