Get DC DMV-ADJ. MFA-001 2009-2023
(if applicable) FLEET REPRESENTATIVE’S LAST NAME FLEET REPRESENTATIVE’S ADDRESS FIRST NAME MIDDLE NAME CITY SUFFIX STATE ZIP CODE PHONE NUMBER WITH AREA CODE OFFICE FAX NUMBER WITH AREA CODE E-MAIL ADDRESS SIGNATURE OF FLEET REPRESENTATIVE & DATE FOR GOVERNMENT USE ONLY MULTI-OWNER FLEET NUMBER VEHICLE TAG NO. STATE EFFECTIVE DATE OF ENROLLMENT VEHICLE TAG NO. STATE VEHICLE TAG NO. STATE DMV-ADJ. MFA-001 Rev. 05/04/09 .
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