Get Placed In Service Report - Florida Department Of Agriculture ...

Filling out the Placed In Service Report is essential for documenting the installation and servicing of devices regulated by the Florida Department of Agriculture. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to access the Placed In Service Report and open it in your preferred online editor.
2. Begin by entering the business name in the specified field. This should be the name of the entity responsible for the devices being reported.
3. Next, provide the phone number for the business. Ensure that the number is accurate for any required follow-ups.
4. Fill out the mailing address, including the county, city, state, and ZIP code. This address should be where official correspondence can be sent.
5. Indicate the date of service in the relevant field, using the format requested in the form.
6. If the physical location of the device is different from the provided mailing address, enter the relevant address and phone number for this location.
7. In the device section, list each device that is out of service, newly installed, or restored to service. Include the manufacturer, model number, description, serial number, capacity, and state any relevant comments or NTEP Certificate of Conformance Number.
8. Fill out the service agency information by providing the agency name, registration number, address, city, state, ZIP code, and phone number.
9. A signature from the service agent is required, certifying that the details provided are accurate and in compliance with applicable standards. Print the name of the service agent in the designated area, then affix your signature.
10. Once completed, review the document for accuracy. Users can then save the changes, download a copy, print the report, or share it as needed.

Complete your documents online today for efficient and timely submission.