Form SPS-13-08 "Add a Category to an Active Company License Form" - Georgia (United States)

What Is Form SPS-13-08?

This is a legal form that was released by the Georgia Department of Agriculture - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 2, 2014;
  • The latest edition provided by the Georgia Department of Agriculture;
  • 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 printable version of Form SPS-13-08 by clicking the link below or browse more documents and templates provided by the Georgia Department of Agriculture.

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Download Form SPS-13-08 "Add a Category to an Active Company License Form" - Georgia (United States)

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Structural Pest Section
19 Martin Luther King, Jr. Dr.
Atlanta, Georgia 30334-4201
Phone: (404) 656-3641
ADD A CATEGORY TO AN ACTIVE COMPANY LICENSE FORM
The following is required to add an operational category to a company license:
Insurance verification form indicating insurance requirements
Eligible certified operator for the category
“ADD A CATEGORY TO AN ACTIVE COMPANY LICENSE REQUEST FORM”
Date:
___________________
Company License Number _________________ COMPANY NAME_____________________________
Request:
Add the following operational categories:
______ Fumigation - 28
______ Household Pest Control – HPC 29
______ Wood Destroying Organisms – WDO 30
Submitted by Name___________________________________________________________________
E-mail address:_______________________________________________________________________
DCO Signature__________________________________________Certification Number_____________
Submit this form by mail, fax or e-mail (
pest@agr.georgia.gov
)
Additional Remarks
________________________________________________________________
________________________________________________________________
Please note:
If you need the insurance verification form or any other form, go to the Structural Pest Control Section of the Plant
Industry Division at http://www.agr.georgia.gov
SPS-13-08
Revised 9/2/14
Structural Pest Section
19 Martin Luther King, Jr. Dr.
Atlanta, Georgia 30334-4201
Phone: (404) 656-3641
ADD A CATEGORY TO AN ACTIVE COMPANY LICENSE FORM
The following is required to add an operational category to a company license:
Insurance verification form indicating insurance requirements
Eligible certified operator for the category
“ADD A CATEGORY TO AN ACTIVE COMPANY LICENSE REQUEST FORM”
Date:
___________________
Company License Number _________________ COMPANY NAME_____________________________
Request:
Add the following operational categories:
______ Fumigation - 28
______ Household Pest Control – HPC 29
______ Wood Destroying Organisms – WDO 30
Submitted by Name___________________________________________________________________
E-mail address:_______________________________________________________________________
DCO Signature__________________________________________Certification Number_____________
Submit this form by mail, fax or e-mail (
pest@agr.georgia.gov
)
Additional Remarks
________________________________________________________________
________________________________________________________________
Please note:
If you need the insurance verification form or any other form, go to the Structural Pest Control Section of the Plant
Industry Division at http://www.agr.georgia.gov
SPS-13-08
Revised 9/2/14