Form Dr 500 025 PDF Details

The Form Dr 500 025, also known as the "Drone Registration Form," is a document used to register drones with the Federal Aviation Administration (FAA). The form can be completed online or by mail, and must be submitted prior to flying a drone. The information collected on the form includes the drone owner's name and contact information, as well as the make and model of the drone. Registration is required for all drones weighing more than 0.55 pounds (250 grams) and up to 55 pounds (24.9 kilograms). Failure to comply with FAA regulations can result in civil penalties of up to $27,500 per violation.

QuestionAnswer
Form NameForm Dr 500 025
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform employer declaration form, declaration ignition interlock form, dr 500 declaration device, wa dr declaration form

Form Preview Example

IIDILW

Employer Declaration for

Ignition Interlock Exemption

Use this form if you are required to have an ignition interlock device (IID) installed in all vehicles you drive AND your employer requires you to drive a vehicle without an IID.

Eligibility

To get an employer exemption, you must have an IID installed in your personal vehicle.

Exemption

If you have an IID installed in your personal vehicle and your employer requires you to drive a vehicle without an IID during working hours that is owned, leased, rented, or the temporary responsibility of your employer, you must:

•฀ Complete฀the฀employee฀section฀of฀this฀form

•฀ Have฀your฀employer฀complete฀and฀sign฀the฀employer฀section

•฀ Carry฀a฀copy฀of฀this฀form฀when฀driving฀for฀your฀employer

•฀ Send฀this฀completed฀form฀to:

Mail: Restricted Licensing

Department of Licensing

PO Box 9030

Olympia, WA 98507

Email: interlock@dol.wa.gov

Fax: 360-570-7824

You may only drive the vehicle(s) during working hours. Employer vehicles assigned exclusively to you that are used solely for commuting to and from employment are not eligible for an exemption.

Employee

PRINT OR TYPE Name of employee (Last, First, Middle initial)

 

 

Washington driver license number

Date of birth

(Area code) Daytime telephone number

Employer

Name฀of฀employer฀contact฀or฀representative฀

(Area฀code)฀Company฀telephone฀number

 

 

 

Company฀name฀

UBI฀number

 

 

 

 

Company฀street฀address

 

 

 

 

 

City฀

State฀

ZIP฀code

 

 

 

This employee is required to operate a vehicle during working hours that is owned, leased, rented, or in the temporary care of this company.

I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.

 

 

X

Date and place signed

 

Employer signature

DR-500-025 (R/7/16)WA

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wa dr declaration form conclusion process outlined (part 1)

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