Pennsylvania Department of Agriculture



2019 Annual Amusement Ride Registration

Owner

Owner Address

Owner City, State, Zip

PA Owner ID #: XXX Contact Name: Owner First and Last Name

Dear Amusement Ride Owner:

This message lists your current equipment, inspector and business information that are registered with the Department. To renew your registration please complete and return all pages to the department by one of the methods listed no later than 30 days from receipt. All correspondence with the Department must have the PA Owner ID and the PA Ride ID. The Department must receive the entire document to be in compliance (return ALL pages).

• Fax: 717-783-4158

• E-mail all pages as an attachment with your signature, title, date, email address and contact number to RA-amusementrides@

• Mail the completed forms to:

Pennsylvania Department of Agriculture

Bureau of Ride & Measurement Standards

2301 North Cameron Street

Harrisburg, PA 17110-9408

Instructions for Registration:

- Review the equipment listed for your company. Compare the ride names and serial numbers according to your records and make changes as necessary.

- Delete all previously owned rides that appear in the Department’s records by designating the ride as "D" for destroyed or "S" for sold in the New Status field.

- You may add new rides to this renewal by adding the following information when submitting your renewal:

• Ride Name

• Manufacturer

• Serial Number

- Verify your business’s current registered inspectors are accurate. If the inspectors listed are no longer with your company, please designate them as "Inactive", in the Change field.

- Verify that your business Name, Address, and Telephone numbers are correct. Please update the current information with our office. Additionally, the Department is now doing business primarily by e-mail and therefore requests an active e-mail address be provided by each owner.

As a reminder, any equipment listed as “Active” must have current insurance, inspections and itineraries submitted to the department as required by law.

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