Dacs 13616 Form PDF Details

The DACS-13616 form, issued by the Florida Department of Agriculture and Consumer Services (FDACS) Division of Agricultural Environmental Services, certifies that a pest control business carries the general liability insurance required for licensure under Section 482.071(4), F.S. and Rule 5E-14.142, F.A.C. The certificate protects both the business and its customers against claims for bodily injury or property damage arising from pest control operations.

Who Needs the DACS-13616 Form

Any pest control business in Florida that applies for a new license or renews an existing one under Chapter 482, F.S. must submit the DACS-13616 form. This includes businesses offering general household pest control, lawn and ornamental pest control, termite control, and wood-destroying organism (WDO) inspections. Companies performing WDO inspections must also document errors and omissions (professional liability) coverage on the same form.

Key Information Required

When completing the DACS-13616, you will need the following information ready:

The FDACS must be listed as the certificate holder on any accompanying ACORD 25 certificate of insurance. Confirm this requirement with your insurance carrier before submitting your license application or renewal.

Insurance Coverage Requirements Under Florida Law

Rule 5E-14.142, F.A.C. sets the minimum financial responsibility thresholds that licensed pest control businesses must maintain. The general liability policy must cover bodily injury and property damage at the limits approved by FDACS. If coverage lapses or is cancelled during the active license period, the business must notify FDACS immediately and provide updated documentation. Operating without the required coverage is a violation of Chapter 482, F.S. and can result in license suspension or revocation.

Related FDACS and Insurance Forms

Florida pest control businesses frequently use several forms alongside the DACS-13616. You can complete and download these related forms on FormsPal:

QuestionAnswer
Form NameDACS-13616 Certificate of General Liability Insurance
Issuing BodyFlorida Department of Agriculture and Consumer Services (FDACS)
PurposePest control business license insurance certification
JurisdictionFlorida
Form Length1 page
Fillable?Yes (online)
Avg. time to fill out5 to 10 minutes
Other namesFDACS-13616, fdacs 13616, FL pest control insurance certificate, 5E-14.142 certificate