Used to apply for an official insignia for conversion vendor or medical unit factory-assembled structures. See sample form for instructions about how to fill out the form correctly.

Manufacturer uses this form to apply for an official insignia for commercial coaches that have a plan approval number.

Used by the manufacturer to request approval from L&I on an eletrical plan to build manufactured / mobile home(s) or commercial coaches.

A manufacturer of factory-built structures and/or commercial coaches uses this form to submit plans to L&I for review.