Form FP-044E "Application for Exemption From Permit to Transport Combustible Liquids" - Massachusetts

What Is Form FP-044E?

This is a legal form that was released by the Massachusetts Department of Fire Services - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the Massachusetts Department of Fire Services;
  • 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 printable version of Form FP-044E by clicking the link below or browse more documents and templates provided by the Massachusetts Department of Fire Services.

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Download Form FP-044E "Application for Exemption From Permit to Transport Combustible Liquids" - Massachusetts

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The Commonwealth of Massachusetts
City /Town of __________________
Application for Exemption from Permit to Transport Combustible Liquids
FP-044E
Return completed application to: ______________________________ 
(Rev. 1.2018)
City or Town: __________________________________________ Date: _______________________________________
In accordance with the provisions of 527 CMR 1.00 Section 1.12.8.25.3.4, Board of Fire Prevention Regulations, application is
hereby made for certificate of exemption of the transport vehicle described herein.
Name of Owner: _____________________________________________________________________________________
Address: ___________________________________________________________________________________________
(Address of Permitted Land Where Vehicle is Parked Overnight: Street or P.O. Box, City or Town, Zip Code)
Vehicle Type: ________________________
Make: ______________________
Year: ____________________________
Registration: _________________________
VIN #: _________________________________________________________
Tank Capacity: _______________________
Signature of Applicant: ____________________________________________
 Approved
 Disapproved
Date: ________________
_______________________________________________
_______________________________________________
(Signature Head of the Fire Department or Designee)
(Print Name Head of the Fire Department or Designee)
FIRE DEPARTMENT FILE COPY
The Commonwealth of Massachusetts
City/Town of __________________
FP-044E
CERTIFICATE OF EXEMPTION
(Rev. 1.2018)
City or Town: __________________________________________ Date: _______________________________________
In accordance with the provisions of 527 CMR 1.00 Section 1.12.8.25.3.4, this exemption from a permit to transport
combustible liquids is granted to:
Name: _____________________________________________________________________________________________
(Full Name of Person, Firm or Corporation)
Address: ___________________________________________________________________________________________
Vehicle Type: ________________________
Make: ______________________
Year: ____________________________
Registration: _________________________
VIN #: _________________________________________________________
Tank Capacity: _______________________
Print Name and Title of Official granting Exemption ___________________________________________________________
Signature of Official granting Exemption ___________________________________________________________________
This certificate of exemption shall remain in effect provided the tank vehicle herein described is maintained in accordance with
U.S. DOT. Title 49 CFR, specification for transporting flammable liquids.
This original must remain with the transport vehicle
The Commonwealth of Massachusetts
City /Town of __________________
Application for Exemption from Permit to Transport Combustible Liquids
FP-044E
Return completed application to: ______________________________ 
(Rev. 1.2018)
City or Town: __________________________________________ Date: _______________________________________
In accordance with the provisions of 527 CMR 1.00 Section 1.12.8.25.3.4, Board of Fire Prevention Regulations, application is
hereby made for certificate of exemption of the transport vehicle described herein.
Name of Owner: _____________________________________________________________________________________
Address: ___________________________________________________________________________________________
(Address of Permitted Land Where Vehicle is Parked Overnight: Street or P.O. Box, City or Town, Zip Code)
Vehicle Type: ________________________
Make: ______________________
Year: ____________________________
Registration: _________________________
VIN #: _________________________________________________________
Tank Capacity: _______________________
Signature of Applicant: ____________________________________________
 Approved
 Disapproved
Date: ________________
_______________________________________________
_______________________________________________
(Signature Head of the Fire Department or Designee)
(Print Name Head of the Fire Department or Designee)
FIRE DEPARTMENT FILE COPY
The Commonwealth of Massachusetts
City/Town of __________________
FP-044E
CERTIFICATE OF EXEMPTION
(Rev. 1.2018)
City or Town: __________________________________________ Date: _______________________________________
In accordance with the provisions of 527 CMR 1.00 Section 1.12.8.25.3.4, this exemption from a permit to transport
combustible liquids is granted to:
Name: _____________________________________________________________________________________________
(Full Name of Person, Firm or Corporation)
Address: ___________________________________________________________________________________________
Vehicle Type: ________________________
Make: ______________________
Year: ____________________________
Registration: _________________________
VIN #: _________________________________________________________
Tank Capacity: _______________________
Print Name and Title of Official granting Exemption ___________________________________________________________
Signature of Official granting Exemption ___________________________________________________________________
This certificate of exemption shall remain in effect provided the tank vehicle herein described is maintained in accordance with
U.S. DOT. Title 49 CFR, specification for transporting flammable liquids.
This original must remain with the transport vehicle