Get Fl Fdacs-13609 2014-2025
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How to fill out the FL FDACS-13609 online
Filling out the FL FDACS-13609 form is essential for individuals who require prior notification of pesticide applications. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.
Follow the steps to complete the FL FDACS-13609 form online.
- Click 'Get Form' button to obtain the FL FDACS-13609 form and open it in the editor.
- Begin with Part A: Pesticide Sensitive Individual. Indicate whether this is a new application or a renewal application by checking the appropriate box. Ensure you enter the date and sign where indicated.
- Provide your personal information in the fields labeled Last Name, First Name, Middle Initial, Primary Residence (Physical) Street Address, Apt. # (if applicable), Mailing Address (if different), City, Day Time Phone #, Night Time Phone #, Cell #, and Date of Birth.
- Fill in your County, and provide your Fax # if available. Ensure all information is typed or printed legibly.
- Move to Part B: Physician’s Medical Certification. If applicable, indicate your board certification status regarding Allergy, Occupational Medicine, or Toxicology, and specify the distance for notification that the physician recommends.
- The physician must sign and provide their name, license number, business address, date, and phone number.
- Complete Part C: adjacent properties. List properties that fall within the required notification distance. Use a separate sheet if additional addresses are necessary.
- Finally, review all sections for completeness and accuracy. You may save changes or download the completed form.
- Once verified, submit the form along with the required fee through the designated payment method. Ensure you have all necessary copies for your records.
Begin completing your FL FDACS-13609 form online today to ensure you receive prior notification of pesticide applications.
Assisted Living Facility (ALF) administrators in Florida typically earn an average salary that varies based on experience, location, and facility size. As of the latest reports, salaries often range from $45,000 to $80,000 annually. The FL FDACS-13609 indicates the roles and responsibilities associated with this position, affirming that the right qualifications and experience can positively influence your earning potential.
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