Last updated: 2/18/2010
MultiOwner Fleet Enrollment Application
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Description
GOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF MOTOR VEHICLES ADJUDICATION SERVICES www.dmv.dc.gov MULTI-OWNER FLEET ENROLLMENT APPLICATION Please print COMPANY/AGENCY NAME DIVISION/BUREAU (if applicable) FLEET REPRESENTATIVE'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX FLEET REPRESENTATIVE'S ADDRESS CITY STATE ZIP CODE PHONE NUMBER WITH AREA CODE OFFICE FAX NUMBER WITH AREA CODE E-MAIL ADDRESS SIGNATURE OF FLEET REPRESENTATIVE & DATE FOR GOVERNMENT USE ONLY MULTI-OWNER FLEET NUMBER EFFECTIVE DATE OF ENROLLMENT VEHICLE TAG NO. STATE VEHICLE TAG NO. STATE VEHICLE TAG NO. STATE DMV-ADJ. MFA-001 Rev. 05/04/09 American LegalNet, Inc. www.FormsWorkFlow.com