Form 513 026 is a document that you will use to report the details of an election campaign. This document is used to provide information on contributions and expenditures made by or on behalf of the candidates running for office. By using this form, you can ensure that your campaign is in compliance with the law. The instructions for completing this form are outlined below. Form 513 026 must be completed by all candidates running for office in order to comply with state and federal law regulating election campaigns. The purpose of this form is to report all contributions and expenditures made by or on behalf of the candidate. The instructions for completing this form are outlined below. All candidates should carefully review these instructions and complete Form 513 026 accurately and timely in order to remain in compliance with state and federal law. Questions about filling out this form can be directed to your local elections official or to the Federal Election Commission (FEC).
| Question | Answer |
|---|---|
| Form Name | Form 513 026 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | Fertilizing_Mat erials_Registra tion_Applicatio n california fertilizer license form |
STATE OF CALIFORNIA |
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FERTILIZING MATERIALS REGISTRATION APPLICATION |
DEPARTMENT OF FOOD AND AGRICULTURE |
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FEED, FERTILIZER, & LIVESTOCK DRUGS REGULATORY SERVICES |
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DO YOU HAVE A FERTILIZING MATERIALS LICENSE? |
□ YES □ NO (If no, submit a Fertilizing Materials License |
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Application) |
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DOING BUSINESS AS (NAME ON LICENSE AND AS APPEARS ON LABEL) |
(PHONE NUMBER) |
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(FAX NUMBER) |
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FULL NAME OF APPLICANT (OWNER OR OWNERS): |
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EMAIL : |
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ADDRESS (LICENSED ADDRESS AS IT APPEARS ON LABEL) : |
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(STREET NUMBER) |
(CITY OR TOWN) |
(COUNTY) |
(STATE) |
(ZIP CODE +4) |
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TYPE OF FERTILIZING MATERIALS (CHECK ALL THAT MAY APPLY): |
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□ AUXILIARY SOIL AND PLANT SUBSTANCE |
□ PACKAGED SOIL AMENDMENT |
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□ PACKAGED AGRICULTURAL MINERAL |
□ SPECIALTY FERTILIZER |
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□ NOT SURE |
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IF APPLICABLE, PLEASE SUBMIT THE FOLLOWING DOCUMENTATION: ORGANIC CERTIFICATION, MICROBIAL LABORATORY ANALYSIS AND METHOD, HEAVY METALS DATA (REFER TO SECTION 2303(S) OF THE CALIFORNIA CODE OF REGULATIONS FOR THE REQUIRED METALS). FAILURE TO SUBMIT THE REQUIRED DOCUMENTATION MAY RESULT IN A DELAY OF PROCESSING YOUR APPLICATION.
PLEASE SUBMIT ONE 8 ½ X 11 COPY OF LABELING - LARGER SIZES ARE UNACCEPTABLE. LABELING MEANS ALL WRITTEN, PRINTED, OR GRAPHIC MATTER ON, ACCOMPANYING, OR USED IN PROMOTING SALE OF ANY FERTILIZING MATERIAL, INCLUDING ADVERTISEMENTS, BROCHURES, POSTERS, AND TELEVISION AND RADIO ANNOUNCEMENTS. REFER TO SECTION 14542 OF THE FOOD AND AGRICULTURAL CODE.
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT.
The Department of Food and Agriculture has established time periods for the processing of permit applications, in compliance with Government Code Sections 15374- 15378. Failure to comply with these time periods may be appealed to the Secretary of Food and Agriculture, P.O. Box 942871, Sacramento, CA
SIGNATURE OF AUTHORIZED REPRESENTATIVE
TYPE OR PRINT NAME |
DATE |
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THE FEE FOR A FERTILIZING MATERIALS LABEL REGISTRATION IS ONE HUNDRED DOLLARS ($100) PER PRODUCT.
THE REGISTRATION EXPIRES ON DECEMBER 31 OF AN
THE ABOVE FEE IS A LABEL REVIEW FEE AND IS NOT REFUNDABLE.
SEND ONE COPY OF THIS APPLICATION, WITH ONE 8 ½ X 11 COPY OF LABELING AND FEES TO:
CASHIER, CFI
CALIFORNIA DEPARTMENT OF FOOD & AGRICULTURE P.O. BOX 942872
SACRAMENTO, CA
DO NOT SEND COIN OR CURRENCY
DEPT. USE ONLY
RC NO. AND DATE
FEE |
PENALTY |
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Page 1 of 2
PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED
AND WILL BE RETURNED.
PRODUCT NAME
WETTING AGENT |
APPROVAL DATE (OFFICE |
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USE ONLY): |
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Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Confidential? □ YES
□ NO
Page 2 of 2
PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED
AND WILL BE RETURNED.