Table of Contents
The Fdacs 13606 form is an essential document for individuals seeking a Pest Control Employee Identification Card in Florida. This application is overseen by the Florida Department of Agriculture and Consumer Services, specifically within the Division of Agricultural Environmental Services. The form requires applicants to provide personal information, including their name, home address, and date of birth. A unique four-digit Personal Identification Number (PIN) must also be created, which serves as an identifier for the applicant. Additionally, the form mandates the inclusion of a recent photograph and a fee of $10, which can be paid online or via check. For those trained to perform Wood-Destroying Organism inspections, a supplementary affidavit must accompany the application. It is important for applicants to ensure that all sections are completed accurately, as incomplete submissions will be returned. The responsibility of obtaining this identification card falls jointly on the licensee and the certified operator in charge, who must act within a specified timeframe following the employee's start date. This process not only helps in documenting the employee's work experience but also ensures compliance with state regulations regarding pest control services.
Sample - Fdacs 13606 Form
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
File Specs
| Fact Name | Fact Details |
|---|---|
| Purpose | The FDACS 13606 form is used to apply for a Pest Control Employee Identification Card in Florida. |
| Governing Law | This form is governed by Chapter 482.091, Florida Statutes (F.S.) and Rule 5E-14.142, Florida Administrative Code (F.A.C.). |
| Application Fee | The fee for each ID card is $10.00, payable by check or money order to FDACS. |
| Submission Method | Applications can be submitted online or mailed to the Bureau of Licensing and Enforcement in Tallahassee. |
| Photo Requirement | A recent full-faced head and shoulders photograph must be included with the application. |
| Special Training Affidavit | If applicable, a "Special Training to Perform Wood-Destroying Organism Inspections" affidavit (Form DACS-13642) must accompany the application. |
| Unique Identifier | Applicants must provide a 4-digit Personal Identification Number (PIN) that cannot be changed. |
| Employment Verification | The application must document the employee's start date for pest control services, which is used for exam purposes. |
| Field Training Requirement | Applicants must have received at least 5 days of field training under a certified operator's supervision. |
| Signature Requirement | Both the applicant and the licensed operator must sign the application to certify its accuracy. |
Fdacs 13606 - Usage Guidelines
After completing the FDACS 13606 form, ensure all required documents are included before submission. This will help avoid delays in processing. Pay attention to the details, as incomplete applications will be returned.
- Obtain the FDACS 13606 form from the Florida Department of Agriculture and Consumer Services website or a local office.
- Fill in the NAME OF BUSINESS and JB Number at the top of the form.
- Provide the COMPLETE NAME OF EMPLOYEE (Last, First, Middle).
- Enter the HOME ADDRESS of the employee (Street, City, Zip code).
- Input the DATE OF BIRTH (month, day, year).
- Create a 4 digit Personal Identification Number (PIN) of your choice.
- Indicate the START DATE of employment for pest control services.
- Detail the primary pest control duties assigned to the employee.
- Select and sign one statement regarding current employment status. Provide the termination date and JE number if applicable.
- Sign the application, certifying the information is true and correct.
- Include the Original Signature of Licensee or Certified Operator in Charge and print their name, date, and contact phone number.
- Attach a recent, clear, full-face photograph (1 1/2 x 1 1/2 inches).
- Prepare a check or money order for $10.00 made out to “FDACS” and include it with the application.
- If applicable, attach the “Special Training to Perform Wood-Destroying Organism Inspections” affidavit (Form DACS-13642).
- Submit the completed application, including all attachments, to the Bureau of Licensing and Enforcement at the specified address.
Your Questions, Answered
What is the Fdacs 13606 form used for?
The Fdacs 13606 form is an application for a Pest Control Employee-Identification Card. This card is required for employees working in the pest control industry in Florida. It ensures that employees are recognized and can legally perform pest control services under the supervision of a licensed operator.
What are the requirements to complete the Fdacs 13606 form?
To successfully complete the Fdacs 13606 form, you must provide a clear, full-faced photograph, a $10 fee, and, if applicable, a Special Training affidavit for Wood-Destroying Organism inspections. Additionally, new applicants must submit their date of birth and a unique four-digit Personal Identification Number (PIN). It's essential to ensure that all sections of the form are legible and fully completed to avoid delays.
How much does it cost to apply for the Pest Control Employee-Identification Card?
