Form 009-0062/TS "Placed in-Service Report" - Iowa

What Is Form 009-0062/TS?

This is a legal form that was released by the Iowa Department of Agriculture and Land Stewardship - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Iowa Department of Agriculture and Land Stewardship;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 009-0062/TS by clicking the link below or browse more documents and templates provided by the Iowa Department of Agriculture and Land Stewardship.

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Download Form 009-0062/TS "Placed in-Service Report" - Iowa

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IOWA DEPARTMENT OF AGRICULTURE
AND LAND STEWARDSHIP
Weights & Measures Bureau
2230 South Ankeny Blvd
Ankeny, IA 50023-9093
515-725-1492
PLACED IN-SERVICE REPORT
Date ________________
Firm Name _____________________________________
Town __________________________________________
County_________________________________________
Type of equipment
_______________________________________________
Repaired within _____________________________ days
Test Report Number ______________________________
Repaired by ______________________________________
Date _____________________
Serviceman’s signature & registration number
Service Company _________________________________
Address _________________________________________
City _____________________________ State _________
RETURN TO:
Inspector: ________________________________
________________________________
________________________________
009-0062/TS
IOWA DEPARTMENT OF AGRICULTURE
AND LAND STEWARDSHIP
Weights & Measures Bureau
2230 South Ankeny Blvd
Ankeny, IA 50023-9093
515-725-1492
PLACED IN-SERVICE REPORT
Date ________________
Firm Name _____________________________________
Town __________________________________________
County_________________________________________
Type of equipment
_______________________________________________
Repaired within _____________________________ days
Test Report Number ______________________________
Repaired by ______________________________________
Date _____________________
Serviceman’s signature & registration number
Service Company _________________________________
Address _________________________________________
City _____________________________ State _________
RETURN TO:
Inspector: ________________________________
________________________________
________________________________
009-0062/TS