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Agriculture | Maryland's Leading Industry mda.maryland.gov  


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


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


410- 841- 5862 Baltimore/Washington 410- 84  


Application for Service Agency/Service Technician  



<table><tr><td colspan="4">Service Agency Information</td></tr><tr><td>Company Name</td><td></td><td>Company Id Number</td><td></td></tr><tr><td>Company Email</td><td></td><td>Company Phone #</td><td></td></tr></table>  


Scales Meters Electric Vehicle Charging  



<table><tr><td colspan="3">Tech Information</td></tr><tr><td>Name</td><td>Email</td><td>Phone</td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr></table>  


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).