Article Guide
The FDACS 13606 form serves as the official application for a pest control employee identification card issued by the Florida Department of Agriculture and Consumer Services. This document is crucial for employees in the pest control industry, as it confirms their legitimacy and training in performing pest control services. Included in the form are essential components such as the applicant's name, their business affiliation, and a unique four-digit Personal Identification Number (PIN). In addition, a $10 application fee must be submitted, either online or via a check, which must be made out to the Department of Agriculture and Consumer Services. The applicant is also required to attach a recent full-face photograph and, if applicable, an affidavit demonstrating completion of specialized training related to wood-destroying organism inspections. Employers must ensure that their employees complete this process within 30 days of employment. The collected information also plays a vital role in documenting work experience for future examination purposes. Compliance with the form's detailed instructions is critical, as incomplete applications will be returned, causing delays in the approval process.
Form Sample
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) |
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DATE OF BIRTH: month _____________ |
day ___________ year ____________ 4 digit PIN #: ________________________________________ |
||
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(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 |
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Object Code: 002251 |
$ |
10.00 |
002241 |
$ |
10.00 |
001371 |
$ |
10.00 |
Page 2 of 2
Document Specifications
| Fact Name | Description |
|---|---|
| Purpose | The FDACS 13606 form is an application for a Pest Control Employee-Identification Card in Florida. |
| Issuing Authority | This form is managed by the Florida Department of Agriculture and Consumer Services (FDACS). |
| Fee Requirement | A fee of $10.00 must be submitted with the application in the form of a check or money order made out to FDACS. |
| Mandatory Documents | Applicants must submit a recent passport-style photograph and a Special Training affidavit (Form DACS-13642) if applicable. |
| Unique Identifier | New applicants must create a 4-digit Personal Identification Number (PIN) to secure their application. |
| Timeframe for Application | Employers are required to obtain the identification cards for employees within 30 days of their employment, as outlined in Chapter 482.091, F.S. |
| Submission Process | Applications can be submitted online or through mail. All forms must be legible and complete to avoid rejection. |
| Governing Rule | This application falls under Rule 5E-14.142, Florida Administrative Code (F.A.C.) and Chapter 482.091, Florida Statutes (F.S.). |
Steps to Filling Out Fdacs 13606
Completing the FDACS 13606 form is essential for obtaining a Pest Control Employee Identification Card in Florida. This process includes providing personal information, documentation, and payment details. Ensure to follow each step carefully to avoid delays in processing your application.
- Download the form: Obtain the FDACS 13606 form from the Florida Department of Agriculture and Consumer Services website.
- Fill out the business information: Enter the name of the business and the JB number. Include the business location: street address, city, and zip code.
- Provide employee details: Write the complete name of the employee (last, first, and middle) along with their home address, date of birth, and a 4-digit Personal Identification Number (PIN).
- Add employment start date: Indicate when the employee began working with the company and describe their primary pest control responsibilities.
- Make a selection: Check and sign one of the three statements regarding the employee's current employment status in pest control.
- Sign the application: Have both the applicant and the licensee or certified operator sign the form. This indicates that all provided information is true and correct.
- Attach necessary documents: Include a recent, clear photo of the applicant, a $10 payment (check or money order), and a training affidavit if applicable.
- Submit the application: Send the completed form along with all attachments to the FDACS Revenue Processing Section in Tallahassee.
More About Fdacs 13606
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 individuals working in pest control, as it signifies that the employee is authorized to perform pest control duties under the supervision of a licensed operator. The application must be completed accurately and submitted in its original form, ensuring the inclusion of all required documentation, such as a photograph and any necessary affidavits, to avoid delays in processing.
What documents are required when submitting the FDACS 13606 form?
When submitting the FDACS 13606 form, several key documents must accompany the application. First, a current, clear, full-faced head and shoulders photograph is needed. Second, a check or money order for $10.00 made out to "DACS" must be included. Third, if the applicant is trained to perform wood-destroying organism inspections or treatments, a “Special Training to Perform Wood-Destroying Organism Inspections” affidavit (Form DACS-13642) is also required. Lastly, new applicants must provide their date of birth and a four-digit Personal Identification Number (PIN) of their choice, which forms a unique identifier that the applicant must remember.
How long does it take to process the FDACS 13606 form?
Processing times for the FDACS 13606 form can vary, depending on the volume of applications received. It is important to submit a complete application, as incomplete submissions will be returned, resulting in delays. Typically, applicants can expect a processing period of several weeks. To expedite the process, ensure that all required documentation is provided and that the application is legible and fully completed before submission.
What should an applicant do if they forget their Personal Identification Number (PIN)?
If an applicant forgets their Personal Identification Number (PIN), there are limited options to retrieve or reset it, as the PIN is designed to create a unique identifier that cannot be changed. Therefore, applicants should take care to record their PIN securely after they receive it. If the PIN is forgotten, the individual may need to reapply for a new ID card, which would involve submitting a new application along with the necessary fees and documentation.
Common mistakes
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Failing to provide original signatures. Many applicants mistakenly submit copies instead of originals. This can lead to application rejection.
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Neglecting the required photograph. Some applicants forget to attach a clear, full-face photo, resulting in incomplete submissions.
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Not including the application fee. The fee of $10.00 must be submitted via check or money order. Forgetting this step will delay processing.
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Providing incorrect or illegible information. Filling out the application in an unclear manner or making typographical errors can cause significant issues.
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Overlooking the Personal Identification Number (PIN). New applicants must select a PIN, but some forget to include it, which is essential for identification.
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Not checking the employment status correctly. Applicants must accurately select one employment statement; failing to do so can invalidate the application.
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Skipping the training certification. Applicants trained for wood-destroying organism inspections must submit the appropriate affidavit; neglecting to do this can lead to denial.
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Missing deadlines. Submitting the application outside of the required timeframe, especially for new employees, can lead to compliance issues.
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Failure to verify prior employment accurately. If previously employed by another Florida licensee, applicants must report termination dates and JE numbers correctly.
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Inaccurately completing the business information section. Providing incorrect business names or addresses can complicate processing and lead to rejection.
Documents used along the form
The FDACS 13606 form is essential for applying for a pest control employee identification card in Florida. However, several additional documents may also be required during the application process. Each document serves a specific purpose in supporting the application and ensuring compliance with state regulations. Below is a list of these forms and documents commonly used alongside the FDACS 13606.
- FDACS-13642 Form: This affidavit is required for those trained to perform Wood-Destroying Organism inspections. It verifies the applicant's specialized training necessary for pest control services related to termites.
- Business License: A copy of the business license is needed to confirm that the pest control company is registered and legally authorized to operate in Florida. This document may also include information about any recent changes to the business.
- Proof of Training Documentation: This document might be a certificate or transcript showing that the applicant has completed requisite training in pest control practices. It ensures the applicant has received the appropriate knowledge and skills.
- Background Check Authorization: Some employers may require this document to authorize a background check on the applicant. It is used to verify that the applicant does not have a disqualifying criminal history.
- Tax Information Documents: This may include the employer's IRS Form W-9 or state tax identification number. This documentation helps support compliance with tax laws related to employment.
- Application Fee Payment Confirmation: Proof of payment for the application fee, typically a receipt or transaction confirmation, is necessary for processing the FDACS 13606 form.
- Photograph Requirements Compliance: Applicants must provide a current photograph that meets specific size and quality requirements. Documentation showing the photograph's compliance may be requested during the application process.
- Employee Training Plan: This plan outlines the training the applicant will receive and is intended to assure that they will be trained effectively under supervision. It may include details about the duration and components of the training.
Having the necessary documents ready when submitting the FDACS 13606 form can streamline the application process. Ensuring that all forms are complete and accurate will help avoid any delays, allowing pest control employees to obtain their identification cards promptly.
Similar forms
The FDACS 13606 form serves a similar purpose to the Employment Authorization Document (EAD), which is issued by U.S. Citizenship and Immigration Services (USCIS). Both documents are crucial for verifying employment eligibility. While the EAD specifically pertains to immigration status, the FDACS 13606 form is tailored to the pest control industry in Florida, ensuring that employees possess the necessary identification card to perform their duties. Thus, obtaining either document is essential for compliance with regulatory requirements tied to employment and service provision.
Another document comparable to the FDACS 13606 form is the Temporary Worker Visa Application (Form I-129). This visa application is for employers wishing to hire foreign workers temporarily. Similar to the FDACS 13606 form, the I-129 requires detailed information about the employee and the employer, as well as supporting documentation. Each form is a gateway for individuals to work legally within their respective fields, stressing the importance of proper identification and compliance with state or federal regulations.
The Food Handler's Permit is also similar to the FDACS 13606 form, as both are state-specific applications requiring proof of training and competency. Food handlers must provide documentation to show their knowledge of safe food practices, just as pest control employees must prove their competency through training and identification. Each document highlights the importance of ensuring public safety in food service and pest control industries respectively, and they both encompass critical regulatory measures.
