DNR Form 542-4022 "Business Form for Commercial Manure Service" - Iowa

What Is DNR Form 542-4022?

This is a legal form that was released by the Iowa Department of Natural Resources - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2014;
  • The latest edition provided by the Iowa Department of Natural Resources;
  • 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 DNR Form 542-4022 by clicking the link below or browse more documents and templates provided by the Iowa Department of Natural Resources.

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Download DNR Form 542-4022 "Business Form for Commercial Manure Service" - Iowa

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Business Form for
Animal Manure
COMMERCIAL Manure Service
Management Form
To license your Commercial Manure Service (CMS), designate one manager and complete Parts
CASHIER USE ONLY
A, B, C and D. Please designate the fees that your company will be paying for representatives in
Fund No. 0473-542-473A-BL-0570
Part D.
Fund No. 0473-542-473C-ME-0570
Attachments: For each representative the CMS is paying fees for, including the manager; attach
Fund No. 0473-542-473A-RC-0570
a copy of the Individual Training or Testing Record for Commercial Managers and
Fund No. 0473-542-473C-RE-0570
Representatives (Form 542-3300).
Fund No. 0473-542-473A-LF-0570
Substitutions or Terminations: Send form 542-4023 to the DNR within 30 days of the new hire
Business Name
or termination.
Check Writer
Part A. Commercial Manure Service (CMS)
PLEASE PRINT
Please note if this is a new address
Business Name
CMS License No.
Main Business Address
(Street)
(City/State/Zip)
(County)
Phone No.
Cell No.
(Email)
Part B. Name of Manager (Name only one & attach form 542-3300)
Name:
Social Security or Driver’s License No.
Part C. Business Fees
Business License Fee
$200.00
(fund 473A-BL)
Manager’s Education Fee
$25.00
(fund 473C-ME)
$12.50 Late Fee*
$
(fund 473A-LF)
Late fee is charged for the business, including the manager, and for each additional
*
representative, if form is postmarked after March 1. The late fee does not apply to first-time
Business Fee Subtotal
$
applicants.
Part D. Fees Number of Commercial Manure Service Representatives and Fees
Cost
No of Representatives
Total
Required Certification Fee
$75.00 each
(fund 473A-RC)
X
= $
Required Education/Exam Fee
$25.00 each
(fund 473C-RE)
X
= $
Late Fee*
$12.50 each
(fund 473A-LF)
X
= $
Representative Fee Subtotal (from Part D)
$
Business Fee Subtotal (from Part C)
$
Total Enclosed (Add Parts C and D)
$
 Send one copy of this application, postmarked no later than March 1, along with
Iowa Department of Natural Resources
Form 542-3300 for the manager and each representative (if the company is paying
Manure Applicator Certification
part or all of the fees), and the appropriate fees to the DNR at the address listed to
th
502 E 9
St
the right.
Des Moines IA 50319-0034
 Make checks payable to the Iowa DNR
 Persons meeting all the requirements will receive their certificate by return mail.
 Please allow 30 days for delivery of certificates.
 The certification will expire annually on March 1.
Call 515-725-8200 with questions.
Send one copy to DNR - Photocopy for your records
11/2014 cmc
DNR Form 542-4022
Business Form for
Animal Manure
COMMERCIAL Manure Service
Management Form
To license your Commercial Manure Service (CMS), designate one manager and complete Parts
CASHIER USE ONLY
A, B, C and D. Please designate the fees that your company will be paying for representatives in
Fund No. 0473-542-473A-BL-0570
Part D.
Fund No. 0473-542-473C-ME-0570
Attachments: For each representative the CMS is paying fees for, including the manager; attach
Fund No. 0473-542-473A-RC-0570
a copy of the Individual Training or Testing Record for Commercial Managers and
Fund No. 0473-542-473C-RE-0570
Representatives (Form 542-3300).
Fund No. 0473-542-473A-LF-0570
Substitutions or Terminations: Send form 542-4023 to the DNR within 30 days of the new hire
Business Name
or termination.
Check Writer
Part A. Commercial Manure Service (CMS)
PLEASE PRINT
Please note if this is a new address
Business Name
CMS License No.
Main Business Address
(Street)
(City/State/Zip)
(County)
Phone No.
Cell No.
(Email)
Part B. Name of Manager (Name only one & attach form 542-3300)
Name:
Social Security or Driver’s License No.
Part C. Business Fees
Business License Fee
$200.00
(fund 473A-BL)
Manager’s Education Fee
$25.00
(fund 473C-ME)
$12.50 Late Fee*
$
(fund 473A-LF)
Late fee is charged for the business, including the manager, and for each additional
*
representative, if form is postmarked after March 1. The late fee does not apply to first-time
Business Fee Subtotal
$
applicants.
Part D. Fees Number of Commercial Manure Service Representatives and Fees
Cost
No of Representatives
Total
Required Certification Fee
$75.00 each
(fund 473A-RC)
X
= $
Required Education/Exam Fee
$25.00 each
(fund 473C-RE)
X
= $
Late Fee*
$12.50 each
(fund 473A-LF)
X
= $
Representative Fee Subtotal (from Part D)
$
Business Fee Subtotal (from Part C)
$
Total Enclosed (Add Parts C and D)
$
 Send one copy of this application, postmarked no later than March 1, along with
Iowa Department of Natural Resources
Form 542-3300 for the manager and each representative (if the company is paying
Manure Applicator Certification
part or all of the fees), and the appropriate fees to the DNR at the address listed to
th
502 E 9
St
the right.
Des Moines IA 50319-0034
 Make checks payable to the Iowa DNR
 Persons meeting all the requirements will receive their certificate by return mail.
 Please allow 30 days for delivery of certificates.
 The certification will expire annually on March 1.
Call 515-725-8200 with questions.
Send one copy to DNR - Photocopy for your records
11/2014 cmc
DNR Form 542-4022