Get Md Mde/was/lic.006 2016-2026

Completing the MD MDE/WAS/LIC.006 application form is crucial for obtaining a Secondary Scrap Tire Collection Facility License in Maryland. This guide provides a step-by-step approach to assist you in accurately filling out this online form.

Follow the steps to successfully complete the application form.

1. Click ‘Get Form’ button to retrieve the application form and open it in the online editor.
2. In Section I, indicate whether you are applying for a new license or a renewal by marking the appropriate box. Fill in your proposed licensee's legal name as it will appear on the license certificate and provide the mailing address, telephone number, facsimile number, and email address of the proposed licensee.
3. In Section II, provide the Business/Individual Registration Identification Information. If you are a corporation or government applicant, enter your federal tax identification number and the Maryland State Department of Assessments and Taxation (SDAT) Department ID number. If you are a sole proprietorship or individual applicant, enter your social security number and Maryland Sole Proprietorship ID number.
4. For Section III, complete the Workers' Compensation Information. Provide either the workers' compensation insurance policy number or if exempt, upload a copy of the Certificate of Compliance.
5. In Section IV, supply the facility information, including the facility/site name and address. Make sure to indicate whether it is located in Baltimore City or a County.
6. For Section V, describe how scrap tires are being accumulated. Additionally, provide information about the scrap tire hauler who will remove tires from your facility, including their name and license number along with expiration date, as well as the details of the scrap tire facility where your tires will be delivered.
7. Section VI requires you to enter the property owner's information. Fill in their name, telephone number, and address.
8. In Section VII, certify that your proposed facility meets all applicable County zoning and land use requirements by marking 'Yes' or 'No'.
9. Finally, complete Section VIII by signing and dating the application form. Ensure that your name is printed clearly and that you have included your title.
10. Once all sections are complete, review the form for accuracy. You can then save your changes, download, print, or share the completed application as necessary.

Complete your application online today and ensure a smooth process for obtaining your license.