Arizona Form Dwm156 PDF Details

Ensuring accuracy and legality in the measurement of goods is a crucial component of commerce which is where the Arizona Dwm156 form plays a vital role. This document serves as an application for individuals seeking to become Public Weighmasters within the state, a position authorized by the Arizona Department of Weights and Measures. With a necessary age requirement of at least 18, applicants are required to provide detailed information including personal, business, and scale owner details, if applicable, alongside the scales' specifics they intend to use. The form underscores the diverse nature of weight measurement by accommodating various scale types and capacities, highlighting its thorough approach to ensuring precise transactions. Additionally, it requires the listing of any currently licensed Deputy Public Weighmasters and demands a demonstration of scale use experience, thereby ensuring that applicants possess the requisite skills for accurate weight measurement. Importantly, the form also makes it mandatory for applicants to acknowledge their understanding of the relevant Arizona laws and regulations, promising compliance upon licensure. The inclusion of a seal request section further aligns with the legal formalities involved in the certification and usage of weight certificates. By imposing a $48 licensing fee and necessitating a passed written examination, the Arizona Dwm156 form is meticulously designed to maintain integrity and reliability in the field of weights and measures, serving as a linchpin for trade fairness and consumer protection within Arizona.

QuestionAnswer
Form NameArizona Form Dwm156
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names

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CITY:
BMF#:
CITY:
BMF#:

 

 

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

ADDRESS:

 

 

SCALE OWNER NAME:

 

 

 

 

ZIP:

ADDRESS:

SCALE TYPE:

2ADDRESS: SCALE OWNER NAME:

VEHICLE SCALE

OTHER

DECK/PLATFORM SIZE: ZIP:

ADDRESS:

CAPACITY:

.

lbs x _____ ______

 

 

SCALE TYPE:

VEHICLE SCALE

OTHER

DECK/PLATFORM SIZE:

 

 

 

 

CAPACITY:

.

lbs x _____ ______

 

 

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

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)