Form Dwm 157 PDF Details

The Deputy Public Weighmaster Application, designated as the DWM 157 form, serves as a crucial document for individuals aiming to acquire legal permission to operate as Deputy Public Weighmasters in the state of Arizona. Managed by the Arizona Department of Weights and Measures, located at 4425 W Olive Avenue, Suite 134, Glendale, AZ, this form is pivotal for applicants who are at least 18 years old and interested in formalizing their role in professional weight measurement services. The form outlines a series of key elements including personal details, business information, and specific experience with scales, demanding a comprehensive demonstration of capability in handling varying types of weighing equipment. Applicants are also required to acknowledge their understanding and commitment to comply with the Arizona Revised Statutes (ARS) 41-2093 and the associated regulations that govern weighmaster duties and licensing. This involves an affirmation of knowledge regarding Title 41, Chapter 15, and the Arizona Administrative Code Title 20, chapter 2, along with any other relevant department regulations. Prior to being granted a license, applicants must successfully pass a written examination, underscoring the form's role in ensuring that only qualified individuals perform the duties of a Deputy Public Weighmaster. The process, which includes no charge for the application, is meticulously designed to safeguard integrity and accuracy in public weight measurements, reflecting the department's dedication to maintaining standards in commercial practices.

QuestionAnswer
Form NameForm Dwm 157
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDEPWEIGHMASTERa pp weighmaster license form

Form Preview Example

ARIZONA DEPARTMENT OF WEIGHTS AND MEASURES 4425 W Olive Avenue, Suite 134, Glendale AZ 85302-3844

Phoenix Metro assistance: (602) 771-4935

 

Outside Phx Metro: 1-800-277-6675

FAX: 623-939-8586

DEPUTY PUBLIC WEIGHMASTER APPLICATION

LICENSE FEE = no charge

PLEASE PRINT

APPLICANT NAME:

 

BIRTH DATE:

 

(Must be at least 18 years old)

 

 

 

PUBLIC WEIGHMASTER LICENSE #:

 

PUBLIC WEIGHMASTER:

 

 

 

 

 

 

 

 

 

 

BUSINESS NAME:

 

 

PHONE:

 

FAX:

 

 

 

 

 

 

BUSINESS ADDRESS:

 

 

CITY:

 

ZIP:

 

 

 

 

 

 

 

PHYSICAL LOCATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

SCALE OWNER INFORMATION (if different from business name above):

 

 

 

 

 

SCALE OWNER NAME:

SCALE TYPE (check one):

DECK/PLATFORM SIZE:

VEHICLE SCALE

BMF#:

 

ADDRESS:

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

CAPACITY:

.

lbs x _____ ______

 

 

 

 

 

 

DESCRIBE YOUR EXPERIENCE IN THE USE OF THE SCALE INDICATED ABOVE:

ARS 41-2093 requires a Deputy Public Weighmaster to have a valid Deputy Public Weighmaster license. In addition, applicants must pass a written examination before they can perform Deputy 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 Weighmaster licensing and duties;

and any other Department regulations relating to Weighmaster and will, upon licensure, operate in accordance with said laws, rules and regulations.

APPLICANT SIGNATURE:

DATE:

DEPT USE:

Test Date:

 

 

Score:

 

 

 

 

License Issued:

 

 

 

 

DWM-157(3-00)