Get For-hire Insurance Verification Certificate Program Application (dpr 857-a). Owned By Leesd, Dbw

Filling out the For-Hire Insurance Verification Certificate Program Application can be straightforward with the right guidance. This guide offers step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your application with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Identify your business type by selecting one of the following options: Individual, Corporation, Limited Liability Company, Limited Partnership, or General Partnership. If you choose General Partnership, list all partners, using additional sheets if necessary.
3. Provide the operator's USCG Captain's license information or for-hire license information, including the type of credential and the name/reference number/license number.
4. Fill out the general information section by entering your Doing Business As (DBA) name, physical address (including street number, city, state, and zip code), mailing address if it differs from your physical address, contact phone number, and contact email address.
5. Certify that the information provided is true, correct, and complete. You must sign the application and print your name underneath. Include the date of signing.
6. To ensure your application is processed without delays, send all required application forms (DPR 857A, DPR 857B, DPR 857C, Annual Renewal Letter indicating changes, and attach an ACORD page for each vessel) along with a $25.00 check or money order payable to 'Department of Parks and Recreation' to the designated address.
7. After completing the form, ensure to save your changes, and if necessary, download, print, or share the form as required.

Complete your application online today for a smooth submission process.