South Dakota Form A 94 A PDF Details

Are you in the process of filing a Form A 94 A? If so, it's important to understand exactly what this form is and the steps involved in submitting the paperwork correctly. South Dakota Form A 94A is used by businesses operating in North Dakota to report employee wages and taxes for each calendar year. It must be postmarked no later than February 28th or April 30th depending on filing type. In this blog post, we'll go over everything you need to know about South Dakota Form A 94A—including how to obtain it, complete it, and submit it correctly—so that you can stay on top of your payroll obligations.

QuestionAnswer
Form NameSouth Dakota Form A 94 A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names2012 04pvtapplicappl _aerialv1 south dakota commercial aerial applicator form

Form Preview Example

Division of Agricultural Services

 

 

 

 

 

 

 

Foss Bldg, 523 E Capitol Ave

 

 

 

 

 

 

 

 

 

 

Pierre, SD 57501-3182

 

 

 

 

 

 

 

 

 

Phone: (605) 773-4432

Fax: (605) 773-3481

 

 

 

 

 

 

 

 

 

 

Web: sdda.sd.gov/Ag_Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form A 94 A

 

 

 

 

 

 

 

PRIVATE AERIAL APPLICATOR APPLICATION

 

 

 

 

 

 

 

 

(To be submitted with the P r i v a t e

Pesticide Applicator License Application)

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

Middle Initial

 

 

 

 

Last

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

Street or Box

City

State

 

Zip+4

Phone No.

Business Name or Employer:

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street or Box

City

State

 

Zip+4

Phone No.

Email Address:

 

 

 

 

 

 

 

 

 

 

 

1.

Federal Airman’s Certification number:

 

 

 

 

Rating:

 

 

 

 

2.

Agricultural Aircraft Operator’s FAA Certificate

number & Date issued:

 

 

 

 

3.Will cover: (List each aircraft below)

Make

 

Model

 

Year

 

 

Federal ‘N’ No. (required)

 

 

South Dakota Reg. No.

 

 

 

 

 

 

 

 

 

(contact SD DOT to pay fee 605-773-4430)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.Has listed aircraft (including attached equipment) received FAA approval?

5.a. Total Pilot In Command (PIC) flight hours

b. Total (PIC) Hours: Single Engine-Tricycle Gear:

; Single engine-Conventional/Trail Dragger:

;

Helicopter:

 

; Other:

 

 

 

 

 

 

6.In reference to 5b, number of hours within the preceding 12 months by type.

7.

a. Total hours of spraying and/or dusting experience:

 

Within past year:

 

 

b. Equivalent hours of experience within the past year (e.g. Practice time).

 

______________

 

c. Have you successfully completed an FAA approved aerial applicator school? __________________________________

If so, please attach a copy if this is the first time application.

8.a. Number of acres in South Dakota, treated by the applicant within the past year. b. Number of flight hours involved in the treatment of the acreage in 8a.

9.Anyone who has less than 750 PIC Hours and has not previously sprayed under a Class B permit for 2 years or successfully completed an FAA approved aerial applicators school or have a current aerial applicators license from another state, must operate under the supervision of a SD licensed FAA Part 137 license holder.

Name of supervisor pilot

 

Signature

 

(Print)

10. Have you or any employer (for which you have ever worked) been denied permission to spray in any state? If yes, indicate employer, company, year of denial and state where denial was issued.

11.The information provided above is true and correct, to the best of my knowledge.

 

 

Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE USE ONLY

 

 

 

APPROVED BY THE SOUTH DAKOTA AERONAUTICS COMMISSION

Date

 

 

Program

 

 

Class

 

 

 

 

 

Manager

 

 

 

 

Revised 04/2012