Form FDACS-08254 "Nematode Certificate of Inspection for Shipping Nursery Stock to California From Stock Dealers/Brokers" - Florida

What Is Form FDACS-08254?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FDACS-08254 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form FDACS-08254 "Nematode Certificate of Inspection for Shipping Nursery Stock to California From Stock Dealers/Brokers" - Florida

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No._________
Florida Department of Agriculture and Consumer Services
Division of Plant Industry
NEMATODE CERTIFICATE OF INSPECTION
NICOLE “NIKKI” FRIED
FOR SHIPPING NURSERY STOCK TO CALIFORNIA
COMMISSIONER
FROM STOCK DEALERS/BROKERS
Section 581.031(14)(15), F.S.
th
1911 S.W. 34
St. / P.O. Box 147100, Gainesville, FL 32614-7100 / (352) 395-4700 / Fax (352) 395-4619
Date:
This is to certify that the nursery stock or plant material in this shipment meets the requirements of California quarantines
(C.A.C Section 3252, 3263, 3264, 3271, 3282).
Stock Dealer Certification Numbers: Registration #:
Nematode #:
Name and Address of Shipper:
Contact:
Telephone Number:
Name and Address of Consignee:
Contact:
Telephone Number:
Quantity
Nursery Stock (exactly as certified)
Size
Nematode #
Orig. Cert #
IFA#
Shipper’s Signature
st
nd
Distribution: Original with shipment, 1
Copy – Nursery, 2
copy – Plant Protection Specialist
FRAUDULENT USE OF THIS CERTIFICATE IS A CRIMINAL OFFENCE
FDACS-08254 Rev. 03/20
Page 1 of 2
No._________
Florida Department of Agriculture and Consumer Services
Division of Plant Industry
NEMATODE CERTIFICATE OF INSPECTION
NICOLE “NIKKI” FRIED
FOR SHIPPING NURSERY STOCK TO CALIFORNIA
COMMISSIONER
FROM STOCK DEALERS/BROKERS
Section 581.031(14)(15), F.S.
th
1911 S.W. 34
St. / P.O. Box 147100, Gainesville, FL 32614-7100 / (352) 395-4700 / Fax (352) 395-4619
Date:
This is to certify that the nursery stock or plant material in this shipment meets the requirements of California quarantines
(C.A.C Section 3252, 3263, 3264, 3271, 3282).
Stock Dealer Certification Numbers: Registration #:
Nematode #:
Name and Address of Shipper:
Contact:
Telephone Number:
Name and Address of Consignee:
Contact:
Telephone Number:
Quantity
Nursery Stock (exactly as certified)
Size
Nematode #
Orig. Cert #
IFA#
Shipper’s Signature
st
nd
Distribution: Original with shipment, 1
Copy – Nursery, 2
copy – Plant Protection Specialist
FRAUDULENT USE OF THIS CERTIFICATE IS A CRIMINAL OFFENCE
FDACS-08254 Rev. 03/20
Page 1 of 2
No.__________
Florida Department of Agriculture and Consumer Services
Division of Plant Industry
ADDENDUM: NEMATODE CERTIFICATE OF INSPECTION
NICOLE “NIKKI” FRIED
FOR SHIPPING NURSERY STOCK TO CALIFORNIA
COMMISSIONER
FROM STOCK DEALERS/BROKERS
Section 581.031(14)(15), F.S.
th
1911 S.W. 34
St. / P.O. Box 147100, Gainesville, FL 32614-7100 / (352) 395-4700 / Fax (352) 955-2301
Date:
Stock Dealer Certification Numbers: Registration #:
Nematode #:
Quantity
Nursery Stock (exactly as certified)
Size
Nematode #
Orig. Cert #
IFA#
Shipper’s Signature
FDACS-08254 Rev. 03/20
Page 2 of 2
Page of 2