Article Structure
The FDACS 13606 form, officially known as the Application for Pest Control Employee-Identification Card, is a crucial document for anyone entering the pest control industry in Florida. Overseen by the Florida Department of Agriculture and Consumer Services, this form ensures that pest control employees are properly identified and meet state requirements for their roles. Each applicant must submit basic personal information, including their name, date of birth, and a unique four-digit Personal Identification Number (PIN). The application demands a total fee of $10, which can be paid online or via check or money order. Specific requirements accompany the application; a recent photograph, proof of relevant training, and verification of field experience must be included, particularly for those involved with wood-destroying organism inspections. Moreover, both the employee and the business license holder are held responsible for compliance within a specified timeframe of employment. Incomplete submissions will be rejected outright, emphasizing the importance of careful preparation. This form not only facilitates the certification process but also plays a significant role in maintaining professional standards in pest control services across the state.
Fdacs 13606 Example
Florida Department of Agriculture and Consumer Services Division of Agricultural Environmental Services
APPLICATION FOR PEST CONTROL
ADAM H. PUTNAM |
Rule |
COMMISSIONER |
Telephone: (850) |
Remit Fee Online at: www.FreshFromFlorida.com
- or -
Check or Money Order Payable to
FDACS:
Bureau of Licensing and Enforcement
Revenue Processing Section
407 S. Calhoun Street, Room 121
Tallahassee, FL
OFFICE USE ONLY – DO NOT FILL IN |
JE# |
|
|
IMPORTANT DIRECTIONS
This application must be legible and completely filled out. Copy this form as needed, but you must submit original signatures and the following:
(1)A CURRENT, clearly recognizable,
(2)A check or money order in the amount of $10.00 for each ID card made payable to “DACS”.
(3)A “Special Training to Perform
(4)A NEW applicant must submit his/her date of birth and a 4 digit Personal Identification Number (PIN) of His/Her choice. This combination creates a unique identifier for each person that cannot be changed. THE APPLICANT IS RESPONSIBLE FOR REMEMBERING HIS/HER PIN NUMBER.
_____ ID card application submitted AT THE TIME OF business license issuance – 002241 ($10)
_____ ID card application submitted with a BUSINESS LICENSE CHANGE – 001371 ($10)
(Change of Address, Change of Name or Change of Owner)
ATTACH RECENT 1 1/2 x 1 1/2 INCH CLEAR,
DO NOT STAPLE
_____ ID card application submitted DURING the valid business license period – 002251 ($10)
Please issue a Pest Control Identification Card to the
Per Chapter 482.091(1)(b), F.S., the licensee and the certified operator in charge are jointly responsible for obtaining an identification card for employees within 30 days of employment. The postmark date of this application will be used to document and verify the employee’s work experience
for exam purposes.
1.NAME OF BUSINESS: ___________________________________________________________________JB Number: _____________________
BUSINESS LOCATION: ________________________________________________________________________________________________
(Street) |
(City) |
(Zip code) |
2.COMPLETE NAME OF EMPLOYEE: _______________________________________________________________________________________
(Last) |
(First) |
(Middle) |
|
HOME ADDRESS: ____________________________________________________________________________________________________ |
|||
(Street) |
(City) |
(Zip code) |
|
DATE OF BIRTH: month _____________ |
day ___________ year ____________ 4 digit PIN #: ________________________________________ |
||
|
|
|
(Reference Memorandum #823 for explanation) |
This applicant began performing pest control services for this licensee on (DATE:) ___________________________________________
The primary pest control duties assigned to this employee are: __________________________________________________________
3.CHECK AND SIGN ONE STATEMENT ONLY:
(A)I am not currently employed at any other pest control licensee in Florida. If previously employed by a Florida licensee, please provide the
TERMINATION DATE: month _______ day ______ year _____ and your JE number: ____________________________________
(B)I am not currently employed at any other Florida pest control licensee and I will be a full time employee of the licensee performing the duties of the certified operator in charge of:
[circle all that apply] |
F |
G |
L |
T |
EFFECTIVE DATE: ________________________ CPO home/cell phone #: ______________________ |
(C)I am a certified operator currently employed at _________________________________________________________________
applying for a SECOND ID CARD for exam experience in [circle the appropriate category] F G L T
Original Signature of Applicant for ID card: _______________________________________________________ Date: ____________________
4.I DO HEREBY CERTIFY THAT THE INFORMATION GIVEN IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION AND BELIEF. I ALSO CERTIFY THAT THE APPLICANT HAS RECEIVED AT LEAST 5 DAYS OF FIELD TRAINING UNDER THE DIRECT SUPERVISION OF A CERTIFIED OPERATOR AS REQUIRED BY SECTION 482.091(3), F.S.