The application fee for the Pest Control Employee-Identification Card is $10. This fee must be submitted via check or money order made payable to “DACS.” Alternatively, applicants can remit the fee online through the Florida Department of Agriculture and Consumer Services website.
What happens if the application is incomplete?
If the application is incomplete, it will be returned to the applicant. To prevent this, ensure that all required information is provided, including the photograph, fee, and any necessary affidavits. Double-checking the application before submission can save time and avoid complications.
How long does it take to receive the Pest Control Employee-Identification Card?
The processing time for the Pest Control Employee-Identification Card can vary. However, it is advisable to submit the application as soon as possible, especially considering that the card must be obtained within 30 days of employment. The postmark date of the application will be used to document and verify the employee’s work experience for exam purposes.
Who is responsible for obtaining the identification card?
The licensee and the certified operator in charge are jointly responsible for obtaining the identification card for their employees. This responsibility includes ensuring that the application is submitted within the required timeframe and that all necessary documentation is included.
Common mistakes
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Neglecting to provide a legible application. If the form is not clear, it may be returned.
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Failing to include a recent photograph. The application must have a current, full-faced head and shoulders photo attached.
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Omitting the correct fee. Ensure that a check or money order for $10.00 is included, made out to “DACS.”
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Not submitting the required affidavit. Applicants trained to perform Wood-Destroying Organism inspections must include Form DACS-13642.
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Forgetting to provide a unique Personal Identification Number (PIN). A 4-digit PIN is necessary and cannot be changed once submitted.
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Using an incorrect or outdated application. Always use the most recent version of the form to avoid issues.
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Failing to sign the application. An original signature from the applicant is mandatory for processing.
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Not specifying the business license details. Include the JB number and business location to ensure proper identification.
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Ignoring the employment verification requirement. If previously employed, provide the termination date and JE number.
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Submitting an incomplete application. Double-check all sections to ensure everything is filled out correctly before submission.
Documents used along the form
When applying for a Pest Control Employee Identification Card using the FDACS 13606 form, several other documents may be required or beneficial for a smooth application process. Understanding these forms can help ensure that you are fully prepared and compliant with Florida's regulations. Below is a list of commonly associated documents.
- Form DACS-13642: This affidavit is necessary for applicants trained to perform inspections and treatments related to wood-destroying organisms. It confirms that the individual has completed the required special training.
- Business License Application: Before applying for an employee ID card, a business must have a valid pest control license. This application outlines the business's operations and compliance with state regulations.
- Employee Training Documentation: Proof of field training under a certified operator is essential. This documentation verifies that the employee has received the required training to perform pest control duties.
- Identification Documents: A government-issued ID or another form of identification may be necessary to confirm the identity of the applicant. This helps to ensure that all information provided is accurate and legitimate.
- Payment Receipt: A receipt for the application fee, whether paid online or via check, serves as proof of payment and is often required for the processing of the application.
- Employer Certification: A signed statement from the employer certifying that the information in the application is true and that the employee has received the necessary training is crucial for the application’s approval.
Having these documents ready can significantly streamline the application process for the Pest Control Employee Identification Card. Being well-prepared not only reflects professionalism but also aids in ensuring compliance with Florida's pest control regulations. Take the time to gather everything needed, and you will be on your way to successfully obtaining your identification card.
Similar forms
The FDACS 13606 form, which is used to apply for a Pest Control Employee-Identification Card in Florida, is similar to the Florida Department of Health's Application for a Medical Marijuana Use Registry Identification Card. Both forms require personal information, including the applicant's name and address, and mandate a fee for processing. Additionally, both applications necessitate the submission of a photograph. The medical marijuana application also requires proof of eligibility through a physician's recommendation, similar to how the pest control application requires proof of training in pest control duties.
Another document that resembles the FDACS 13606 is the Florida Department of Business and Professional Regulation’s Application for a Contractor License. Like the pest control application, this contractor license form requires detailed information about the applicant, including their work history and qualifications. Both forms also require a fee and have specific training or experience prerequisites that must be met before the application can be submitted. The contractor license application, however, may also require additional documentation related to financial stability or background checks.
The Application for a Florida Teacher Certificate shares similarities with the FDACS 13606 form as well. Both documents require applicants to provide personal information, including their educational background and relevant experience. Each application has associated fees and requires verification of qualifications. For the teacher certificate, this includes proof of education and passing scores on certification exams, whereas the pest control application requires evidence of training in pest control practices.
