Form 9501RCCD-015A "Brady Applicant Account Update Form" - Nevada

What Is Form 9501RCCD-015A?

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

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Nevada Department of Public Safety;
  • 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 9501RCCD-015A by clicking the link below or browse more documents and templates provided by the Nevada Department of Public Safety.

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Download Form 9501RCCD-015A "Brady Applicant Account Update Form" - Nevada

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Records, Communications and Compliance Division
333 West Nye Lane, Suite 100
Carson City, Nevada 89706
Telephone (775) 684-6262 – Fax (775) 687-3232
ap@dps.state.nv.us
www.rccd.nv.gov
For use by DPS Fiscal Staff Only
BRADY APPLICANT ACCOUNT UPDATE FORM
(one account per form)
Update Processed By: _____________________
Completed forms can be submitted via mail, e-mail or fax
Date: ___________________________________
Company Name:
Federal Tax ID #/Social Security Number
New
FFL/RCCD Account Number
If “New”, please provide the previous Federal Tax ID#/Social Security Number:
Address Change – applies to:
Physical Location
Billing Address
Physical Address
City – State - Zip
Mailing Address
City – State - Zip
Contact Information - applies to:
Primary
Secondary
Billing Contact
Add
Delete
Name and Title (printed)
Telephone Number
E-mail Address
Fax Number
Contact Information - applies to:
Primary
Secondary
Billing Contact
Add
Delete
Name and Title (printed)
Telephone Number
E-mail Address
Fax Number
Terms: Statements will be mailed each month. In order to maintain a current account, the balance in full must be paid within
10 days of receipt. If a credit limit is granted for this application, the account may be suspended if the credit limit is exceeded or
if the account is not current. If an account is suspended, services will not be provided until the account terms are satisfied. Any
change to organization information including address must be reported within 5 business days.
I, the undersigned, have the authority and am the responsible party to apply for an account on behalf of the Company/
Organization listed above. I agree to the terms listed above and I understand that any credit limit associated with this account
is at the discretion of the Department of Public Safety, Records, Communications and Compliance Division.
Authorized Company Representative Signature
Date
Authorized Company Representative Name-PRINTED
Title
0501RCCD-015a(07/2017rev)
Brady Applicant Account Update Form
Records, Communications and Compliance Division
333 West Nye Lane, Suite 100
Carson City, Nevada 89706
Telephone (775) 684-6262 – Fax (775) 687-3232
ap@dps.state.nv.us
www.rccd.nv.gov
For use by DPS Fiscal Staff Only
BRADY APPLICANT ACCOUNT UPDATE FORM
(one account per form)
Update Processed By: _____________________
Completed forms can be submitted via mail, e-mail or fax
Date: ___________________________________
Company Name:
Federal Tax ID #/Social Security Number
New
FFL/RCCD Account Number
If “New”, please provide the previous Federal Tax ID#/Social Security Number:
Address Change – applies to:
Physical Location
Billing Address
Physical Address
City – State - Zip
Mailing Address
City – State - Zip
Contact Information - applies to:
Primary
Secondary
Billing Contact
Add
Delete
Name and Title (printed)
Telephone Number
E-mail Address
Fax Number
Contact Information - applies to:
Primary
Secondary
Billing Contact
Add
Delete
Name and Title (printed)
Telephone Number
E-mail Address
Fax Number
Terms: Statements will be mailed each month. In order to maintain a current account, the balance in full must be paid within
10 days of receipt. If a credit limit is granted for this application, the account may be suspended if the credit limit is exceeded or
if the account is not current. If an account is suspended, services will not be provided until the account terms are satisfied. Any
change to organization information including address must be reported within 5 business days.
I, the undersigned, have the authority and am the responsible party to apply for an account on behalf of the Company/
Organization listed above. I agree to the terms listed above and I understand that any credit limit associated with this account
is at the discretion of the Department of Public Safety, Records, Communications and Compliance Division.
Authorized Company Representative Signature
Date
Authorized Company Representative Name-PRINTED
Title
0501RCCD-015a(07/2017rev)
Brady Applicant Account Update Form