"Commercial Feed Company Registration Application Form" - Colorado

Commercial Feed Company Registration Application Form is a legal document that was released by the Colorado Department of Agriculture - a government authority operating within Colorado.

Form Details:

  • The latest edition currently provided by the Colorado Department of Agriculture;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Department of Agriculture.

ADVERTISEMENT
ADVERTISEMENT

Download "Commercial Feed Company Registration Application Form" - Colorado

938 times
Rate (4.6 / 5) 47 votes
ICS Feed Program
st
2331 W 31
Ave
Denver, CO 80211
303-477-0081
www.colorado.gov/ag
Commercial Feed Company Registration Application
February 1 – January 31
Send ALL completed application forms along with payment to the address listed above
Make check payable to Colorado Department of Agriculture
All payments must be payable in U.S. dollars and checks must be drawn on a U.S. Bank
Please retain a copy of the completed forms for your records
INCOMPLETE APPLICATIONS WILL BE RETURNED
Fee:
Registration Due - - - - - - - - $75.00
Name of firm listed on product label is operating as Business Type:
Partnership
Corporation
LLC
S-Corp
Individual/Sole Proprietorship (must complete citizenship/immigration status verification form)
Other (describe): ______________________________________________________
Name of firm listed on product label: ____________________________________________
Mailing Address: ______________________________________________________________
Is this the Feed Manufacturing:
Facility,
Guarantor,
or Both
City: ___________________________________ State: ____________________ Zip: ________________
Contact Name: ________________________________ Phone: ___________________ Fax: ________________
Email Address (Required): ______________________________________________________
Website: _____________________________________________________________________
Please mark each box that applies to the package sizes this firm is listed on:
Animal food distributed in Colorado in small package weights 10 pounds and under
Animal food distributed in Colorado in larger package weights over 10 pounds or in bulk
Do you manufacture feed, including pet feed, treats, supplements etc., in Colorado?
Yes
No
If “Yes,” List location(s) below:
Name of facility (if different): _____________________________________________________________
Mailing Address: _________________________________________________________________________
Facility Address (if different): ______________________________________________________________
City: _____________________________________ State: __________________ Zip: __________________
Contact: ________________________ Email: __________________ Phone: _________________________
Type of Processing – Select all types of feed processing performed in Colorado facility:
Rendering
Pelleting
Extrusion
Roasting
Steam Flaking
Thermal Processing
Heating
Refrigeration/freezing
Mixing
Milling
Salvaging
N/A No Colorado Facility
ICS Feed Program
st
2331 W 31
Ave
Denver, CO 80211
303-477-0081
www.colorado.gov/ag
Commercial Feed Company Registration Application
February 1 – January 31
Send ALL completed application forms along with payment to the address listed above
Make check payable to Colorado Department of Agriculture
All payments must be payable in U.S. dollars and checks must be drawn on a U.S. Bank
Please retain a copy of the completed forms for your records
INCOMPLETE APPLICATIONS WILL BE RETURNED
Fee:
Registration Due - - - - - - - - $75.00
Name of firm listed on product label is operating as Business Type:
Partnership
Corporation
LLC
S-Corp
Individual/Sole Proprietorship (must complete citizenship/immigration status verification form)
Other (describe): ______________________________________________________
Name of firm listed on product label: ____________________________________________
Mailing Address: ______________________________________________________________
Is this the Feed Manufacturing:
Facility,
Guarantor,
or Both
City: ___________________________________ State: ____________________ Zip: ________________
Contact Name: ________________________________ Phone: ___________________ Fax: ________________
Email Address (Required): ______________________________________________________
Website: _____________________________________________________________________
Please mark each box that applies to the package sizes this firm is listed on:
Animal food distributed in Colorado in small package weights 10 pounds and under
Animal food distributed in Colorado in larger package weights over 10 pounds or in bulk
Do you manufacture feed, including pet feed, treats, supplements etc., in Colorado?
Yes
No
If “Yes,” List location(s) below:
Name of facility (if different): _____________________________________________________________
Mailing Address: _________________________________________________________________________
Facility Address (if different): ______________________________________________________________
City: _____________________________________ State: __________________ Zip: __________________
Contact: ________________________ Email: __________________ Phone: _________________________
Type of Processing – Select all types of feed processing performed in Colorado facility:
Rendering
Pelleting
Extrusion
Roasting
Steam Flaking
Thermal Processing
Heating
Refrigeration/freezing
Mixing
Milling
Salvaging
N/A No Colorado Facility
ICS Feed Program
st
2331 W 31
Ave
Denver, CO 80211
303-477-0081
www.colorado.gov/ag
Type of Feed – Select all types of feed that are manufactured in Colorado facility:
Mixed Species
Raw pet food
Pet food
Medicated feed
Customer formula feed
Feed containing prohibited mammalian tissue
Single species feed
Non-medicated feed
Feed ingredient
N/A No Colorado Facility
Scope of Distribution for feed manufactured in Colorado Facilities (select one option):
Global
National
Colorado Only
N/A No Colorado facility
Estimate Total Volume of feed manufactured in Colorado facilities per day:
Less than 1 ton
1 ton to 50 tons
51 tons to 500 tons
Over 500 tons
N/A No Colorado Facility
I certify that all statements made in this application are true, correct and complete to the best of my
knowledge and belief, and are made in good faith. I understand that making false statements on this
application is punishable by law.
Signature: ___________________________________________________ Date: __________________________
Print Name: _________________________________________________ Title: __________________________
Page of 2