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Fillable Printable Vehicle Transport/Disposal Addendum

Fillable Printable Vehicle Transport/Disposal Addendum

Vehicle Transport/Disposal Addendum

Vehicle Transport/Disposal Addendum

BLS-700-183 (6/28/16) Page 1 of 2
Vehicle Transport/Disposal Addendum
(To apply for an endorsement as a Registered Tow Truck Operator, Vehicle Transporter,
Hulk Hauler, Wrecker and/or Motor Vehicle Salvage Processor)
This addendum form may only be submitted as an attachment to the Business License Application.
State of Washington
Business Licensing Service
PO Box 9034
Olympia, WA 98507-9034
1-800-451-7985
UBI
Owner name
ALicenses requested All applicants
Reg. Tow Truck Operator (244)Hulk Hauler (247)Motor Vehicle Wrecker (250)
Vehicle Transporter (242)Motor Vehicle Salvage Processor (254)
BTow Truck Operator additional information
1.If you maintain additional secured vehicle storage/impound areas away from this location, please see the instruction
sheet.
2.You must attach all of the following lists and completed documents to this application (see instruction sheet for
descriptions):
Names & addresses of all employees who serve as tow truck drivers
Proof of Registered Tow Truck Operator liability insurance
Registered Tow Truck Operator bond
Fee schedule
Washington State Patrol Tow Truck-Business-Operator-Equipment Inspection Report
CVehicle Transporter additional information
The transporter plates/license cannot be used to transport vehicles owned or registered to the licensee or business, unless
you are a tow truck operator. (RCW 46.76.065)
Is your transport business available tothe general public? ......................................................................................
Yes No
As a licensed transporter, will you provide towing services for pay? .........................................................................
Yes No
If you answered "yes" to the previous question, will you also hold a Registered Tow Truck (RTTO) license? ...........
Yes No
How many sets of Vehicle Transporter license platesdo you need? _____________ ($2 per set)
DHulk Hauler, Wrecker, and Motor Vehicle Salvage Processor additional information
1. How many sets of plates do you need? (first set is $5 each, additional sets are $2)
Hulk Hauler ___________ Wrecker ____________ Motor Vehicle Salvage Processor _____________
2. Hulk Hauler,Wrecker, and Motor Vehicle Salvage Processor applicants must attach a completed Personal/Criminal
History Statement.
3. Motor Vehicle Salvage Processor and Wrecker applicants only
You must also complete a State Environmental Policy Act (SEPA) checklist, present it to the local zoning official for review (see
Vehicle Transport/Disposal Certification and Approval), and then attach the completed checklist to this application. A blank checklist is
enclosed.
4.Wrecker applicants only, attach the following completed form (blank form provided)
Bond of Motor Vehicle Wrecker
If you have additional (branch) Motor Vehicle Wrecker business locations in the same county as this business location, please see the
instructions sheet for information about registering the other locations.
All business types EXCEPT Vehicle Transporter complete reverse side . . .
Click here to START or CLEAR, then hit the TAB button
BLS-700-183 (6/28/16) Page 2 of 2
ABusiness site identification Certifications below apply to the following business location
Business firm nameBusiness telephone number
( )
Business physical location address Street or route Do not use PO box number
CityCountyStateZip code
BZoning certification
This section must be completed and signed by the local zoning authority before submitting the application to the Business Licensing
Service.Zoning Officer: Check either "yes" or "no" for each option, then sign.
1.Applicant is applying as a Registered Tow Truck Operator .................................................................................
Yes No
2.Applicant is applying as a Hulk Hauler .................................................................................................................
Yes No
If "yes" is checked for #1 or #2 above, my signature below certifies that this Registered Tow Truck Operator or Hulk Hauler
applicant's place of business is in compliance with all applicable local land use ordinances.
3.Applicant is applying as aMotor Vehicle Wrecker ...............................................................................................
Yes No
4.Applicant is applying as a Motor Vehicle Salvage Processor .............................................................................
Yes No
If "yes" is checked for #3 or #4 above, my signature below certifies that the environmental impact from this proposed land use for
a Motor Vehicle Wrecker or Motor Vehicle Salvage Processor business appears insignificant, pursuant to Chapter 43.21 RCW, the
state Environmental Policy, WAC 197-11-305, WAC 197-11-820, and WAC 197-11-800(14)(i). A completed State Environmental
Policy Act (SEPA) checklist must be attached.
Signature of local zoning official
X
Title of local zoning officialPhone numberDate signed
CInspecting Officer approval Hulk Hauler, Wrecker, and/or Motor Vehicle Salvage Processor applicants only
Before submitting your Business License Application, you must arrange for law enforcement to do a site inspection, review your entire
application, and sign this form. Contact the Washington State Patrol or the local Chief of Police (if business is located in a city with a
population of more than 5,000). Out-of-state Hulk Hauler and Motor Vehicle Salvage Processor applicants must contact their local law
enforcement officials.Inspecting Officer: Check either "yes" or "no" for each option, then sign.
