Form FDACS-13685 "Limited Certification for Commercial Wildlife Management" - Florida

Form FDACS-13685 is a Florida Department of Agriculture and Consumer Services form also known as the "Limited Certification For Commercial Wildlife Management". The latest edition of the form was released in October 1, 2015 and is available for digital filing.

Download an up-to-date Form FDACS-13685 in PDF-format down below or look it up on the Florida Department of Agriculture and Consumer Services Forms website.

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Download Form FDACS-13685 "Limited Certification for Commercial Wildlife Management" - Florida

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Florida Department of Agriculture and Consumer Services
Remit Fee Online at:
Division of Agricultural Environmental Services
www.FreshFromFlorida.com
- or -
LIMITED CERTIFICATION FOR COMMERCIAL
Check or Money Order Payable to
FDACS:
WILDLIFE MANAGEMENT
FDACS
ADAM H. PUTNAM
Revenue Processing Section
Rule 5E-14.117, F.A.C.
COMMISSIONER
P.O. Box 6710
Telephone: (850) 617-7997
Tallahassee, FL 32314-6710
IMPORTANT - DIRECTIONS:
(1) Applicant must be 18 years of age or older to apply.
(2) Enclose a check or money order payable to FDACS in the amount of $150.00. DO NOT SEND CASH.
PLEASE REMIT SEPARATE CHECKS FOR EACH APPLICATION.
I hereby make application for the Limited Commercial Wildlife Management examination.
Limited Certification for Commercial Wildlife Management - 001137
$ 150.00
TOTAL FEES ENCLOSED
$
.
All questions MUST be answered. PLEASE PRINT.
1.
Name of Applicant
(Last)
(First)
(Middle)
Mailing Address
(Street or Post Office Box)
(City)
(County)
(State)
(Zip Code)
Telephone Number
(
)
Email Address
(Area Code)
FL Driver’s License No. (or State ID)
2.
Name of Employer
Address
(Street)
(City)
(County)
(State)
(Zip Code)
Employer Phone No.
(
)
(Area Code)
3. Have you previously been examined and failed in the category now applied for?
YES
NO
If yes, give month and year FIRST examined in category:
(Month)
(Year)
Date of Birth:
(Month)
(Day)
(Year)
_____
Applicant’s Signature)
(
Org. Code: 42 13 08 02 060
EO B7
County to be examined in: ________________________ ________
Object Code:
001137
$ 150.00
FDACS-13685 Rev. 10/15
Florida Department of Agriculture and Consumer Services
Remit Fee Online at:
Division of Agricultural Environmental Services
www.FreshFromFlorida.com
- or -
LIMITED CERTIFICATION FOR COMMERCIAL
Check or Money Order Payable to
FDACS:
WILDLIFE MANAGEMENT
FDACS
ADAM H. PUTNAM
Revenue Processing Section
Rule 5E-14.117, F.A.C.
COMMISSIONER
P.O. Box 6710
Telephone: (850) 617-7997
Tallahassee, FL 32314-6710
IMPORTANT - DIRECTIONS:
(1) Applicant must be 18 years of age or older to apply.
(2) Enclose a check or money order payable to FDACS in the amount of $150.00. DO NOT SEND CASH.
PLEASE REMIT SEPARATE CHECKS FOR EACH APPLICATION.
I hereby make application for the Limited Commercial Wildlife Management examination.
Limited Certification for Commercial Wildlife Management - 001137
$ 150.00
TOTAL FEES ENCLOSED
$
.
All questions MUST be answered. PLEASE PRINT.
1.
Name of Applicant
(Last)
(First)
(Middle)
Mailing Address
(Street or Post Office Box)
(City)
(County)
(State)
(Zip Code)
Telephone Number
(
)
Email Address
(Area Code)
FL Driver’s License No. (or State ID)
2.
Name of Employer
Address
(Street)
(City)
(County)
(State)
(Zip Code)
Employer Phone No.
(
)
(Area Code)
3. Have you previously been examined and failed in the category now applied for?
YES
NO
If yes, give month and year FIRST examined in category:
(Month)
(Year)
Date of Birth:
(Month)
(Day)
(Year)
_____
Applicant’s Signature)
(
Org. Code: 42 13 08 02 060
EO B7
County to be examined in: ________________________ ________
Object Code:
001137
$ 150.00
FDACS-13685 Rev. 10/15
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