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Office of Marketing, Animal Industries and Consumer Services Wes Moore, Governor Aruna Miller, Lt. Governor Kevin M. Atticks, Secretary Steven A. Connelly, Deputy Secretary The Wayne A. Cawley, Jr. Building 50 Harry S Truman Parkway Annapolis, Maryland 21401

The Wayne A. Cawley, Jr. Building 50 Harry S Truman Parkway Annapolis, Maryland 21401

410-841-5862 Baltimore/Washington 410-841-5780 Fax

Application for Service Agency/Service Technician

Service Agency Information

Company NameCompany Id Number
Company EmailCompany Phone #

□Electric Vehicle Charging

Scales ☐Meters

Tech Information
NameEmailPhone

Please include with the application a copy of ALL current certification of traceable standards from a NIST approved state lab.

Fees:

  • - Service agency registration/renewal biennial fee: $250 every two years
  • Fee for each new service technician or service technician license renewal: $75.00
  • State of Maryland Class/exam fee: $25 - NCWM exams accepted
  • For NCWM exams use the following link https://www.ncwm.com/rsa-program. The exam is 50 for members and 100 for Non-members. You have the option of selecting an in-person proctor exam (State of Maryland 25) or a virtual proctor exam (20).
Enter Company Name
Enter Company Id Number
Enter Company Email
Enter Company Phone #
Select for Scales
Select for Meters
Select for Electric Vehicle Charging
Enter Name of Technician 1
Enter Email of Technician 1
Enter Phone Number of Technician 1
Enter Name of Technician 2
Enter Email of Technician 2
Enter Phone Number of Technician 2
Enter Name of Technician 3
Enter Email of Technician 3
Enter Phone Number of Technician 3
Enter Name of Technician 4
Enter Email of Technician 4
Enter Phone Number of Technician 4
Enter Name of Technician 5
Enter Email of Technician 5
Enter Phone Number of Technician 5
Enter Name of Technician 6
Enter Email of Technician 6
Enter Phone Number of Technician 6
Enter Name of Technician 7
Enter Email of Technician 7
Enter Phone Number of Technician 7
Enter Name of Technician 8
Enter Email of Technician 8
Enter Phone Number of Technician 8
Enter Name of Technician 9
Enter Email of Technician 9
Enter Phone Number of Technician 9
Enter Name of Technician 10
Enter Email of Technician 10
Enter Phone Number of Technician 10
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Enter Email of Technician 11
Enter Phone Number of Technician 11
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Enter Email of Technician 12
Enter Phone Number of Technician 12
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Enter Email of Technician 13
Enter Phone Number of Technician 13
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Enter Email of Technician 14
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Enter Email of Technician 15
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Enter Email of Technician 16
Enter Phone Number of Technician 16