FRANCHISE TAX BOARD
OCCUPATIONAL LICENSING INFORMATION
MAGNETIC MEDIA TRANSMITTAL
Please complete the following information and forward this form with your magnetic media file to
the address as shown below.
Date_______________
Number of Records______________
Licensing Board Name ________________________________________________________________
Board Contact Person ________________________________________________________________
Address__________________________________________
Phone _________________________
City
__________________________________________
Zip Code________________________
Please enter information regarding person to contact, if necessary, for obtaining further technical
information.
Transmitter Agency Name______________________________________________________________
(if other than licensing board)
Contact Person_______________________________________________________________________
Address_____________________________________________ Phone__________________________
City________________________________________________ Zip Code________________________
Please list below the volume serial numbers in volume sequence order:
Volume
Sequence
Volume
Sequence
____________
1 of_____
____________
3 of_____
____________
2 of_____
____________
4 of_____
File Characteristics:
_______EBCDIC
_______ASCII
_______STD LBL
_______NO LBL
Mailing Address:
SHIPPING:
U.S. MAIL:
ATTN: MAGNETIC MEDIA UNIT/OLB
ATTN: MAGNETIC MEDIA UNIT/OLB
SERVICE & SUPPLY
FRANCHISE TAX BOARD
FRANCHISE TAX BOARD
PO BOX 942840
9645 BUTTERFIELD WAY
SACRAMENTO CA 94240-6090
SACRAMENTO CA 95827
If assistance is needed regarding this form, please call the Magnetic Media Coordination Unit
at (916) 845-3778.
FTB 8303 (NEW 12-97)