Form Bb-692-002 - Application For Licensure As A Bail Bond Agency Or Bail Bond Agency Branch Office 1999
ADVERTISEMENT
1
2
3BUSINESS AND PROFESSIONS DIVISION
STATE OF WASHINGTON
STATE OF WASHINGTON
Department of
Department of
BAIL BOND SECTION
P.O. BOX 9649
OLYMPIA, WA 98507-9649
FOR VALIDATION ONLY
APPLICATION FOR LICENSURE AS A
BAIL BOND AGENCY
or
BAIL BOND AGENCY BRANCH OFFICE
Make remittance payable to: WASHINGTON STATE TREASURER
001-000-299-0018 AGENCY
001-000-299-0019 BRANCH
FEE:
$800.00
I I
I I
Check one:
Bail Bond Agency
Branch Office
PLEASE TYPE OR PRINT CLEARLY
COMPANY INFORMATION
Business name __________________________________________________________________________________
Business address _________________________________________________________________________________
MAILING
City _____________________ State _____________ Zip Code _____________ County ______________________
(
)
Business telephone no. ____________________________________________________________________________
AREA CODE
Physical address of business________________________________________________________________________
City ______________________State _____________Zip Code _______________ County_______________________
I I
I I
I I
Type of business:
SOLE PROPRIETORSHIP
PARTNERSHIP
CORPORATION
If you checked partnership or corporation, attach a copy of the partnership agreement or the current corporation document.
Washington corporation no.________________________________ Revenue tax no.______________________________
UNIFIED BUSINESS IDENTIFIER
QUALIFIED AGENT INFORMATION (applicant)
Name __________________________________________________________________________________________
–
–
Date of birth _____________________
Social Security No.
(per RCW 26.23.150)
I I
I I
Check one:
WA resident
OTHER
(please specify) _____________________________________________________________
I I
I I
Check one:
Certifications of experience attached
Testing certification attached
Address ________________________________________________________________________________________
City ________________________________ State ___________ Zip ______________ County _________________
Previous WA State Bail Bond Agency, Qualified Agent, or Bail Bond Agent license no.:
FOR OFFICE USE ONLY
Comments
CERT DATE
_____________________________
CERT NO.
_____________________________
The Department of Licensing has a policy of providing equal access to its services. If
you need special accommodation, please call (360)586-4567 or TDD (360)586 2788.
BB-692-002 BAIL BOND AGENCY APP. (R/11/99)M/W Page 2 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Psg-690-001 - Application For Licensure As A Private Security Guard Company/principal Form
Legal
Application For Licensure As A Registered Nurse By Reciprocity Information And Instructions
Business
Related Categories
Parent category: Legal