Weights and Measures Registration Form

Weights and Measures Registration Form
Register your business or as an individual for official weights and measures compliance. Please complete all relevant fields below.
Applicant Name
First NameLast Name
Are you registering as a business or an individual?
Business Name (if applicable)
Business or Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Type of Weights and Measures Activity
List equipment or devices to be registered
Briefly describe your intended use for weights and measures compliance
Preferred Inspection Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: