Dsa Form 6 Ae PDF Details

The Department of State, Bureau of Consular Affairs Form 6 Ae is an important document for both the applicant and the embassy or consulate. The form is used to request a waiver from passport validity requirements for travel to the United States. It must be completed by the applicant and submitted with their passport application. This guide will provide all the information you need to know about completing and submitting Form 6 Ae. Form 6 Ae must be completed accurately and completely in order to be processed correctly. Any errors on the form may delay your visa application process. Let's go over how to fill out this form correctly so that you can avoid any delays!

QuestionAnswer
Form NameDsa Form 6 Ae
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesCalifornia, Deferred, Frontera, interim verified report

Form Preview Example

This form shall be completed by the Architect or Structural Engineer in General Responsible Charge and those architects or engineers

with delegated responsibility for observations of construction, as reported on the Application for Approval of Plans and Specifications

(form DSA 1), in accordance with California Code of Regulations, Title 24, Part 1, Sections 4-336 or 4-240.

School District/Owner:

 

DSA File #:

-

 

 

 

 

Project Name/School:

 

DSA App. #:

-

 

 

 

 

Date of Report:

Number of Attached Pages:

DSA 152 Card #(s):

 

 

(If none, enter zero.)

 

 

Note that DSA approved construction documents, referred to below, are those portions of

 

 

the construction documents, duly approved by the DSA, that contain information related to

List all inspection card numbers for

and affecting the Structural Safety, Fire/Life Safety, and Accessibility portions of the project.

which this verified report applies.

 

 

 

 

COMPLETE SECTIONS 1 & 2 AND PROVIDE ALL REQUIRED DOCUMENTATION

1. REASON FOR FILING THIS VERIFIED REPORT (Check applicable box.)

Interim Verified Report: List affected form DSA 152 Inspection Card Section #(s):

Final Verified Report: Construction of all work, shown in the DSA approved construction documents, is complete. The Design Professional in Responsible Charge shall complete the following:

Deferred Submittals: One of the following must be checked in order to file a Final Verified Report

This project does not require deferred submittals

All deferred submittals are approved by the DSA.

Termination of services prior to completion of all work shown in the DSA approved construction documents. The A/E in General Responsible Charge, and the professional whose services are terminated, as indicated below, shall sign the report.

Arch/Eng. in General Responsible Charge

Structural Engineer

Mechanical Engineer

Electrical Engineer

Construction work suspended for more than one month. Provide date of last construction activity:

DSA Request Dated:

2. CONSTRUCTION CHANGES AS OF THE DATE OF THIS REPORT (Check applicable box.)

There are no changes to the DSA approved construction documents.

All changes to the DSA approved construction documents have been approved by the DSA.

There are changes to the DSA approved construction documents that have not been approved by the DSA. (Briefly describe the changes. Attach additional pages if necessary.)

I attest that, based on my own personal knowledge (as defined in California Code of Regulations, Title 24, Part 1, Sections 4-336 and 4-214) that, except as marked in Section 2, as of the date of this report, the work has been performed and materials have been used and installed, in every material respect, in compliance with the DSA approved construction documents. I declare under penalty of perjury that I prepared this report and that all statements are true.

Design Professional in General Responsible Charge: (Signature)

Print Name:

 

CA Registration No:

 

Date:

 

Architect with delegated responsibility: (Signature)

 

 

 

 

 

Print Name:

 

 

CA Registration No:

 

Date:

 

 

 

 

Structural Engineer with delegated responsibility: (Signature)

 

 

 

 

 

 

Print Name:

 

CA Registration No:

 

Date:

 

 

 

 

Mechanical Engineer with delegated responsibility: (Signature)

 

 

 

 

 

 

Print Name:

 

CA Registration No:

 

Date:

 

 

 

 

 

 

 

 

 

 

 

Electrical Engineer delegated responsibility: (Signature)

 

 

 

 

 

Print Name:

 

 

CA Registration No:

 

Date:

 

 

 

 

Submit completed form to the DSA Regional Office with construction oversight authority for the project.

DSA OAKLAND

1515 Clay Street, Suite 1201 Oakland, CA 94612

DSA SACRAMENTO

1102 Q Street, Suite 5200 Sacramento, CA 95811

DSA LOS ANGELES

700N. Alameda Street, Suite 5-500 Los Angeles, CA 90012

DSA SAN DIEGO

10920 Via Frontera Rd., Suite 300 San Diego, CA 92127

Revised 03/22/13

 

Page 1 of 1

DIVISION OF THE STATE ARCHITECT

DEPARTMENT OF GENERAL SERVICES

STATE OF CALIFORNIA

How to Edit Dsa Form 6 Ae Online for Free

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It is actually simple to finish the form with our detailed tutorial! Here's what you should do:

1. First of all, while filling out the Frontera, start out with the area containing subsequent blank fields:

dsa interim verified report conclusion process detailed (portion 1)

2. The next stage is to fill in the next few blank fields: There are no changes to the DSA, All changes to the DSA approved, There are changes to the DSA, I attest that based on my own, Design Professional in General, Print Name, Architect with delegated, Print Name, Structural Engineer with delegated, Print Name, Mechanical Engineer with delegated, Print Name, Electrical Engineer delegated, Print Name, and CA Registration No.

Writing section 2 in dsa interim verified report

3. This third step should be quite straightforward, Submit completed form to the DSA, DSA OAKLAND, Clay Street Suite Oakland CA, DSA SACRAMENTO Q Street Suite, DSA LOS ANGELES, DSA SAN DIEGO, N Alameda Street Suite Los, Via Frontera Rd Suite San Diego, Revised DIVISION OF THE STATE, DEPARTMENT OF GENERAL SERVICES, and Page of STATE OF CALIFORNIA - all of these empty fields will have to be completed here.

dsa interim verified report conclusion process shown (step 3)

Be extremely mindful while completing Page of STATE OF CALIFORNIA and Via Frontera Rd Suite San Diego, since this is the part where many people make mistakes.

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