Get Request For Pesticide Recertification Seminar Credits - Michigan

Completing the Request For Pesticide Recertification Seminar Credits form is essential for those looking to obtain credits for attending Michigan's pesticide recertification seminars. This guide will walk you through each section of the form to ensure a smooth and efficient submission process.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to retrieve the document and access it in the online editor.
2. Enter the date you are submitting the request in the 'Date Submitted' section.
3. Fill in the 'Meeting Title' field with the name of your seminar.
4. Provide your name in the 'Person Requesting Credits' section.
5. List your phone number, including the area code, in the 'Phone #' field.
6. Input your fax number, including the area code, if applicable.
7. Complete the 'Affiliation' section with your organization or professional affiliation.
8. Enter your email address in the designated field for electronic correspondence.
9. Fill in your street address, city, state, and zip code as your primary contact information.
10. If the host is different from you, provide the host's name and business name.
11. Complete the host's street address, city, state, and zip code.
12. Indicate the location of the meeting by providing the facility name, county, street address, city, state, and zip code.
13. List the dates of the meeting in the 'Date(s) of Meeting' section.
14. Estimate and enter the anticipated number of participants who will request credits.
15. Specify the number of credits you are requesting in the corresponding field.
16. Select the requested certification category or categories.
17. As the requestor or host, confirm your agreement to comply with the seminar guidelines by checking and initialing the corresponding box.
18. Complete the agenda section on the back of the form, detailing the time, description of topics, and speaker information.
19. Once all fields are completed, you may choose to save changes, download, print, or share the completed form.

Prepare to complete your request for seminar credits online now!