Use additional page if necessary.
Please print the name of the Authorized Contact:
Original Signature of Authorized Contact (For linking additional permits):
Signature:
Date:
PS Form 6002, April 2012
PS
Form 6001, CAPS Application. All applicants must complete and submit this
form to apply for a CAPS account.
PS
Form 6003, EFT Authorization Agreement. Only applicants who wish to
establish a CAPS debit account complete and submit this form.
Local permit account must be at zero balance at the time of linking.
Please submit PS Form 3533 to local permit office
When linking to a CAPS trust account, funds in the local permit account at time
of linking (except EMCA) may be transferred to the CAPS trust account upon written authorization.
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