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 Name Company Id Number

Enter Company Name
Enter Company Id Number

Company Email Company Phone #

Enter Company Email
Enter Company Phone #

Scales ☐Meters

Select for Scales
Select for Meters

□Electric Vehicle Charging

Select for Electric Vehicle Charging

Tech Information

Name Email Phone

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
Enter Name of Technician 11
Enter Email of Technician 11
Enter Phone Number of Technician 11
Enter Name of Technician 12
Enter Email of Technician 12
Enter Phone Number of Technician 12
Enter Name of Technician 13
Enter Email of Technician 13
Enter Phone Number of Technician 13
Enter Name of Technician 14
Enter Email of Technician 14
Enter Phone Number of Technician 14
Enter Name of Technician 15
Enter Email of Technician 15
Enter Phone Number of Technician 15
Enter Name of Technician 16
Enter Email of Technician 16
Enter Phone Number of Technician 16

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).