Get Fl Fdacs-13627 2015-2026

The FL FDACS-13627 form is essential for documenting pest control service employment necessary for examination qualification. This guide will provide clear instructions on how to complete the form online, ensuring accuracy and compliance with the requirements.

Follow the steps to complete the FL FDACS-13627 form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor. This action will allow you to access the structure needed for filling out your application.
2. In SECTION A, enter your name, date of birth, and complete your address, including street, city, state, and zip code. If your name during employment differs from your current name, provide that information in the designated space.
3. In SECTION B, the employer must fill this section. The employer should provide their business name and contact person's name, along with the business address, including street, city, state, and zip code.
4. The employer will certify the applicant's employment. This involves stating that the applicant worked as a pest control service employee. The employer should check all categories of pest control that apply, including fumigation, general household pest and rodent control, lawn and ornamental pest control, and termite control.
5. The employer will then specify the employment period by filling in the FROM and TO dates in the format of month, day, and year. Ensure that the information is clear and accurate.
6. The employer or certified operator must provide their original signature, along with the printed name, title, JF certificate number (if applicable), and phone number.
7. A witness (who is not the applicant, employer, or certified operator) must also sign the form, print their name, and provide the date. Witness must fill in their title, telephone number, and their address, including city, state, and zip code.
8. After reviewing all filled sections for accuracy, you can save changes, download, print, or share the form as needed.

Complete your documents online with ease and ensure proper submission!