______________________________________________________ JB/JF Number: _______________
Original Signature of Licensee or Certified Operator in Charge
_____________________________________________ |
___________________________________________________ |
|
(Please print Name) |
(Date) |
(Contact Phone number) |
Page 1 of 2
Florida Department of Agriculture and Consumer Services
Division of Agricultural Environmental Services
|
APPLICATION FOR PEST CONTROL |
|
|
||
ADAM H. PUTNAM |
Rule |
|
COMMISSIONER |
||
Telephone: (850) |
Remit Fee Online at: www.FreshFromFlorida.com
- or -
Check or Money Order Payable to
FDACS:
Bureau of Licensing and Enforcement
Revenue Processing Section
407 S. Calhoun Street, Room 121
Tallahassee, FL
NAME OF BUSINESS: ___________________________________________________________________JB Number: ___________________
COMPLETE NAME OF EMPLOYEE: _______________________________________________________________________________________
(Last) |
(First) |
(Middle) |
This page must be included with application submittal.
Org. Code: 42 13 08 02 060 |
|
|
EO B7 |
|
|
Object Code: 002251 |
$ |
10.00 |
002241 |
$ |
10.00 |
001371 |
$ |
10.00 |
Page 2 of 2
Form Characteristics
| Fact Name | Details |
|---|---|
| Purpose | The FDACS 13606 form is used to apply for a Pest Control Employee Identification Card in Florida. |
| Governing Law | This application follows Rule 5E-14.142, F.A.C., and is governed by Chapter 482.091, Florida Statutes. |
| Application Fee | A fee of $10.00 is required for each ID card, payable by check, money order, or online payment. |
| Required Photo | A current, full-faced head and shoulders photograph must be included with the application. |
| Unique Identifier | Applicants must provide a 4-digit Personal Identification Number (PIN) that serves as a unique identifier. |
| Field Training Requirement | Applicants must have at least 5 days of field training under the supervision of a certified operator. |
Guidelines on Utilizing Fdacs 13606
The FDACS 13606 form must be completed carefully to ensure smooth processing. After filling it out, you will need to gather the required supporting documents and submit everything according to the provided instructions to avoid delays.
- Obtain the form: Download or print the FDACS 13606 form from the Florida Department of Agriculture and Consumer Services website.
- Fill out the business information: Write the name of the business and the JB Number at the top of the form.
- Employee details: Enter the complete name of the employee being issued the ID card (first, middle, and last name).
- Home address: Provide the home address of the employee, including street, city, and zip code.
- Date of birth: Fill in the month, day, and year of the employee’s birth.
- Personal Identification Number (PIN): Choose a 4-digit PIN for the employee. Make a note to remember this number.
- Employment start date: Indicate the date when the applicant began working for the business.
- Primary duties: Describe the primary pest control duties assigned to the employee.
- Select a statement: Check one of the three statements regarding current employment status and fill in any required information.
- Sign the application: The employee must sign and date to certify the information is accurate.
- Licensee’s certification: Have the licensee or certified operator in charge sign the application, print their name, enter the date, and provide a contact phone number.
- Attach required documents: Include a recent head-and-shoulders photo, a $10 payment, and any additional supporting documents, such as the special training affidavit if applicable.
- Submit the application: Send the completed form, supporting documents, and payment to the appropriate address listed on the form.
What You Should Know About This Form
What is the purpose of the FDACS 13606 form?
The FDACS 13606 form is used to apply for a Pest Control Employee Identification Card in Florida. This card is essential for employees who perform pest control services, including wood-destroying organism inspections and termite treatments. It helps ensure that workers in this field are properly trained and identified, complying with state regulations.
What are the requirements for submitting the FDACS 13606 form?
