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Get Pr Pml 173 Form

This can be achieved by having your insurance carrier complete either the attached Certificate of Insurance PR-PML-052 or the attached Certificate of Insurance Requirements Statement PR-PML-173.

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How to fill out the Pr Pml 173 Form online

This guide provides clear and concise steps for completing the Pr Pml 173 Form online, ensuring a smooth application process for your pest control business license. Follow the instructions carefully to ensure all necessary information is accurately provided.

Follow the steps to successfully complete the Pr Pml 173 Form online.

  1. Use the ‘Get Form’ button to access the Pr Pml 173 Form and open it in your online editor.
  2. Begin by selecting the application type. Check the appropriate box for 'New Application', 'Add Branch Location', or 'Other' and specify if necessary.
  3. Fill in the business information section. Provide your business name, contact details including fax number, email address, and telephone number, along with the business mailing and location addresses.
  4. Indicate the business type by checking the box that corresponds to your business structure, such as Corporation, Individual, or Partnership.
  5. If applicable, enter any former business names in the designated field under Section C.
  6. List the business officers or owners in Section D, including their names, titles, and mailing addresses. Attach an additional sheet if necessary.
  7. Complete Section E by listing any branch locations with their addresses. Add extra sheets if required.
  8. Provide details of the qualified person for each business location in Section F, including their name, license number, and categories.
  9. In Section G, mark the types of pest control services your business will perform as well as the corresponding pest control categories.
  10. For liability insurance in Section H, ensure you meet the Section 6524 requirements and attach the necessary insurance documentation.
  11. If applicable, fill out Section I regarding worker's compensation insurance, providing the insurance carrier name and policy number.
  12. Calculate and input the required fees in Section J. Make sure to enclose payment as directed.
  13. Before signing in Section K, confirm there have been no relevant disciplinary actions against you in the last three years.
  14. Finally, sign and date your application in Section L. Ensure all information is complete and accurate before submission.
  15. Once completed, save your changes, and consider downloading, printing, or sharing the form as necessary.

Complete your application and other documents online to ensure a seamless process for your pest control business license.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232