In addition, the Florida Department of Agriculture and Consumer Services also has the Application for a Fertilizer License, which bears resemblance to the FDACS 13606 form. Both applications require the submission of personal and business information, along with a fee. They also necessitate compliance with state regulations, ensuring that applicants meet certain standards before being granted a license. The fertilizer license application focuses on agricultural practices, while the pest control application is specific to pest management services.
The Application for a Florida Real Estate License is another document that is similar to the FDACS 13606. Both require detailed personal information and proof of completion of specific training or education. Each application involves a fee and necessitates a background check to ensure the applicant's qualifications and suitability for the respective field. While the real estate application focuses on property transactions, the pest control application centers on pest management and safety practices.
Lastly, the Florida Department of Highway Safety and Motor Vehicles’ Application for a Commercial Driver's License (CDL) is akin to the FDACS 13606 form. Both forms require applicants to provide personal information and proof of training or experience relevant to the license being applied for. Each application also has a fee associated with it and requires the applicant to pass certain tests to demonstrate competency. The CDL application, however, focuses on driving skills and safety, while the pest control application is centered on pest management techniques.
Dos and Don'ts
When filling out the FDACS 13606 form, attention to detail is crucial. Here’s a helpful list of what you should and shouldn’t do to ensure a smooth application process.
- Do make sure all information is legible and clearly written.
- Do include a current, full-faced photograph of yourself.
- Do submit a check or money order for the correct fee of $10.00.
- Do provide a completed affidavit if you are trained to perform wood-destroying organism inspections.
- Do remember to include your date of birth and a unique 4-digit PIN.
- Don't forget to attach the photo even if it is already on file.
- Don't leave any sections of the form blank; incomplete applications will be returned.
- Don't use staples to attach any documents or photos.
- Don't submit the application without the required signatures.
- Don't forget to check your application for accuracy before submitting it.
By following these guidelines, you can avoid common pitfalls and streamline the process of obtaining your Pest Control Employee-Identification Card. Taking the time to carefully complete the application will save you from potential delays and complications.
Misconceptions
Misconceptions about the FDACS 13606 form can lead to confusion and delays in obtaining a pest control employee identification card. Here are nine common misunderstandings:
- The form can be submitted without a photo. Many believe that a photo is optional, but a current, clear head-and-shoulders photograph is required for the application to be processed.
- Only new applicants need to provide a PIN. Some think that only first-time applicants need a Personal Identification Number. However, every applicant must provide a unique PIN, regardless of their application history.
- There is no fee for submitting the application. It's a common misconception that the application is free. In fact, a fee of $10.00 must be included with each application submitted.
- Previous employment does not need to be disclosed. Applicants often overlook the requirement to provide information about any previous employment with other pest control licensees in Florida.
- Field training is not mandatory. Some believe that field training is optional. In reality, applicants must certify that they have received at least five days of field training under a certified operator's supervision.
- Incomplete applications will still be considered. Many assume that minor errors can be overlooked. However, incomplete applications will be returned, which can delay the process significantly.
- Only the applicant needs to sign the form. It's a misconception that only the employee's signature is necessary. The licensee or certified operator in charge must also sign the application to validate it.
- The application can be submitted at any time. Some applicants think they can submit their forms at their convenience. However, the application must be submitted within 30 days of employment to comply with regulations.
- There is no need to keep a copy of the application. Many applicants do not retain a copy of their submitted forms. Keeping a copy is important for personal records and to reference in case of any issues.
Key takeaways
When filling out the Fdacs 13606 form, there are several important aspects to keep in mind to ensure a smooth application process for a Pest Control Employee-Identification Card.
- Complete and Legible Submission: The application must be fully completed and legible. Incomplete applications will be returned, causing delays.
- Required Documentation: Submit a current, full-faced photograph along with a check or money order for $10.00 made out to “DACS.” If applicable, include the “Special Training to Perform Wood-Destroying Organism Inspections” affidavit.
- Unique Personal Identification Number: New applicants must create a 4-digit PIN. This number is crucial as it serves as a unique identifier that cannot be changed.
- Timely Application Submission: The application must be submitted within 30 days of employment. This is essential for documenting work experience for exam purposes.
- Certification of Training: The applicant must certify that they have received at least five days of field training under the supervision of a certified operator, as required by Florida law.
By adhering to these guidelines, applicants can help ensure their applications are processed efficiently and without unnecessary complications.