To submit the FDACS 13606 form, applicants must provide several key items. First, the application must be fully completed and legible. Second, a recent, clear full-faced photograph of the applicant must be included. Third, a check or money order for $10 payable to "DACS" should accompany the application. If the applicant is trained in wood-destroying organism inspections, a specific affidavit (Form DACS-13642) must also be included. New applicants need to provide their date of birth and a unique 4-digit Personal Identification Number (PIN).
How much does it cost to apply for the Pest Control Employee Identification Card?
The cost to apply for the Pest Control Employee Identification Card is $10. This fee must be submitted via check or money order made out to "DACS" and included with the application. The form allows for different fees based on the circumstances of the application but generally remains consistent at this amount.
Where should I send the completed FDACS 13606 form?
You should send the completed FDACS 13606 form and accompanying documents to the Bureau of Licensing and Enforcement at the following address: 407 S. Calhoun Street, Room 121, Tallahassee, FL 32399-0800. Alternatively, you can remit your fee online through the Fresh From Florida website.
What happens if my application is incomplete?
If your application is incomplete, it will be returned to you for corrections. To avoid this, ensure that every section is filled out accurately and that all required documents are included. It is also critical to ensure that the application is legible and the necessary fees are paid.
How does the application impact my pest control employment?
The FDACS 13606 application is important as it must be submitted within 30 days of an employee starting work in pest control to remain compliant with Florida law. The postmark date of the application documents the employee's work experience necessary for examination purposes. Without this card, an employee may not be legally recognized in their role.
Can I submit the application electronically?
While the FDACS allows for online fee payment, the application itself, including original signatures and supporting documents, must be submitted in physical form. Make sure to follow the application guidelines closely to avoid delays.
Common mistakes
Completing the Fdacs 13606 form can be straightforward, yet many individuals make common mistakes that delay their applications. One common error is failing to provide a legible and complete application. Incomplete forms will be returned, which can significantly add to processing times. Applicants must ensure all sections are filled out clearly.
Another mistake is not including a proper photograph. A current, clearly recognizable head and shoulders photo is required. Before submission, double-check that the photo conforms to the guidelines. Ignoring this detail can lead to rejection and additional delays as applicants scramble to provide a suitable image.
Providing the right fee is critical. Some people mistakenly submit the wrong payment amount or pay incorrectly. Each ID card costs $10.00, and this payment must be made to the correct entity. It's essential to review payment instructions carefully to avoid complications.
Omitting necessary supporting documents is another frequent oversight. For example, applicants trained to perform Wood-Destroying Organism inspections must include a specific affidavit. Without this document, the application will not be processed. Always refer to the list of required attachments before sending in the form.
Many applicants share the mistake of not remembering their 4-digit Personal Identification Number (PIN). This number is crucial as it creates a unique identifier that cannot be changed. If forgotten, it can lead to delays in processing the application and potential issues with future reference.
Lastly, signing the application incorrectly is a common error. Each applicant must ensure they sign and date in the correct spaces. Additionally, the licensee or certified operator's signature is also required. Missing or incorrect signatures will cause the application to be incomplete, resulting in more time lost.
Documents used along the form
When applying for a Pest Control Employee Identification Card using the FDACS 13606 form, several other documents and forms may also be necessary to ensure a complete and accurate application. Here’s a brief overview of these important documents.
- DACS-13642 Form: This is the "Special Training to Perform Wood-Destroying Organism Inspections" affidavit. It must accompany the FDACS 13606 form if the applicant has undergone specific training for termite treatments and inspections.
- Business License: This document establishes the legitimacy of the pest control business. Applicants often need to submit a copy of the business license to confirm the association with the pest control services.
- Background Check Authorization: In some cases, a background check may be required. The authorization form grants permission for the pest control regulatory office to conduct any necessary background checks on the applicant.
- Photo Identification: A clear, recent photograph of the applicant is needed for the identification card. The application outlines specific size requirements for this photo.
- Proof of Employment: A document confirming that the applicant is employed or has a job offer with the pest control business may be necessary. This helps verify the work experience reference required for the application process.
Gathering these documents alongside the FDACS 13606 form will help facilitate the application process for a Pest Control Employee Identification Card efficiently. Make sure each document is complete and accurate before submission to avoid any delays.
