Form FDACS-03585 "Lp Gas Material Change and Duplicate Licenses Form" - Florida

This version of the form is not currently in use and is provided for reference only.
Download this version of Form FDACS-03585 for the current year.

What Is Form FDACS-03585?

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 August 1, 2018;
  • 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-03585 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-03585 "Lp Gas Material Change and Duplicate Licenses Form" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Consumer Services
Submit and Pay Online at:
www.FreshFromFlorida.com
LP GAS MATERIAL CHANGE
- or -
AND DUPLICATE LICENSES FORM
Check or Money Order payable to
FDACS and remit with form to:
Sections 527.02(4), Florida Statutes
ADAM H. PUTNAM
FDACS
COMMISSIONER
PO Box 6700
Tallahassee, FL 32314-6700
Pursuant to section 527.02(4), F.S., any licensee submitting a material change in their information for licensing, before the date
for renewal, must submit such change to the department, along with a $10 fee. Enclose a check or money order in the amount
of $10 made payable to FDACS. All fees are non-refundable.
Select One:
Supplier Change
Address Change
Duplicate Company License
Request for Duplicate Certification/Qualification
Qualifier/Master Qualifier Position Location Transfer Request
Name/Business Name
:
License/Qualifier Number
:
(as listed with the department)
(as issued by the department)
Prior Information:
Revised Information:
F&A Use Only
Org Code: 42 10 06 25 000
EO: A2
Object Code: 001215
$10.00
FDACS-03585 08/18
Florida Department of Agriculture and Consumer Services
Division of Consumer Services
Submit and Pay Online at:
www.FreshFromFlorida.com
LP GAS MATERIAL CHANGE
- or -
AND DUPLICATE LICENSES FORM
Check or Money Order payable to
FDACS and remit with form to:
Sections 527.02(4), Florida Statutes
ADAM H. PUTNAM
FDACS
COMMISSIONER
PO Box 6700
Tallahassee, FL 32314-6700
Pursuant to section 527.02(4), F.S., any licensee submitting a material change in their information for licensing, before the date
for renewal, must submit such change to the department, along with a $10 fee. Enclose a check or money order in the amount
of $10 made payable to FDACS. All fees are non-refundable.
Select One:
Supplier Change
Address Change
Duplicate Company License
Request for Duplicate Certification/Qualification
Qualifier/Master Qualifier Position Location Transfer Request
Name/Business Name
:
License/Qualifier Number
:
(as listed with the department)
(as issued by the department)
Prior Information:
Revised Information:
F&A Use Only
Org Code: 42 10 06 25 000
EO: A2
Object Code: 001215
$10.00
FDACS-03585 08/18