1.Applicant is applying as a Hulk Hauler .................................................................................................................
Yes No
2.Applicant is applying as a Motor Vehicle Salvage Processor .............................................................................
Yes No
If "yes" is checked for #1 or #2 above, my signature below certifies that: this Hulk Hauler or Motor Vehicle Salvage Processor
applicant is located at the address shown in section B above, and has suitable equipment for the safe and lawful transport
of vehicle salvage on the public highways; each vehicle equipped for lifting or transporting vehicles or hulks operated by the
applicant on highways of this state permanently displays, with letters and numerals at least three inches high, the business name,
complete address of place of business, and current business telephone number;and that I assume responsibility for enforcement
of the applicable laws.
3.Applicant is applying as aMotor Vehicle Wrecker ...............................................................................................
Yes No
If "yes" is checked for #3 above, my signature below certifies that: this Motor Vehicle Wrecker applicant is located at the address
shown in section E above, as defined by RCW 46.80.010; each vehicle equipped for lifting or transporting vehicles or hulks
operated by the applicant on highways of this state permanently displays, with letters and numerals at least three inches high, the
business name, complete address of place of business, and current business telephone number;and that I assume responsibility
for enforcement of the applicable laws.
Signature of inspecting officer
X
Title of inspecting officerPhone numberBadge numberDate signed
For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711.
Vehicle Transport/Disposal Certification and Approval
(To apply for an endorsement as a Registered Tow Truck Operator,
Hulk Hauler, Wrecker and/or Motor Vehicle Salvage Processor)
This addendum form may only be submitted as an attachment to the Business License Application.
State of Washington
Business Licensing Service
PO Box 9034
Olympia, WA 98507-9034
1-800-451-7985
UBI
Owner name
BLS-700-188 (02/10/17) Page 1 of 3
For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711.
Instructions for completing the
Vehicle Transport/Disposal Addendum and Certification and Approval
to obtain a license as a Registered Tow Truck Operator, Motor Vehicle Transporter,
Hulk Hauler, Motor Vehicle Wrecker and/or Motor Vehicle Salvage Processor
Application procedure
1. Review the Endorsement and Fee Description Sheets
for general business registrations and vehicle-related
businesses.
2.Select those endorsements that apply to your
business activities at this location.You may apply
for all endorsements and related license plates
necessary for all vehicle business activities occurring
at the same location with a single application, but
each different business location requires a
separate application.
3.Write the names and fees for each endorsement you
require in Section 2 on page one of the Business
License Application.
4.Complete the appropriate sections of the Vehicle
Transport/Disposal Addendum and Vehicle Transport/
Disposal Certification and Approval (if applicable).
5.Submit the completed Business License Application,
Vehicle Transport/Disposal Addendum and Vehicle
Transport/Disposal Certification and Approval (if
applicable), other documentation as described in
these instructions,
and fee payment to:
State of Washington
Business Licensing Service
PO Box 9034
Olympia Washington 98507-9034
For more information, contact:
Phone:(360) 705-6744
FAX:(360) 705-6699
TTY:(360) 705-6718
If you are applying for a license as a:
Complete these sections on
the Vehicle
Transport/Disposal
Addendum Form
Complete these sec-
tions on the Vehicle
Transport/Disposal
Certification and
Approval
ABCDABC
Registered Tow Truck Operator (RTTO)XXXX
Vehicle TransporterXX
Hulk HaulerXXXXX
Motor Vehicle WreckerXXXXX
Motor Vehicle Salvage ProcessorXXXXX
If you wish to register:
RTTO Branch Storage Sites
and/or
Motor Vehicle Wrecker Branch Sites
For each physical location being registered you must
complete a separate application consisting of a Business
License Application and the combined RTTO/Motor
Vehicle Wrecker Branch Addendum form. Instructions for
completing that form are included with it.
BLS-700-188 (02/10/17) Page 2 of 3
Vehicle Transport/Disposal Addendum
Instructions
Below are instructions for completing each section
of the Vehicle
Transport/Disposal
Addendum form. If you
have questions about completing the form or if you have
questions about any of the endorsement requirements
please contact the Vehicle Services’ Dealers Division at
(360) 664-6466.
Section B:Tow Truck Operator additional information
If you operate additional impound areas away
from this place of business, you must register each
location separately by submitting a Business License
Application and a Vehicle Transport/Disposal Branch
Site Addendum for each location.You do not need to
complete the Vehicle Transport/Disposal Addendum
form if you only wish to register for branch site
endorsements.
