Get Fdacs 13627 Form

The Fdacs 13627 Form is essential for documenting pest control service employment for examination qualification. This guide provides clear and comprehensive steps to help users fill out the form online.

Follow the steps to complete the form accurately

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. In Section A, provide your personal information as the applicant. Fill in your name, date of birth, current address including street, city, state, and zip code. If you used a different name while employed, please indicate it as well.
3. In Section B, the employer must complete their part. Enter the business name and contact person, and fill in the business address, including street, city, state, and zip code.
4. The employer needs to certify the applicant's employment. Write the name of the applicant in the specified area and mark all applicable pest control categories in which the applicant was involved, such as fumigation, general household pest control, lawn and ornamental pest control, or termite control.
5. Document the employment duration by entering the start and end dates using the month, day, and year format.
6. The authorized employer or certified operator must sign the form in the designated area, confirming the accuracy of the information provided.
7. A witness must also sign the form. Ensure that they print their name, date, title, and provide their contact details.
8. Review all sections for accuracy and completeness. Once verified, save your changes, download the form, or print and share it as needed.

Complete the Fdacs 13627 Form online effortlessly and ensure your submission meets all requirements.