An additional document that aligns with the FDACS 13606 form is the Contractor's License Application. This application is required for individuals wishing to legally operate as contractors within a specific jurisdiction. Like the FDACS form, it requires fulfillment of qualifications and the submission of vital documentation to ensure that applicants are equipped to practice their trade. Both forms aim to maintain standards within their respective fields and protect the public and industry integrity.
The State Professional Licensure Application is also similar, particularly in professions that require state regulation, such as medical, legal, or engineering fields. This application documents qualifications and training, much like the FDACS 13606 form does for pest control employees. Both types of applications must be submitted with supporting identification and proof of skills which affirm the applicants' capacities to perform their designated roles safely and effectively.
Additionally, the Real Estate License Application is positionally aligned with the FDACS 13606 form. It requires extensive background information, training documentation, and a thorough verification process before issuance. Both forms aim to detail the qualifications necessary for practicing within regulated industries, ensuring that only qualified individuals are licensed to operate in areas that significantly impact public welfare and confidence.
Lastly, the Driver's License Application represents another similar document, as it is required for individuals seeking legal permission to operate a vehicle. While the FDACS 13606 revolves around pest control, both documents include identity verification and proofs of meeting specific standards. Each application seeks to promote public safety by granting rights based on documented qualifications, ensuring that all operators in their respective fields meet necessary competency levels.
Dos and Don'ts
When completing the FDACS 13606 form, careful attention to detail is essential. Here are important do's and don'ts to help ensure a smooth application process:
- Do ensure that the application is legible and fully completed.
- Do submit a current, clear photograph of the applicant with the application.
- Do include a check or money order for the required fee made out to “DACS”.
- Do provide a completed training affidavit if applicable for wood-destroying organism inspections.
- Do remember your unique Personal Identification Number (PIN) as it cannot be changed.
- Don’t forget to attach the photograph; it must be placed correctly on the form.
- Don’t submit the application with missing or incorrect information, as it may be returned.
Following these guidelines can help avoid delays and ensure that your application is processed promptly. Taking the time to get it right the first time can save you from unnecessary frustration.
Misconceptions
Understanding the FDACS 13606 form is essential for both employers and employees in the pest control industry. However, some common misconceptions can lead to confusion. Here are nine misconceptions regarding this form, along with clarifications:
- It’s only for new employees. Many believe this form is only necessary for new hires. In reality, it is also required when a current employee changes their business or if there’s a name change.
- The form can be submitted after employment begins. Contrary to this belief, the identification card must be applied for within 30 days of employment. Delays can cause compliance issues for the employer.
- A photocopy of the form is acceptable. Some assume that submitting a photocopy is sufficient. In fact, original signatures are required for the application to be valid.
- A photo is optional. Many think they can skip including a photo. However, a clear, full-face photograph is mandatory to process the application.
- The application fee is a one-time charge. Some misunderstand that they only pay once for this card. In truth, each application or resubmission incurs a fee.
- Only certified operators need to sign the application. This is not accurate. Both the applicant and the certified operator or licensee must sign the application to validate it.
- Pests of any kind can be treated by any employee. It’s wrongly assumed that all employees can treat all pests. Employees must meet specific training requirements based on the types of pests they are servicing.
- The PIN can be changed later. Many people mistakenly think they can modify their Personal Identification Number. The PIN created when completing the application is permanent and must be remembered by the employee.
- Submitting the application electronically is the only way. While online submission is an option, applicants can still submit a physical form by mailing it to the designated address.
By addressing these misconceptions, individuals and companies can ensure that they correctly navigate the pest control identification process, maintaining compliance with state regulations.
Key takeaways
Filling out the FDACS 13606 form is essential for pest control employees in Florida. Here are key takeaways to keep in mind:
- Complete the Application Thoroughly: Ensure that every section of the application is filled out clearly and legibly. Incomplete applications will be returned, so pay attention to detail.
- Required Documentation: When submitting the form, include a recent headshot and a payment of $10. Additionally, if the applicant is trained to perform wood-destroying organism inspections, attach the required affidavit (Form DACS-13642).
- Unique Identification: New applicants must create a Personal Identification Number (PIN) consisting of four digits. This number will be unique to the individual and cannot be changed, so it's crucial to remember it.
- Timeliness is Key: The application for the identification card must be submitted within 30 days of employment. This timeline is important for verifying the employee’s work experience during exams.