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Click here to START or CLEAR then hit the TAB button Commercial Driver Employer Registration You must register with us before you can certify that a commercial driver you employ has the skills and training necessary to operate a commercial motor vehicle safely. To register complete this form and send it to Department of Licensing PO Box 9030 Olympia WA 98507-9030 Fax 360 570-4915 Company name UBI number Business description freight company fuel distributor etc. Street address City State Area code Telephone number ZIP code Area code Fax number email Website PRINT or TYPE name of individual authorized to sign the employer certificate Job title Signature of individual authorized to sign the employer certificate X When you have completed this form please print it out and sign here. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Click here to START or CLEAR then hit the TAB button Commercial Driver Employer Registration You must register with us before you can certify that a commercial driver you employ has the skills and training necessary to operate a commercial motor vehicle safely. To register complete this form and send it to Department of Licensing PO Box 9030 Olympia WA 98507-9030 Fax 360 570-4915 Company name UBI number Business description freight company fuel distributor etc* Street address City State Area code Telephone number ZIP code Area code Fax number email Website PRINT or TYPE name of individual authorized to sign the employer certificate Job title Signature of individual authorized to sign the employer certificate X When you have completed this form please print it out and sign here. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Date and place Employer or authorized representative signature DOL use only Date input Approved Denied Print DOL employee name DLE-520-336 R/8/12 WA Date mailed Comments ID assigned Revised We have a policy of providing equal access to our services. To register complete this form and send it to Department of Licensing PO Box 9030 Olympia WA 98507-9030 Fax 360 570-4915 Company name UBI number Business description freight company fuel distributor etc* Street address City State Area code Telephone number ZIP code Area code Fax number email Website PRINT or TYPE name of individual authorized to sign the employer certificate Job title Signature of individual authorized to sign the employer certificate X When you have completed this form please print it out and sign here. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Date and place Employer or authorized representative signature DOL use only Date input Approved Denied Print DOL employee name DLE-520-336 R/8/12 WA Date mailed Comments ID assigned Revised We have a policy of providing equal access to our services.

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Keywords relevant to Employer Form

  • foregoing
  • Licensing
  • certify
  • Olympia
  • accommodation
  • Revised
  • Distributor
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