Form FDACS-13689 Request for Inclusion on Ahb Bee Eradication or Removal List - Florida

Form FDACS-13689 is a Florida Department of Agriculture and Consumer Services form also known as the "Request For Inclusion On Ahb Bee Eradication Or Removal List". The latest edition of the form was released in July 1, 2014 and is available for digital filing.

Download a PDF version of the Form FDACS-13689 down below or find it on Florida Department of Agriculture and Consumer Services Forms website.

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Florida Department of Agriculture and Consumer Services
Division of Agricultural Environmental Services
Respond to:
REQUEST FOR INCLUSION ON AHB BEE
Bureau of Licensing and Enforcement
3125 Conner Blvd, Bldg 8
ERADICATION OR REMOVAL LIST
Tallahassee, FL 32399-1650
ADAM H. PUTNAM
Rule 5E-14.1025, F.A.C.
COMMISSIONER
Telephone: (850) 617-7997 Fax: (850) 617-7969
I request to be added to the Florida Department of Agriculture’s Bee Eradication or Removal List. I certify that I possess a
Florida Pest Control Business License with a Certified Operator In Charge of the General Household and Rodent Pest Control
Category (GHP- for interior or exterior bee control) and/or the Lawn & Ornamental Pest Control Category (L&O- exterior bee control
only) OR I am a registered beekeeper using non-lethal methods and that I’ve received Africanized Honeybee Training (AHB).
Company or Beekeeper Requesting:
JB (License) Number:
Licensee or
Beekeeper Name:
Street location:
City, State and Zip Code:
Contacts:
Name of Primary
Contact Person:
Day Phone Number:
Night/Emergency Phone
Number:
Name of Secondary
Contact Person:
Day Phone Number:
Night/Emergency Phone
Number:
Email Address:
Bee Eradication or Removal Service Area:
Indicate Service Territory BY COUNTY
If Statewide services are performed
indicate ALL in County 1
County 1
County 2
County 3
County 4
FDACS-13689 Rev. 07/14
Florida Department of Agriculture and Consumer Services
Division of Agricultural Environmental Services
Respond to:
REQUEST FOR INCLUSION ON AHB BEE
Bureau of Licensing and Enforcement
3125 Conner Blvd, Bldg 8
ERADICATION OR REMOVAL LIST
Tallahassee, FL 32399-1650
ADAM H. PUTNAM
Rule 5E-14.1025, F.A.C.
COMMISSIONER
Telephone: (850) 617-7997 Fax: (850) 617-7969
I request to be added to the Florida Department of Agriculture’s Bee Eradication or Removal List. I certify that I possess a
Florida Pest Control Business License with a Certified Operator In Charge of the General Household and Rodent Pest Control
Category (GHP- for interior or exterior bee control) and/or the Lawn & Ornamental Pest Control Category (L&O- exterior bee control
only) OR I am a registered beekeeper using non-lethal methods and that I’ve received Africanized Honeybee Training (AHB).
Company or Beekeeper Requesting:
JB (License) Number:
Licensee or
Beekeeper Name:
Street location:
City, State and Zip Code:
Contacts:
Name of Primary
Contact Person:
Day Phone Number:
Night/Emergency Phone
Number:
Name of Secondary
Contact Person:
Day Phone Number:
Night/Emergency Phone
Number:
Email Address:
Bee Eradication or Removal Service Area:
Indicate Service Territory BY COUNTY
If Statewide services are performed
indicate ALL in County 1
County 1
County 2
County 3
County 4
FDACS-13689 Rev. 07/14

Download Form FDACS-13689 Request for Inclusion on Ahb Bee Eradication or Removal List - Florida

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