Submit the original of the completed form in hard copy or facsimile to the Kansas City Commodity Office (KCCO), Warehouse License and Examination Division, STOP 9148, P.O. Box 419205, Kansas City, MO 64141-6205; or FAX 816-926-1774. Customers who have established electronic access credentials with KCCO may electronically transmit this form to KCCO. Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.
Fld Name /
|
Instruction |
Name of Provider |
Enter complete name of Provider, on page 1. |
Name of Provider |
Enter complete name of Provider, on page 10. |
Signature |
Enter signature of Provider’s authorized person, on page 10. |
Title |
Enter title of Provider’s authorized person, on page 10. |
Date |
Enter date of signature of Provider’s authorized person, on page 10. |
Page
File Type | application/msword |
File Title | Instructions For WA-460 |
Author | Preferred Customer |
Last Modified By | Judy.Fry |
File Modified | 2008-05-23 |
File Created | 2008-05-23 |