Form AG-00999 "Application for Growing Season Export Inspection" - Minnesota

What Is Form AG-00999?

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

Form Details:

  • Released on May 22, 2018;
  • The latest edition provided by the Minnesota 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 fillable version of Form AG-00999 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Agriculture.

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Download Form AG-00999 "Application for Growing Season Export Inspection" - Minnesota

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625 Robert Street North, Saint Paul, MN 55155-2538
www.mda.state.mn.us
Plant Protection Division, Export Certification
Phone: 651-201-6558 Fax: 651-215-9687 MDA.Exports@state.mn.us
Application for Growing Season Export Inspection 20
Instructions:
Complete a separate application for each field.
Do not create duplicate applications for the same field. Varietal changes do not require a new application.
Return applications to the Export Certification Program at the address listed above.
Do not send payment with your application. Invoices will be mailed after the inspection has been completed.
DEADLINE for submitting an application is July 1st. Applications received after July 1st may not be accepted.
Applicant Information
Field Information
Company Name:
Crop:
Field # / ID:
Address:
Date Planted:
Acres:
Growing Location Address (or nearest street intersection(s)):
City:
State:
Zip:
Contact Name:
Identify Location on Map and Attach to Application
Contact Phone:
Growing City / Township:
Contact Email:
Growing County:
Destination Countries (list ALL possible destinations of this crop): Is the field pathogen–inoculated?
YES
NO
Inoculated with:
Growing Location Contact Name (if different from applicant):
Growing Contact Phone:
Growing Contact Email:
Applicant Signature
Title
Date
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG-00999
5.22.18
by calling 651-201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
625 Robert Street North, Saint Paul, MN 55155-2538
www.mda.state.mn.us
Plant Protection Division, Export Certification
Phone: 651-201-6558 Fax: 651-215-9687 MDA.Exports@state.mn.us
Application for Growing Season Export Inspection 20
Instructions:
Complete a separate application for each field.
Do not create duplicate applications for the same field. Varietal changes do not require a new application.
Return applications to the Export Certification Program at the address listed above.
Do not send payment with your application. Invoices will be mailed after the inspection has been completed.
DEADLINE for submitting an application is July 1st. Applications received after July 1st may not be accepted.
Applicant Information
Field Information
Company Name:
Crop:
Field # / ID:
Address:
Date Planted:
Acres:
Growing Location Address (or nearest street intersection(s)):
City:
State:
Zip:
Contact Name:
Identify Location on Map and Attach to Application
Contact Phone:
Growing City / Township:
Contact Email:
Growing County:
Destination Countries (list ALL possible destinations of this crop): Is the field pathogen–inoculated?
YES
NO
Inoculated with:
Growing Location Contact Name (if different from applicant):
Growing Contact Phone:
Growing Contact Email:
Applicant Signature
Title
Date
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request
AG-00999
5.22.18
by calling 651-201-6000. TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.