Form PQ-47A "Application for Phytosanitary Certificate" - Hawaii

What Is Form PQ-47A?

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

Form Details:

  • Released on March 1, 2000;
  • The latest edition provided by the Hawaii 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 PQ-47A by clicking the link below or browse more documents and templates provided by the Hawaii Department of Agriculture.

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Download Form PQ-47A "Application for Phytosanitary Certificate" - Hawaii

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PQ-47A
Rev. 3/00
PIO USE ONLY
Charges $__________________
APPLICATION FOR PHYTOSANITARY CERTIFICATE
[ ] Federal _________________
[ ] State ___________________
Nursery No. ______________________________
Exporter Name: ______________________________________________________________________________
Exporter Address: ____________________________________________________________________________
Consignee Name: ____________________________________________________________________________
Consignee Address: __________________________________________________________________________
Quantity and Commodity: ______________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
No. of cartons: ____________________Means of conveyance: ________________________________________
Treatment:__________________________________________________________________________________
Remarks:___________________________________________________________________________________
Distinguishing marks: _______________________________ Point of entry: ______________________________
__________________________________ ___________________ _____________________________________
EXPORTER’S SIGNATURE
DATE
INSPECTOR’S SIGNATURE
PQ-47A
Rev. 3/00
PIO USE ONLY
Charges $__________________
APPLICATION FOR PHYTOSANITARY CERTIFICATE
[ ] Federal _________________
[ ] State ___________________
Nursery No. ______________________________
Exporter Name: ______________________________________________________________________________
Exporter Address: ____________________________________________________________________________
Consignee Name: ____________________________________________________________________________
Consignee Address: __________________________________________________________________________
Quantity and Commodity: ______________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
No. of cartons: ____________________Means of conveyance: ________________________________________
Treatment:__________________________________________________________________________________
Remarks:___________________________________________________________________________________
Distinguishing marks: _______________________________ Point of entry: ______________________________
__________________________________ ___________________ _____________________________________
EXPORTER’S SIGNATURE
DATE
INSPECTOR’S SIGNATURE