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

How to Edit Dacs 13616 Form Online for Free

Whenever you want to fill out FDACS 13616, you won't have to install any kind of programs. Just use our online tool. To make our tool better and simpler to work with, we consistently develop new features, taking into consideration feedback coming from our users. Here is what you will need to do:

Step 1: First, open the tool by pressing the "Get Form Button" at the top of this site.

Step 2: The editor will give you the capability to work with PDF files in a range of ways. Change it with personalized text, adjust what is originally in the document, and include a signature, all close at hand!

With regards to the fields of this precise PDF, here is what you should know:

1. First, when filling out the FDACS 13616, start with the area that has the subsequent blanks:

DACS-13616 form completion process - part 1 showing the general liability fields

2. Once your current task is complete, take the next step: fill out all of these fields - B Does the insured have insurance, Yes No, Authorized Insurance, CERTIFICATE HOLDER Florida, and FDACS Rev with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

DACS-13616 form stage 2 showing certificate holder and FDACS fields

Many people generally make mistakes when filling in FDACS Rev in this part. You should reread everything you type in right here.

Step 3: Spell-check the information you have typed into the blanks and hit the "Done" button. Get the FDACS 13616 the instant you sign up for a free trial. Conveniently gain access to the pdf file within your FormsPal cabinet, along with any edits and changes being all kept! Whenever you work with FormsPal, you can easily fill out documents without having to be concerned about personal information incidents or entries being distributed. Our secure platform ensures that your personal details are maintained safe.

What to Prepare Before You Begin

Gathering the following information before you start will make completing the DACS-13616 form straightforward and reduce the chance of errors in your submission:

  • Business details: The legal name and physical address of your pest control business in Florida
  • Insurance carrier information: The full name of your authorized insurance company, the policy number, and the policy effective and expiration dates
  • Coverage amounts: Your bodily injury and property damage liability limits, which must meet the FDACS minimum thresholds set under Rule 5E-14.142, F.A.C.
  • WDO inspection coverage: If your business performs wood-destroying organism inspections, have your errors and omissions (professional liability) policy details ready
  • Certificate holder: The FDACS must appear as the certificate holder on any accompanying ACORD 25 certificate of insurance. Confirm this with your insurer in advance

Frequently Asked Questions About the DACS-13616

Who is required to file the DACS-13616 form?

All pest control businesses in Florida that apply for a new pest control license or renew an existing license under Chapter 482, F.S. must submit the DACS-13616. This requirement covers businesses operating in general household pest control, lawn and ornamental pest control, termite and wood-destroying organism services, and fumigation.

What types of insurance does the DACS-13616 certify?

The DACS-13616 certifies that the pest control business holds a general liability insurance policy covering bodily injury and property damage at the minimum amounts required by FDACS. Businesses that conduct WDO inspections must also document errors and omissions (professional liability) coverage to protect against claims from inspection-related professional errors.

How do I list FDACS as the certificate holder?

Contact your insurance carrier and request an updated ACORD 25 certificate of insurance with the Florida Department of Agriculture and Consumer Services listed as the certificate holder. Your carrier should include the FDACS mailing address on the certificate. The DACS-13616 form is typically submitted alongside this ACORD certificate when you file your license application or renewal.

What happens if my insurance lapses during the license period?

If your general liability insurance lapses or is cancelled, you must notify FDACS immediately and provide updated insurance documentation. Operating a pest control business in Florida without the required coverage is a violation of Chapter 482, F.S. and can result in license suspension or revocation. Submit a new DACS-13616 form any time your insurance policy information changes.

Can I complete and submit the DACS-13616 electronically?

Many pest control businesses submit the DACS-13616 and supporting insurance documents through the FDACS online licensing portal. You can also complete the form using FormsPal's free online PDF editor, download it, and then submit it according to the FDACS instructions for your specific license type.

Related Pest Control and Insurance Forms

Florida pest control businesses often need several forms alongside the DACS-13616. Complete and download these related forms on FormsPal: