Form Snc 500 PDF Details

In today's society, people are always looking for the next big thing. They want to be on the cutting edge of technology and be the first to try new things. However, this mentality can often lead people astray, as they forget about the tried and true methods that have worked for years. One perfect example of this is Form Snc 500, a product that has been around for decades and continues to be one of the most popular forms of communication in businesses across the globe. In this blog post, we'll take a look at what makes Form Snc 500 so special and why it continues to be such an integral part of business communication. Stay tuned!

QuestionAnswer
Form NameForm Snc 500
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPA_379_2013_SNC 500_Form_410157 _7 snc calform

Form Preview Example

SNC-500 (01/2013)

State 911 Committee

PUBLIC ACT 379 OF 2008 REMITTANCE CONTACT INFORMATION

JULY 2013-JUNE 2014

Return To:

 

 

 

 

 

Michigan State Police

 

 

Telephone: (517) 241-0110

State 911 Administration Section

 

 

 

 

 

P.O. Box 30634

 

 

 

 

 

Lansing, Michigan 48909-0634

 

 

 

 

 

Attention: Stacie Hansel

 

 

 

 

 

I. County Information

 

 

 

 

 

County Name

 

 

 

 

 

 

 

 

 

 

 

 

Name of Person Completing Form

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number

E-Mail Address

 

 

 

 

 

 

 

 

 

 

Is the county collecting a local surcharge from July 1, 2013, to June 30, 2014?

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If “yes” to the above question, what is the monthly amount?

 

AMOUNT

 

 

 

 

 

 

 

 

 

Is the county interested in electronic fund transmittal of local surcharge funds?

 

Yes

No

 

 

 

 

 

 

II. Primary Remittance Information

 

 

 

 

 

Primary Remittance Contact Name

 

 

 

 

 

 

 

 

 

 

 

Primary Remittance Contact Address

 

 

 

 

 

 

 

 

 

 

Phone Number (Include Area Code)

Fax Number (Include Area Code)

 

 

 

 

 

 

 

 

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

III. Geographical Information

 

 

 

 

 

Geographical Contact Name

 

 

 

 

 

 

 

 

 

 

 

Geographical Contact Address

 

 

 

 

 

 

 

 

 

 

Phone Number (Include Area Code)

Fax Number (Include Area Code)

 

 

 

 

 

 

 

 

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

IV. County 911 Director/Coordinator Information

 

 

 

 

 

County 911 Directory/Coordinator Contact Name

 

 

 

 

 

 

 

 

 

 

 

County 911 Directory/Coordinator Contact Address

 

 

 

 

 

 

 

 

 

 

Phone Number (Include Area Code)

Fax Number (Include Area Code)

 

 

 

 

 

 

 

 

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

V. Authorization

 

 

 

 

 

County Clerk or County Coordinator Printed Name

 

 

 

Date

 

 

 

 

 

 

 

 

County Clerk or County Coordinator Signature

AUTHORITY: 2008 PA 379; COMPLIANCE: Voluntary; PENALTY: No Funding