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X: (804) 443-4534 Application Fee $100.00 Enclose check or money order Payable to Treasurer of Virginia 1. NUTRIENT MANAGEMENT CATEGORY Agriculture Turf & Landscape Both If both, are you currently certified as a VA NM Planner? 2. For Agency Use Only 4/12 Date App. Rec d Check Number Check Date DCR Receipt DCR Date Exam Date APPLICANT Yes No If yes, Certification # Driver s License ID #: Name: Address: Phone #: City State Zip E-Mail Address: 3. EMPLOYMENT/BUSINESS INF.

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How to fill out the Dcr Fill App Form online

Completing the Dcr Fill App Form is an essential step for obtaining nutrient management certification. This guide provides straightforward instructions to ensure you fill out the form accurately and efficiently.

Follow the steps to complete the online form with ease

  1. Click 'Get Form' button to access the Dcr Fill App Form and open it in the appropriate editor.
  2. Begin with the nutrient management category section. Select one of the options: Agriculture, Turf & Landscape, or Both. If you select both, indicate whether you currently hold certification as a Virginia Nutrient Management Planner.
  3. Fill out the applicant section. Provide your driver’s license ID number, full name, address, phone number, and email address in the designated fields.
  4. In the employment/business information section, detail your current employment. Include the agency or business name, employment dates, address, phone number, mobile number, position held, supervisor name, and a description of your job responsibilities and daily activities. Also, check all applicable categories of work.
  5. If applicable, complete the former employment section using the same format as step 4.
  6. In the certification options section, choose one of the options available based on your goals. Ensure to follow any additional instructions provided based on your selection, particularly regarding the completion of subsequent sections.
  7. Move to the education and experience section. List your educational institutions, years completed, degrees, majors, and graduation dates. If applicable, attach your college transcripts.
  8. Document any training related to nutrient management, including titles, sponsors, locations, dates, and total hours of instruction.
  9. Provide details about any additional nutrient management experience. Include agency or business names, positions held, responsibilities, and employment dates.
  10. Address the question regarding felony convictions and provide your truthful response.
  11. Verify your nutrient management experience by completing the employment verification form, ensuring all details are accurate.
  12. Finally, review the information for accuracy, sign the application, and date it. Once finished, you can save changes, download, print, or share the form as required.

Complete your Dcr Fill App Form online today to ensure your application is processed efficiently.

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