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VA HP 402 2012 free printable template

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HP 402 01/20/2012 VIRGINIA EXEMPT BLANKET HAULING PERMIT APPLICATION Purpose Use this form to apply for an exempt hauling permit covering multiple moves. See additional instructions on page 2. Fax 804 367-0063 CHECK AMOUNT Web www. dmvnow. com SHIPPER ID NUMBER VAHPS ID FEIN OR SSN Shipper Address Change New Shipper Location REFERENCE NUMBER CHECK NUMBER Instructions Complete this form and mail to DMV Hauling Permits P. O. BOX SUITE NUMBER if applicable CITY Local ZIP CODE STATE VA...
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How to fill out VA HP 402

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Start with your personal information at the top of the form, including your name, address, and contact information.
02
Fill in your Social Security number on the designated line.
03
Provide information about your service, including dates of active duty and branch of service.
04
Indicate your current health care coverage, if any.
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Answer the questions about your income and household size accurately.
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Review the certification statement at the bottom, ensuring you understand and agree with the terms.
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Sign and date the form before submitting it.

Who needs VA HP 402?

01
Veterans who are applying for health care benefits from the Department of Veterans Affairs.
02
Individuals seeking to establish eligibility for VA health care services.
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ANNUAL (BLANKET) PERMIT Note: A mileage fee of $40 and a damage fee of $360 per year will be added if overweight. If the vehicle configuration cannot be licensed in Virginia (Mobile homes and Manufactured homes included), the $40 mileage fee per year will apply.
In general, the maximum legal load width is 8.5 feet (102 inches), and the maximum height limit is also 102 inches. Legal length is typically 48 to 53 feet, and the maximum weight is about 46,000 pounds. Some trucks may be able to scale heavier, but 46,000 pounds is usually the standard.
Superload - A vehicle that equals or exceeds 18 feet in width, 250,000 pounds in weight, 200 feet in length, or 16 feet in height. (References: 24VAC20-81-100 and 24VAC20-81- 120).
Operators of vehicles having a manufacturer's gross vehicle weight rating (GVWR) of 26,001 or more or a combination of vehicles with a gross combination weight rating (GCWR) of 26,001 pounds or more if the vehicle(s) being towed has a GVWR of more than 10,000 pounds are required to hold a valid CDL permit.
4. Is continuous travel allowed for oversize permits in Virginia? Travel is allowed 24/7 when load does not exceed 8'6” wide, 13'6” high and 85' long with 10' or less in rear overhang. Loads that are overweight only may also travel 24/7.

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VA HP 402 is a form used by the Department of Veterans Affairs to collect health care data for veterans.
Healthcare providers and organizations offering care to veterans are required to file VA HP 402.
To fill out VA HP 402, gather the required information, ensure all fields are completed accurately, and submit the form to the appropriate VA office.
The purpose of VA HP 402 is to facilitate the collection and reporting of health care data to improve services for veterans.
Information required on VA HP 402 typically includes patient demographics, services provided, and health outcomes.
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