Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by filling in the License Holder (Pest Control Business) name in the designated area. Ensure to print this information clearly.
3. Next, provide the License Holder’s business address. This must include the street address, city, state, and ZIP code.
4. Enter the phone number and email address of the License Holder. Check for accuracy to ensure proper communication.
5. In the designated field, input the License Holder’s License Number.
6. Provide the name of the License Holder’s representative. This person is typically the main point of contact for the business.
7. Fill in the Agent Applicant's name as it appears on their driver’s license.
8. Record the Agent Applicant’s employment date. This indicates when they started working with the License Holder.
9. Select the exam date you wish to request, ensuring it aligns with the application requirements.
10. Document the fee amount enclosed with the application. Be sure to include the necessary $30.00 examination and registration fee.
11. Both the representative or Commercial Applicator and the Agent Applicant must sign the form in the appropriate signature fields.
12. Add the date in the respective fields next to each signature.
13. Review all sections to verify accuracy, then save your changes, and choose to download, print, or share the completed form as needed.

Submit your application online to ensure you meet all requirements for the Arkansas State Plant Board Agent Exam.