Similar forms
- FDACS-13642 Form: This form is an affidavit that certifies special training to perform inspections for wood-destroying organisms. Like the FDACS 13606, it requires original signatures and verification of training before submission.
- Application for Pest Control License (FDACS-13606)**: This document serves as the foundational application for pest control employees. Similar to the FDACS 13606, it must provide personal information and include associated fees.
- Business License Application: This form is used to apply for a business license within the pest control industry. Like the FDACS 13606, it requires specific employee data and adherence to regulatory guidelines.
- Pest Control Certification Renewal Application: This document is for renewing pest control certification. It shares similar requirements, including proof of ongoing training and the need for completeness to avoid delays.
- Employment Verification Form: This is used to verify employment in the pest control field. It requires details about employment dates and duties, much like the FDACS 13606 requests information about the employee's role.
- Pest Control Operator License Application: This application is for individuals seeking to become certified operators in pest control. It also requires personal identification and a detailed account of qualifications, similar to FDACS 13606.
- Pest Control Continuing Education Reporting Form: This document allows employees to report completed continuing education courses. It, too, requires identifying information and proof of completed training.
- Field Training Verification Form: This form verifies completion of required field training. Like FDACS 13606, it needs signatures from both the trainee and the trainer to confirm completion.
- Pest Control Employee Change Notification Form: This is used to notify any changes regarding a pest control employee's status. It requires submission of personal data and is similar in needing updates about employee roles.
- Pest Control Complaints Form: This allows individuals to file complaints against pest control services. It requires personal details and descriptions of the complaint, similar to the thorough nature of the FDACS 13606.
Dos and Don'ts
When filling out the FDACS 13606 form, adhere to the following guidelines:
- Do ensure all fields are completed. An incomplete form can lead to delays or rejection.
- Do provide a recent photograph. This photo should be clear, full-faced, and meet the specified size requirements.
- Do submit your payment correctly. Include a check or money order made out to “DACS” for the appropriate amount based on your application type.
- Do remember your PIN. This number is unique to you and cannot be changed later.
- Don’t submit a photocopy of the signed form. Original signatures are necessary for the application to be processed.
- Don’t forget your termination date if you have been previously employed in Florida's pest control field.
- Don’t staple your photo to the application. This can cause complications during processing.
- Don’t ignore the submission deadline. Ensure your application is submitted within the specified time frame to avoid penalties.
Misconceptions
The following are common misconceptions about the FDACS 13606 form:
- Misconception 1: The form can be submitted without a photo.
- Misconception 2: Completing the application is optional for new employees.
- Misconception 3: You can pay the application fee in cash.
- Misconception 4: The personal identification number (PIN) can be changed later.
- Misconception 5: Only the applicant needs to sign the form.
- Misconception 6: The application can be submitted incomplete.
- Misconception 7: The form is the only requirement for pest control certification.
Applicants must include a current, clearly recognizable, full-faced head and shoulders photograph with their application.
It is mandatory to submit the application within 30 days of an employee's start date in accordance with the law.
The application fee must be paid via check, money order, or online payment, not cash.
The chosen PIN is permanent and cannot be altered after submission, so it’s essential to remember it.
The licensee or certified operator in charge must also sign the application to certify the information provided.
Incomplete applications will be returned, causing delays in processing. Ensure all fields are filled accurately.
This form is specifically for obtaining an identification card. Additional training and certification requirements may apply depending on the services offered.
Key takeaways
Filling out the FDACS 13606 form requires careful attention to detail. Ensure all information is complete and legible. Incomplete applications will be returned.
The application must include the following essential items:
- A current, full-faced head and shoulders photograph.
- A fee of $10.00 per ID card, payable by check or money order to “DACS.”
- A “Special Training to Perform Wood-Destroying Organism Inspections” affidavit if applicable.
- Your date of birth and a 4-digit Personal Identification Number (PIN) if you are a new applicant.
Remember, the PIN is a unique identifier assigned to you. It cannot be changed, so keep it secure.
The postmark date of the application is crucial. It will document and verify your work experience for future exam purposes.
Submit the application within 30 days of employment. The licensee and certified operator share responsibility for obtaining your identification card.
Check one statement regarding your employment status. Only one option can be selected.
Lastly, certifications about field training must be accurate. The certified operator must verify that you have received at least five days of on-site training.
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