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VOLUNTARY MERCURY AUTOMOBILE SWITCH REMOVAL PROGRAM SWITCH RECOVERY×REIMBURSEMENT FORM IMPORTANT NOTE: TO RECEIVE REIMBURSEMENT: 1. Please complete and sign this form. 2. Fax a copy of the form to
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How to fill out voluntary mercury automobile:

01
Obtain the necessary form: Start by acquiring the official form for filling out the voluntary mercury automobile. You can usually find this form on the website of the responsible governing body or obtain a physical copy from the appropriate office.
02
Provide personal information: Begin by entering your personal details in the designated fields of the form. This typically includes your full name, contact information, address, and any other specific information required.
03
Describe the vehicle: Next, accurately describe the mercury automobile you own or possess. Include details such as the make, model, year of manufacture, VIN (Vehicle Identification Number), and any additional relevant information about the vehicle.
04
Indicate ownership status: Specify whether you are the sole owner of the mercury automobile or if it is jointly owned by someone else. Provide the necessary information for any co-owners, such as their names, addresses, and contact details.
05
Disclose vehicle history: If the mercury automobile has previously undergone any repairs, alterations, or modifications, mention these details in the appropriate section of the form. This could include information about replacements, upgrades, or any previous accidents.
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Declare intent: Clearly state your intention regarding the voluntary mercury automobile. This may involve selecting options such as donating the vehicle, selling it, or disposing of it in an environmentally friendly manner. Follow the instructions provided on the form to indicate your choice.

Who needs voluntary mercury automobile?

01
Individuals with mercury automobiles: Those who own or possess mercury automobiles are the primary audience for the voluntary mercury automobile form. These individuals may decide to fill out this form if they are looking to dispose of their mercury automobile in a responsible manner.
02
Environmental organizations: Organizations focused on addressing environmental concerns and promoting sustainable practices may have an interest in the voluntary mercury automobile form. They may use it to collect data or collaborate with individuals who wish to dispose of their mercury automobiles in an environmentally friendly way.
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Government agencies or authorities: Government bodies responsible for regulating and monitoring environmental issues, waste management, or automotive industry regulations may require the voluntary mercury automobile form for record-keeping purposes. These agencies may use the information provided to ensure compliance with relevant laws and regulations.
Note: The specific entities or individuals who need the voluntary mercury automobile form may vary depending on local regulations and the policies in place within a particular jurisdiction. Therefore, it is advisable to consult local authorities or check relevant guidelines to determine the exact requirements for your situation.
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Voluntary mercury automobile refers to the reporting of vehicles with mercury switches that have been voluntarily removed.
Owners or operators of vehicles that have had mercury switches voluntarily removed are required to file voluntary mercury automobile.
The voluntary mercury automobile form can be filled out online or submitted via mail with the necessary information about the vehicle and the removal of mercury switches.
The purpose of voluntary mercury automobile is to track and monitor the removal of mercury switches from vehicles to prevent environmental contamination.
Information such as vehicle identification number, date of mercury switch removal, and the method of disposal must be reported on voluntary mercury automobile.
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