PAUL R. LEPAGE GOVERNOR STATE OF MAINE DEPARTMENT OF AGRICULTURE, CONSERVATION AND FORESTRY BOARD OF PESTICIDES CONTROL 28 STATE HOUSE STATION AUGUSTA, MAINE 04333-0028 WALTER E. WHITCOMB COMMISSIONER.
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How to fill out the Affidavit Of Insurance Coverage online
Filling out the Affidavit Of Insurance Coverage is a crucial step for companies performing custom pesticide applications in Maine. This guide will help you navigate the process online, ensuring you provide all necessary information accurately.
Follow the steps to complete the affidavit online
- Click ‘Get Form’ button to obtain the Affidavit Of Insurance Coverage form and open it in your preferred online editor.
- In the first section of the form, you will be required to print or type your name in the designated space to affirm your identity as the signer of the affidavit.
- Next, provide the full name of the company performing pesticide applications. This information must be clearly printed or typed in the specified area.
- Review the requirement for liability insurance coverage established by Board regulations and ensure that the information aligns with the insurance policy held by your company.
- Sign the affidavit in the space provided for the owner or manager of the company. Ensure that the signature matches the name given earlier.
- Finally, enter the date on which you are signing the affidavit. Double-check all filled information to ensure accuracy.
- Once you have completed all sections, you can save your changes, download the form, print it, or share it as required.
Complete your Affidavit Of Insurance Coverage online today.
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