The Arizona DWM156 form is the application for individuals seeking to become a licensed Public Weighmaster in Arizona. This essential document ensures that applicants meet the necessary qualifications and understand the regulations governing weighmaster duties. By completing this form, you take an important step toward operating legally and effectively in this role.
The Arizona DWM156 form serves as a crucial document for individuals seeking to become licensed public weighmasters in the state. This application, managed by the Arizona Department of Weights and Measures, requires applicants to provide essential information such as their name, birth date, and business details, including the business address and contact information. Notably, applicants must confirm that they are at least 18 years old and provide details about the scales they will be using, including the type of scale, its capacity, and its physical location. Furthermore, the form also asks for a description of the applicant's experience with the indicated scales, ensuring that only qualified individuals are licensed to perform weighing duties. Additionally, applicants must list any currently licensed deputy public weighmasters they may be associated with and specify their preferred seal type for certification. A significant aspect of this process is the requirement to pass a written examination, which tests the applicant's knowledge of relevant laws and regulations. To complete the application, individuals must also attach a draft of the weight certificate they plan to use. With a license fee of $48, the DWM156 form not only facilitates the licensing process but also upholds the standards and integrity of weighing practices in Arizona.
ARIZONA DEPARTMENT OF WEIGHTS AND MEASURES
PUBLIC WEIGHMASTER APPLICATION
4425 W Olive Avenue, Suite 134, Glendale AZ 85302-3844
LICENSE FEE = $48
Phoenix Metro assistance: 602-771-4935
PLEASE PRINT
Outside Phx Metro: 1-800-277-6675
FAX: 623-939-8586
APPLICANT NAME:
BIRTH DATE:
(Must be at least 18 years old)
BUSINESS NAME:
PHONE:
FAX:
BUSINESS ADDRESS:
CITY:
ZIP:
PHYSICAL LOCATION:
SCALE OWNER INFORMATION (if different from business name above):
SCALE OWNER NAME:
BMF#:
ADDRESS:
SCALE TYPE:
VEHICLE SCALE
OTHER
DECK/PLATFORM SIZE:
CAPACITY:
.
lbs x _____ ______
OTHER LOCATIONS WHERE YOU WILL BE A PUBLIC WEIGHMASTER:
1
2ADDRESS: SCALE OWNER NAME:
DECK/PLATFORM SIZE: ZIP:
DESCRIBE YOUR EXPERIENCE IN THE USE OF THE SCALE INDICATED ABOVE:
LIST CURRENTLY-LICENSED DEPUTY PUBLIC WEIGHMASTERS (Deputy Public Weighmaster application is required for individuals not currently licensed):
NAME
BIRTH DATE
SEAL REQUEST (check one)
STAMP
HAND HELD PRESS
DESK TOP PRESS
ARS 41-2093 requires a Public Weighmaster to have a valid Public Weighmaster license. In addition, applicants must pass a written examination before they can perform Public Weighmaster duties. This is to certify that I have full knowledge of Title 41, Chapter 15 and Arizona Administrative Code Title 20, chapter 2 as it relates to Public Weighmaster licensing and duties; and any other Department regulations relating to Public Weighmaster and will, upon licensure, operate in accordance with said laws, rules and regulations.
APPLICANT MUST ATTACH A DRAFT OF THE WEIGHT CERTIFICATE THAT WILL BE USED.
APPLICANT SIGNATURE:
DATE:
DEPT USE:
Test Date:
Score:
License Issued:
DWM156(3-00)
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