Form Dwm 38D – Fill Out and Use This PDF

Form DWM 38D is a powerful tax form typically required when businesses are submitting their sales and used tax returns. It's designed to give an overview of all the statewide, interstate, local, and uncollected taxes that have been assessed in any given filing period. Businesses that think they owe more than what they've reported must submit this form in order to gain a better understanding of any inaccuracies on their end. Failure to comply with and properly file Form DWM 38D can lead to a wide array of civil penalties--some possible outcomes include but are not limited to insolvency enforcement actions as well as imposition of costly legal proceedings!

Form Dwm 38D PDF Details

Form Dwm 38D must be filed when an employee requests a change in their work schedule. The form allows employees to request a change in their work hours, days, or weeks. There are several reasons an employee might need to file Form Dwm 38D. Some employees may need to care for a family member, while others may need to take care of themselves. Filing this form can help employees maintain their current job while also taking care of what is important to them. Form Dwm 38D is an important document that helps employees maintain their current job while also taking care of what is important to them. If you are an employee who needs to file this form, be sure to do so as soon as possible. The sooner you file the form, the sooner you can begin making changes to your work schedule.

Question	Answer
Form Name	Form Dwm 38D
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	Devic, RSA, ARIZONA, NTEPapproved

Form Preview Example

ARIZONA

DEPARTMENT OF

WEIGHTS AND MEASURES

DEVICE

LICENSE APPLICATION/ PLACED

IN SERVICE REPORT

4425 W. Olive Avenue, Suite #134, Glendale, AZ 85302

www.azdwm.gov

A.R.S. §41-2065

Phone: 602‐771‐4920 FAX: 623-939-8586 or 1‐800‐ ‐277‐6675 (OUTSIDE Phoenix metro)

SERVICE DATE:

INSTRUCTIONS ON HOW TO COMPLETE THIS FORM ARE ON THE BACK SIDE OF THIS SHEET

BUSINESS NAME:

STORE #

BMF#

(IF ISSUED)

PHYSICAL LOCATION:

CONTACT:

PHONE:

CITY:

FAX:

ZIP:

EMAIL:

___

*OWNER/			BILLING
LICENSEE			PHONE:
LICENSEE			PHONE:

*(MUST BE AN INDIVIDUAL OR A LEGAL ENTITY SUCH AS A CORPORATION, LLC OR LP)

RSA AGENCY

RSR

**BILLING ADDRESS:

**THIS IS THE ADDRESS WHERE YOUR LICENSE AND INVOICES WILL BE SENT

CITY:

ZIP:

Device	Device	Device	Device	Device Serial #	Indicator	Location	Pump #’s	Vehicle	NTEP C of C #’s	Tag #
Fee	Service Code	Manufacturer	Model #	(Required for	Serial #	Code	(Fueling	License Plate #	(Required for all
Code	(see below)			All Devices)	(Scales only)	(see below)	Devices)	(LPG/Taxis)	Devices)

	SERVICE CODES:	LOCATION CODES (Scales Only):		RSA EQUIPME NT SERIAL #’S
R: Repair	N: New Location with New Devices	R: Register Number	M: Meat Dept.	(Used for Test
A: Add Device(s)	O: Device(s) Removed	D: Deli	P: Produce
		B: Bakery	O: Other ___________

OWNER/LICENSEE: I will abide by Arizona law pertaining to device use and licensing specified in ARS Title 41, Chapter 15 and ARS §28‐4033 and I am subject to civil penalty if a violation occurs (ARS 41‐2115).

OWNER/LICENSEE SIGNATURE:

OWNER/LICENSEE PRINT NAME

DATE:

____

RSR: I have complied with all Arizona legal requirements relating to the Department’s RSA program and am subject to a civil penalty if a violation occurs (ARS 41‐2115 )

RSR SIGNATURE:

RSR PRINT NAME:

DATE:

PAGE ___ of ____

DWM‐38D(REV 9‐09)

INSTRUCTIONS FOR COMPLETING THE DEVICE LICENSE APPLICATION & PLACED IN SERVICE REPORT:

1.Complete the business name, contact and location information. Please indicate the BMF # if one has been previously issued.

2.Complete the Owner/Licensee information. If the Owner/Licensee is an INDIVIDUAL a Licensing Eligibility Form MUST be completed and submitted. This form is available online at www.azdwm.gov Click on “Forms” then on “Licensing Eligibility Requirements.”

3.Complete the billing information. If the information is the same as the location information, you can indicate “same as above.”

4.If a Registered Service Agency (RSA) is used, indicate the Agency name and the technician’s RSR license number, who is installing or repairing the device.

5.Use a separate line to indicate pertinent information for each device. (Indicators should be shown as separate device, since they have a unique serial number.) FEE CODE, SERVICE CODE AND SERIAL NUMBER MUST BE COMPLETED FOR EACH DEVICE. NTEP NUMBERS ARE REQUIRED FOR ALL DEVICES INSTALLED AFTER 1‐1‐75. A TAG NUMBER IS REQUIRED FOR ALL TAGGED DEVICES BEING REPAIRED.

6.The RSR must indicate the equipment serial numbers of equipment used to install or repair the device. This equipment must have a current certification.

7.Both the Owner/Licensee and RSR must sign the form. The Owner/Licensee must also date the form.

8.Additional forms can be used when there are more than 10 devices. Indicate the number of total pages, where indicated at the lower right of the form.

9.Completed forms must be sent to the Department within 7 days of the service date.

10.When an RSR is replacing a device, the serial number of the obsolete device must be noted. Use service code “O” for devices that have been replaced.

11.USE CORRECT SERVICE CODES, such as service code "A" for devices that have been added.

12.FEE CODE SCHEDULES CAN BE OBTAINED FROM THE DEPARTMENT WEBSITE AT www.azdwm.gov UNDER BUSINESS: DEVICE LICENSING

VIOLATIONS AND ENFORCEMENT ACTION:

The device Owner/Licensee is responsible for the accuracy of the device. A civil penalty may be issued to the Licensee if the device is inaccurate. A civil penalty may be issued to the RSR if this form is incomplete, incorrect or not timely submitted to the Department.

Pursuant to A.R.S. §41‐1079, the following information is provided to the Owner/Licensee for a commercial device license:

APPLICATION PROCESS:

A license is required for any commercial weighing device. The license must be obtained within 30 days following the first day of commercial use for original installations (of each device). On transfer of a license, new licensees shall notify the Department of the licensee’s name and address and the location of the device(s). NTEP‐approved devices shall be the only devices allowed for commercial use. The Department or any Registered Service Agency has a listing of NTEP‐approved devices.

The Device License Application & Placed in Service Report must be completed and signed by the Owner/Licensee and submitted to the Department within 7 days of the service date. A Registered Service Agent or Department Inspector can complete the license application detail for the Owner/Licensee. However, the Owner/Licensee must sign the application acknowledging the information and certifying to abide by pertinent laws and administrative rules.

The Department will review the application and process it according to licensing time frame rules. The Licensee will be billed for the device(s) and must remit the amount in full prior to the license being issued.

LICENSING TIMEFRAMES (Reflects maximum time allowed by AAC R20‐2‐108):

Administrative Review Timeframe: 10 days

Time to Respond to Deficiency Notice: 20 days

Substantive Review Time Frame: 30 days

Time to Respond to Request for Additional Information (Business): 20 days

Overall Time Frame: 40 days

AGENCY CONTACT PERSON FOR LICENSING ASSISTANCE:

TECHNICAL DEVICE QUESTIONS: Shawn Marquez 602‐771‐4929

LICENSING QUESTIONS: Sara Kumaraswamy 602‐771‐4935

STATE OMBUDSMAN: 602‐277‐7292

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1. The apter needs certain details to be inserted. Make certain the subsequent blanks are filled out:

2. Once your current task is complete, take the next step – fill out all of these fields - RSA EQUIPMEN Used fo, NT SERIAL S or Test, R Re A Ad, OWNE penalt OWNE RSR I RSR S DWM, Service Code see below, pair d Devices, SERVICE CODES N New Locatio O, Scales only, see below, on with New Devic emoved, ces, R Register N D Deli B Bakery, LOCATION CODE Number, ES Scales Only t M Meat Dept P, and ERLICENSEE I wil ty if a violation with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

on with New Devic emoved, R Register N D Deli B Bakery, and SERVICE CODES N New Locatio O in OWNE

A lot of people frequently get some points wrong while filling in on with New Devic emoved in this section. Be sure to reread everything you type in right here.

3. Completing INSTRUCTIONS FOR COMPLETING THE, If a Registered Service Agency RSA, AND SERIAL NUMBER MUST BE, and The RSR must indicate the is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

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