Form FDACS-08161 "Caribbean Fruit Fly Protocol Program Application for Participation" - Florida

Form FDACS-08161 Printable Pdf
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What Is Form FDACS-08161?

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

Form Details:

  • Released on November 1, 2015;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • 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 FDACS-08161 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form FDACS-08161 "Caribbean Fruit Fly Protocol Program Application for Participation" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Plant Industry
CARIBBEAN FRUIT FLY PROTOCOL PROGRAM
NICOLE "NIKKI" FRIED
APPLICATION FOR PARTICIPATION
COMMISSIONER
Section 581.031, F.S. / Incorporated in Rule 5B-2.011, F.A.C.
Referenced in 5B-2.010, F.A.C.
3501-0-03 South, U. S. Highway1, Fort Pierce, FL 34982-6666
Phone: (772) 468-4092 / Fax: (772) 468-4095
Name of Participant
Street Address
Number
Street
City
State
Zip Code
Mailing Address
Number
Street
City
State
Zip Code
Office Phone
Contact Person
Title
Cell Phone
Email
____________________________________________________________________________________
List of properties to be considered for participation:
Twp.
Rge.
Sec.
Description of Acreage Total Acreage
Block Name
Acres/Block
Fruit Variety
___
___
____
____
_________
___
___
____
____
_________
_
___
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
_ _
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
Please remit to:
Please attach a aerial map highlighting
Division of Plant Industry
the acreage you wish to have considered.
Caribbean Fruit Fly Protocol
3501-0-03 South U.S. #1
Application deadline is: __________________________
Fort Pierce, Florida 34982-6666
Application by:
Date:
This form may be duplicated to provide additional pages, if required.
FDACS-08161 Rev. 11/15
Florida Department of Agriculture and Consumer Services
Division of Plant Industry
CARIBBEAN FRUIT FLY PROTOCOL PROGRAM
NICOLE "NIKKI" FRIED
APPLICATION FOR PARTICIPATION
COMMISSIONER
Section 581.031, F.S. / Incorporated in Rule 5B-2.011, F.A.C.
Referenced in 5B-2.010, F.A.C.
3501-0-03 South, U. S. Highway1, Fort Pierce, FL 34982-6666
Phone: (772) 468-4092 / Fax: (772) 468-4095
Name of Participant
Street Address
Number
Street
City
State
Zip Code
Mailing Address
Number
Street
City
State
Zip Code
Office Phone
Contact Person
Title
Cell Phone
Email
____________________________________________________________________________________
List of properties to be considered for participation:
Twp.
Rge.
Sec.
Description of Acreage Total Acreage
Block Name
Acres/Block
Fruit Variety
___
___
____
____
_________
___
___
____
____
_________
_
___
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
_ _
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
___
___
____
____
_________
Please remit to:
Please attach a aerial map highlighting
Division of Plant Industry
the acreage you wish to have considered.
Caribbean Fruit Fly Protocol
3501-0-03 South U.S. #1
Application deadline is: __________________________
Fort Pierce, Florida 34982-6666
Application by:
Date:
This form may be duplicated to provide additional pages, if required.
FDACS-08161 Rev. 11/15
Florida Department of Agriculture and Consumer Services Florida Legal Forms United States Legal Forms

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