Form SFN-7807 "Application for Field Inspection of Seed Potatoes Entered for Certification" - North Dakota

What Is Form SFN-7807?

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

Form Details:

  • The latest edition provided by the North Dakota State Seed Department;
  • 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 Form SFN-7807 by clicking the link below or browse more documents and templates provided by the North Dakota State Seed Department.

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Download Form SFN-7807 "Application for Field Inspection of Seed Potatoes Entered for Certification" - North Dakota

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APPLICATION FOR FIELD INSPECTION OF SEED POTATOES ENTERED FOR CERTIFICATION
SFN-7807
Read Instructions before filling out application
All Past Due Accounts,Application Fees and Proof of Seed Eligibility Must Accompany This
Application and Reach the State Seed Department No Later Than June 15
Rec
Date
Fee
North Dakota State Seed Department
VARIETY/SELECTION
Phone
P.O.Box 5257, Fargo, ND 58105
701-231-5400; Fax:701-231-5401
Fax
(One variety/selection per application)
Name
Address
City
State/ZIP Code
Cell
Is your entire potato acreage entered for certification?
Yes/No check one
Did you disinfect all warehouses and equipment?
Yes/No
check one
Were all potatoes planted officially post-harvest tested?
Yes/No check one
Did you include health & bulk certificates and tags?
Yes/No
check one
Do you have adequate isolation from commercial fields?
Yes/No check one
Did you include your check including past due accounts?
Yes/No
check one
Crop on field
Name
Application
Field
Grower's
last year or
of last
Number of
Date
Acres
Field
Legal Description of Field
Application Number
Year
Field
cover crop on
year's
seed
Generation
Planted
in
Inspection
Number
fallow, if none
seed
planted/
field
Fee
write none
grower
purchased
purchased
County
Qtr:
0
planted
Sec.
Range:
Twp
purchased
County
Qtr:
0
planted
Sec.
Range
Twp
purchased
County
Qtr:
0
planted
Sec.
Range
Twp
purchased
County
0
Qtr:
planted
Sec.
Range
Twp
TOTALS
0
$0.00
0
0
The undersigned affirms that standards, regulations and procedures published by the North Dakota State Seed Department (Bulletin No.49) will be followed in producing storing and handling the seed of the field(s)
included in this application. The undersigned also agrees to pay all royalties/research fees on all seed labeled in their name. NDSSD affirms that inspections are performed pusuant to Rules of Bulletin No.49.
Inspections, tests, certifications and other acts are not intended to induce reliance NDSSD's inspections, certifications, or any other action or inaction for any purpose relating to quantity or quality of the seed or crop
produced, fitness for purchase, merchantibility, absence of disease, or variety/selection identification. Certification means only that the plants were randomly inspected and at the time of inspection the field or seed lot
Documents reviewed
Approved
met the rules of the Department.
Authorized Signature
Date
APPLICATION FOR FIELD INSPECTION OF SEED POTATOES ENTERED FOR CERTIFICATION
SFN-7807
Read Instructions before filling out application
All Past Due Accounts,Application Fees and Proof of Seed Eligibility Must Accompany This
Application and Reach the State Seed Department No Later Than June 15
Rec
Date
Fee
North Dakota State Seed Department
VARIETY/SELECTION
Phone
P.O.Box 5257, Fargo, ND 58105
701-231-5400; Fax:701-231-5401
Fax
(One variety/selection per application)
Name
Address
City
State/ZIP Code
Cell
Is your entire potato acreage entered for certification?
Yes/No check one
Did you disinfect all warehouses and equipment?
Yes/No
check one
Were all potatoes planted officially post-harvest tested?
Yes/No check one
Did you include health & bulk certificates and tags?
Yes/No
check one
Do you have adequate isolation from commercial fields?
Yes/No check one
Did you include your check including past due accounts?
Yes/No
check one
Crop on field
Name
Application
Field
Grower's
last year or
of last
Number of
Date
Acres
Field
Legal Description of Field
Application Number
Year
Field
cover crop on
year's
seed
Generation
Planted
in
Inspection
Number
fallow, if none
seed
planted/
field
Fee
write none
grower
purchased
purchased
County
Qtr:
0
planted
Sec.
Range:
Twp
purchased
County
Qtr:
0
planted
Sec.
Range
Twp
purchased
County
Qtr:
0
planted
Sec.
Range
Twp
purchased
County
0
Qtr:
planted
Sec.
Range
Twp
TOTALS
0
$0.00
0
0
The undersigned affirms that standards, regulations and procedures published by the North Dakota State Seed Department (Bulletin No.49) will be followed in producing storing and handling the seed of the field(s)
included in this application. The undersigned also agrees to pay all royalties/research fees on all seed labeled in their name. NDSSD affirms that inspections are performed pusuant to Rules of Bulletin No.49.
Inspections, tests, certifications and other acts are not intended to induce reliance NDSSD's inspections, certifications, or any other action or inaction for any purpose relating to quantity or quality of the seed or crop
produced, fitness for purchase, merchantibility, absence of disease, or variety/selection identification. Certification means only that the plants were randomly inspected and at the time of inspection the field or seed lot
Documents reviewed
Approved
met the rules of the Department.
Authorized Signature
Date