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

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

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

Application for Service Agency/Service Technician

Company Name Company Id Number

Service Agency Information

Company Email Company Phone #

Scales ☐Meters

Name Email Phone

□Electric Vehicle Charging

Tech Information

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).