"Certificate of Free Sale Request Application" - Alaska

Certificate of Free Sale Request Application is a legal document that was released by the Alaska Department of Environmental Conservation - a government authority operating within Alaska.

Form Details:

  • The latest edition currently provided by the Alaska Department of Environmental Conservation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Alaska Department of Environmental Conservation.

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Download "Certificate of Free Sale Request Application" - Alaska

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S
A
TATE OF
LASKA
D
E
C
EPARTMENT OF
NVIRONMENTAL
ONSERVATION
D
E
H
IVISION OF
NVIRONMENTAL
EALTH
Food Safety and Sanitation Program
th
555 Cordova Street, 5
Floor, Anchorage AK 99501
(907)269-7501 Fax (907) 269-7510
CERTIFICATE OF FREE SALE REQUEST APPLICATION
(instructions below)
BUSINESS ADDRESS: (Name and Address)
SHIPMENT CONSISTS OF: (Quantity and Product)
MANUFACTURED BY:
(Permitted Facilities/Vessels/AK# or Permit#)
NOTIFY PARTY: (Individual picking up product)
PRODUCT GOING TO: (City, Country or Country)
HOW MANY CERTIFICATES DO YOU NEED?
HOW WOULD YOU LIKE CERTIFICATES MAILED?: Check One:
FedEx (Provide FedEx Account Number)
*Express Mail (We will bill for Express Mail Fee)
Regular Mail
WHO WILL BE MAKING PAYMENT?: (Name and Contact number)
All applications for certificates of free sale must be received a minimum of four (4) business days in advance of the requested pickup/mail date.
The following information provides set-by-step instructions for completing this application:
Business Address:
Insert the name of the AK permitted company or agent that is requesting the certificate.
Shipment Consists of:
Identify what the shipment consists of, i.e., total quantity and product(s).
Manufactured By:
Insert the name(s) of permitted facilities, vessels, address and assigned AK# or Permit#
Notify Party:
Insert the name of individual picking up product(s) if known.
Product Going to:
Insert the name of the final destination for the product(s).
Insert total number of copies needed. A seperate Certificate of Free Sale Request Application must be
How many Certificates do you need?
submitted if shipment details are not the same.
A fee of $25.00 must be remitted for every certificate that is issued. *Express mail fee will be
Fee:
charged at the time of fee collection.
S
A
TATE OF
LASKA
D
E
C
EPARTMENT OF
NVIRONMENTAL
ONSERVATION
D
E
H
IVISION OF
NVIRONMENTAL
EALTH
Food Safety and Sanitation Program
th
555 Cordova Street, 5
Floor, Anchorage AK 99501
(907)269-7501 Fax (907) 269-7510
CERTIFICATE OF FREE SALE REQUEST APPLICATION
(instructions below)
BUSINESS ADDRESS: (Name and Address)
SHIPMENT CONSISTS OF: (Quantity and Product)
MANUFACTURED BY:
(Permitted Facilities/Vessels/AK# or Permit#)
NOTIFY PARTY: (Individual picking up product)
PRODUCT GOING TO: (City, Country or Country)
HOW MANY CERTIFICATES DO YOU NEED?
HOW WOULD YOU LIKE CERTIFICATES MAILED?: Check One:
FedEx (Provide FedEx Account Number)
*Express Mail (We will bill for Express Mail Fee)
Regular Mail
WHO WILL BE MAKING PAYMENT?: (Name and Contact number)
All applications for certificates of free sale must be received a minimum of four (4) business days in advance of the requested pickup/mail date.
The following information provides set-by-step instructions for completing this application:
Business Address:
Insert the name of the AK permitted company or agent that is requesting the certificate.
Shipment Consists of:
Identify what the shipment consists of, i.e., total quantity and product(s).
Manufactured By:
Insert the name(s) of permitted facilities, vessels, address and assigned AK# or Permit#
Notify Party:
Insert the name of individual picking up product(s) if known.
Product Going to:
Insert the name of the final destination for the product(s).
Insert total number of copies needed. A seperate Certificate of Free Sale Request Application must be
How many Certificates do you need?
submitted if shipment details are not the same.
A fee of $25.00 must be remitted for every certificate that is issued. *Express mail fee will be
Fee:
charged at the time of fee collection.