Form IN-1518 "Request for Replacement/Duplicate Licenses/Cards/Permits" - Tennessee

What Is Form IN-1518?

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

Form Details:

  • The latest edition provided by the Tennessee Department of Commerce and Insurance;
  • 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 IN-1518 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Commerce and Insurance.

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Download Form IN-1518 "Request for Replacement/Duplicate Licenses/Cards/Permits" - Tennessee

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STATE OF TENNESSEE 
DEPARTMENT OF COMMERCE AND INSURANCE 
DIVISION OF FIRE PREVENTION 
ADMINISTRATIVE SERVICES SECTION 
PERMITS AND LICENSES UNIT 
rd 
500 James Robertson Parkway, 3 
Floor 
Nashville, Tennessee  37243­1162 
(615) 741­1322  FAX: (615)741­1583 
REQUEST FOR 
REPLACEMENT/DUPLICATE 
LICENSES/CARDS/PERMITS 
Please submit, along with this completed form, the appropriate fees (if applicable).  Check the 
appropriate profession box below: 
Explosives 
Fire Extinguishers 
Fireworks 
LP Gas 
Fire Sprinkler 
Blaster ($15) 
Branch ($50) 
Display 
Active Mgr. 
Firm ($75) 
Firm ($15) 
Firm ($50) 
Distributor 
RME 
RME ($75) 
Handler ($15) 
Specialist ($30) 
Manufacturer 
Class I 
Limited Blaster ($15) 
Technician ($20) 
Retailer 
Class II 
Seasonal Retailer 
Class III 
Wholesaler 
Class IV 
Class V 
Date:_____________________ 
License/Card/Permit Number:____________________________________________________________ 
Name of Registrant:____________________________________________________________________ 
Address:_____________________________________________________________________________ 
(Street, PO Box, State Route, etc) 
____________________________________________________________________________________ 
(City, State, Zip) 
Reason for Request:____________________________________________________________________ 
____________________________________________________________________________________ 
____________________________________________________________________________________ 
Requested By:_________________________________________________________________________ 
(Name & Title) 
IN­1518 
RDA 2225
STATE OF TENNESSEE 
DEPARTMENT OF COMMERCE AND INSURANCE 
DIVISION OF FIRE PREVENTION 
ADMINISTRATIVE SERVICES SECTION 
PERMITS AND LICENSES UNIT 
rd 
500 James Robertson Parkway, 3 
Floor 
Nashville, Tennessee  37243­1162 
(615) 741­1322  FAX: (615)741­1583 
REQUEST FOR 
REPLACEMENT/DUPLICATE 
LICENSES/CARDS/PERMITS 
Please submit, along with this completed form, the appropriate fees (if applicable).  Check the 
appropriate profession box below: 
Explosives 
Fire Extinguishers 
Fireworks 
LP Gas 
Fire Sprinkler 
Blaster ($15) 
Branch ($50) 
Display 
Active Mgr. 
Firm ($75) 
Firm ($15) 
Firm ($50) 
Distributor 
RME 
RME ($75) 
Handler ($15) 
Specialist ($30) 
Manufacturer 
Class I 
Limited Blaster ($15) 
Technician ($20) 
Retailer 
Class II 
Seasonal Retailer 
Class III 
Wholesaler 
Class IV 
Class V 
Date:_____________________ 
License/Card/Permit Number:____________________________________________________________ 
Name of Registrant:____________________________________________________________________ 
Address:_____________________________________________________________________________ 
(Street, PO Box, State Route, etc) 
____________________________________________________________________________________ 
(City, State, Zip) 
Reason for Request:____________________________________________________________________ 
____________________________________________________________________________________ 
____________________________________________________________________________________ 
Requested By:_________________________________________________________________________ 
(Name & Title) 
IN­1518 
RDA 2225