You must attach the following to the Vehicle
Transport/Disposal Addendum:
Driver List:The names of all employees who will
serve as tow truck drivers at this location.
Insurance:Proof that the business carries the
following insurance:
•$100,000 liability for bodily injury or property
damage; and
•$50,000 on-hook or cargo
•$50,000 garage keeper
Bond:A properly executed Registered Tow Truck
Operator surety bond in the amount of $5,000. Each
separate business location must have its own bond.
The name of the principal on the bond must reflect
exactly both the business owner name (sole proprietor
name, all partners, or the corporate name) and the
business firm name.
All bonds must be signed by the Attorney-in-Fact
for the bonding company, and by the applicant (the
individual, if a sole proprietor; all partners, if a general
or limited liability partnership; or by an authorized
corporate officer or member, if a corporation or
limited liability company).Incorrect bonds delay
endorsement approval.A blank bond form is
provided for you in the application package.
Fee Schedule:A declaration of the fees you charge
for the various tow truck services. (The form is
provided.)
Inspection Report:You must arrange to have all
your business facilities and equipment inspected
by the Washington State Patrol before submitting
the application. Attach the completed State Patrol
Inspection Report form. Remember to include $50
with the total application payment for each truck
permit.(The completed inspection is sent to you
by the inspecting officer.)
Section C:Vehicle Transporter additional information
Answer the
questions listed on the addendum and
indicate
how many sets of Transporter license plates you
will need in your business. Remember to include $2 in
your total payment for each set of plates you request.
Section D:Hulk Hauler,Wrecker and Motor Vehicle
Salvage Processor additional information
1. Indicate how many sets of plates you need for each
business type.
2. All applicants for these endorsements must attach
a Personal/Criminal History Statement. (Remember to
include the correct plate fee with your total application
payment: $5 for the first set of plates of each type, and $2
for each additional set of plates of that same type.)
Note:You must submit a separate application for
other locations doing business as a Hulk Hauler, Motor
Vehicle Salvage Processor, and/or a Branch Site Vehicle
Wrecker, and list the vehicles used for each business
location on each separate application.
Motor Vehicle Salvage Processor
and Wrecker
applicants must attach
a completed Department of
Ecology checklist for the State Environmental Policy Act
(SEPA) for your business location (the form is provided
with the application).The completed checklist must
be presented to the local zoning official for review and
approval before the application is submitted (see section
B of Certification and Approval).
Wrecker applicants only must also attach the
Wrecker’s Bond (form is provided).
The surety bond must be in the amount of $1,000.
The name of the principal on the bond must reflect exactly
both the business owner name (sole proprietor name,
partner name, or the LLC name) and the business firm
name. All bonds must be signed by the Attorney-in-Fact
for the bonding company, and by the individual, if a sole
proprietor; all partners, if a general or limited liability
partnership; or by an authorized corporate officer or
member, if a corporation or limited liability company.An
incorrect bond will delay yourendorsement approval.
BLS-700-188 (02/10/17) Page 3 of 3
Vehicle Transport/Disposal Certification and
Approval
(RTTO, Hulk Hauler,Wrecker and Motor
Vehicle Salvage Processor only)
Section A: Business site Identification
This section identifies for the officials who will sign the
certifications in sections B and C the business site
for which the Certification and Approval form is being
filed. List your firm name and physical location address.
Section A of the Certification and Approval form must be
completed before you submit the form to local officials for
their certifications.
Section B:Zoning certification (Registered Tow Truck
Operator, Wrecker, Hulk Hauler and/or Motor Vehicle
Salvage Processor applicants)
Note:This section of the form must be completed and
signed by the appropriate official before you submit your
application to the Business Licensing Service.
Registered Tow Truck Operator and Hulk Hauler
applicants must have the place of business certified as
complying with applicable land use ordinances by the
local zoning and/or land use authority before submitting
the application.
Motor Vehicle Wrecker and/orMotor Vehicle
Salvage Processor applicants must have completed the
State Environmental Policy Act (SEPA) checklist from
the Department of Ecology for the local zoning official to
review.The completed checklist must also be submitted to
the Business Licensing Service with the application.
Mark “yes” or “no” for all boxes in section B which
apply to you and have the local zoning official sign the
certification.
Section C:Inspecting Officer approval (Hulk Hauler,
Wrecker and/or Motor Vehicle Salvage Processor
applicants)
Note:If you are applying for any of the
endorsements listed in this section, you must contact
the Washington State Patrol (or the local Chief of
Police if you are located in a city with more than 5,000
people) before you submit your application to the
Business Licensing Service.
You must arrange with the appropriate law
enforcement office for an inspection of your
business site, and have the inspecting officer sign
the certification in section C of the Certification and
Approval.
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