"Monthly Report of Subterranean Termite Work" - Alabama

Monthly Report of Subterranean Termite Work is a legal document that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama.

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A
S
of
TATE
LABAMA
D
A
I
EPARTMENT OF
GRICULTURE A ND
NDUSTRIES
Pesticide Man agement – Profession al Services Unit
1445 Federal Drive
Montgomery, Alabama 36107-1123
(334) 240-7261
1-800-642-7761, Ext. 7261
John McMillan
Commissioner
The Termite Treatment Monthly Report Form is provided for convenience to the
Pest Control Industry. It is not to be submitted to the Department of Agriculture &
Industries unless requested. The following rule from the Alabama Administrative
Code, Chapter 80-10-9, explains the required reporting procedures for Termite
Treatments performed in Alabama.
80-10-9-.16(2) A duplicate of each contract for subterranean termite work shall be
kept in the files of the permittee for a period of one (1) year beyond the expiration
date of the contract and made available to the commissioner or authorized agent
upon request. By the 10th of each month, the permittee shall complete a report of
all subterranean termite work performed during the prior month. Monthly reports
shall contain the full names of property owners, complete addresses of structures
treated and date of treatment. If no work is performed during any month, a report
must be completed indicating that no work was performed. These reports shall be
maintained by the permittee in each main or branch office location responsible for
the supervision of the work performed. These reports shall be maintained in an
accruing/succeeding order by the permittee in a file titled “Termite Reports for the
Commissioner” and made available for inspection during normal business hours or
furnished to the Commissioner or his authorized agents upon request. Each
monthly report shall be maintained by the permittee for a period of three (3) years
from the month it was filed.
If you have questions please contact our office at (334) 240-7261 or 7233,
www.agi.alabama.gov
“We provide employment & services without discrimination.”
A
S
of
TATE
LABAMA
D
A
I
EPARTMENT OF
GRICULTURE A ND
NDUSTRIES
Pesticide Man agement – Profession al Services Unit
1445 Federal Drive
Montgomery, Alabama 36107-1123
(334) 240-7261
1-800-642-7761, Ext. 7261
John McMillan
Commissioner
The Termite Treatment Monthly Report Form is provided for convenience to the
Pest Control Industry. It is not to be submitted to the Department of Agriculture &
Industries unless requested. The following rule from the Alabama Administrative
Code, Chapter 80-10-9, explains the required reporting procedures for Termite
Treatments performed in Alabama.
80-10-9-.16(2) A duplicate of each contract for subterranean termite work shall be
kept in the files of the permittee for a period of one (1) year beyond the expiration
date of the contract and made available to the commissioner or authorized agent
upon request. By the 10th of each month, the permittee shall complete a report of
all subterranean termite work performed during the prior month. Monthly reports
shall contain the full names of property owners, complete addresses of structures
treated and date of treatment. If no work is performed during any month, a report
must be completed indicating that no work was performed. These reports shall be
maintained by the permittee in each main or branch office location responsible for
the supervision of the work performed. These reports shall be maintained in an
accruing/succeeding order by the permittee in a file titled “Termite Reports for the
Commissioner” and made available for inspection during normal business hours or
furnished to the Commissioner or his authorized agents upon request. Each
monthly report shall be maintained by the permittee for a period of three (3) years
from the month it was filed.
If you have questions please contact our office at (334) 240-7261 or 7233,
www.agi.alabama.gov
“We provide employment & services without discrimination.”
Print Form
MONTHLY REPORT OF SUBTERRANEAN TERMITE WORK
State of Alabama Department of Agriculture & Industries
REPORT FOR THE MONTH OF
DECEMBER
20
Pesticide Management --Termite Monthly Reports
1445 Federal Drive
Company Name:
Montgomery, Al. 36107-1123
Address:
RETAIN THIS REPORT IN YOUR OFFICE FILED AS
Office Location:
REQUIRED BY THE ALABAMA ADMINISTRATIVE
CODE, CHAPTER 80-10-9, SECTION 80-10-9-.16(2).
City/St/Zip:
-
(
)
Phone:
Check Only One Box Below:
No Subterranean Termite Work Was Performed During This Reporting Month.
All Subterranean Termite Work Performed During This Reporting Month Is Listed Below. *(If additional pages are necessary
please complete and number each page separately).
*Total number of pages submitted for this month:
This is Page Number:
Name of Property
Complete Address of Property Treated
Date of Treatment
Owner
Page of 2