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Ohio Department of Agriculture Forms and Applications

 
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Administration Forms

Century Farm Program
Admn_2000-001Century Farm Registration Form

Farm to School Program
Admn_2300-001Why Farm to School?
Admn_2300-002Key Principles and Steps
Admn_2300-003Potential Obstacles and Solutions
Admn_2300-004Finding Funding
Admn_2300-005Resources for Farmers

Farmland Preservation
Farm_2100-001Ohio Agricultural Security Area (ASA) Program Application
Farm_2100-002Ohio Agricultural Security Area (ASA) Tax Exemption Agreement
Farm_2100-003Ohio Agricultural Security Area (ASA) Tax Exemption Application
Farm_2100-004Present Condition Report Template
Farm_2100-0052009 Annual Monitoring Report

Amusement Ride Safety Forms

Amus_3000-001Ride Application Portable
Amus_3000-003Accident Form
Amus_3000-004Itinerary
Amus_3000-005Permanent Facility Itinerary
Amus_3000-006Complaint Form

Animal Industry Forms
Anim_3100-002ADL-1  Application for Ohio Livestock Dealer's License
Anim_3100-003cADL-2C  Ohio Livestock Dealer's License Application for an Operator of a Concentration Yard
Anim_3100-007ADL-6  Ohio Livestock Dealer's License Application for An Operator of a Slaughtering Establishment
Anim_3100-003ADL-2  Ohio Livestock Dealer's License Application for an Operator of a Livestock Market
Anim_3100-004ADL-3  Application for an Ohio Livestock Dealer's (Multiple Locations)
Anim_3100-005ADL- 4 Supplementary Information
Anim_3100-008Application for License To Feed Garbage
Anim_3100-009Application for License To Dispose of Raw Rendering Material
Anim_3100-010Application for License To Collect
Anim_3100-011Application for Weigher of Livestock License
Anim_3100-013Employee Designation Form
Anim_3100-014Small Dealer Application

Animal Disease Diagnostic Labs
Anim_3102-001ADDL Sample Submission Form

Auctioneer Program Forms

Auct_3601-001Apprentice Auctioneer License Instructions
Auct_3601-002Apprentice Auctioneer License Application
Auct_3601-003Auctioneer License Application Instructions
Auct_3601-004Auctioneer License Application
Auct_3601-005Police Waiver
Auct_3601-006Auctioneer Bond Statement
Auct_3601-007Consent to Service of Jurisdiction
Auct_3601-008Statement of Residency
Auct_3601-009Certification of Apprentice Participation
Auct_3601-010Additional Requirements & Instructions for Non-Resident Applicants
Auct_3601-011States with Reciprocity
Auct_3601-012Auctioneer Supplement Application for Business Applicants
Auct_3601-013Auctioneer Business Change Application Form - for change of address/name, add dba, change sponsor or put license on deposit
Auct_3601-014Request for Auction Education Fund Monies
Auct_3601-018Auctioneer One-Time License Instruction
Auct_3601-019Auctioneer One-Time License Application
Auct_3601-020Auctioneer One-Time Only Bond Statement
Auct_3601-021Auction Firm Instructions
Auct_3601-022Auction Firm Application
Auct_3601-023Auction Firm Bond

Dairy Forms
Dairy_3500-009Farm Security Awareness Checklist
Dairy_3500-001Application for Milk Dealer's License
Dairy_3500-002Application for Milk Hauler License
Dairy_3500-003Application for Milk Processor License
Dairy_3500-004Application for Milk Producer License
Dairy_3500-005Farm Plan Submittal Form
Dairy_3500-005aProcessor Plan Submittal Form
Dairy_3500-006Receiving Report
Dairy_3500-007Application for Weigher, Sampler or Tester License

Food Safety Forms
Food_3800-01Farm Product Registration
Food_3800-02Farm Market Registration
Food_3800-03Farmers Market Registration

Livestock Environmental Permitting Program Forms

Certified Livestock Manager
CLM 3900-012Certified Livestock Manager Application
CLM 3900-013Certified Livestock Manager Renewal Application

Information for Completing Froms
LEPP 3900-014Notice Regarding Forms

Inspections Forms
CLM Inspection Form-2010CLM Inspection Form
LEPP Routine Inspection Form-2010Routine Inspection Form

Permit Application Forms
LEPP 3900-001General Information
LEPP 3900-001bAdditional Information
LEPP 3900-002Compliance Information
LEPP 3900-003Local Notification - CAFF
LEPP 3900-004Local Notification - MCAFF
LEPP 3900-005Permit to Install
LEPP 3900-006Permit to Operate and General Conditions
LEPP 3900-007Manure Management Plan
LEPP 3900-008Insect and Rodent Control Plan
LEPP 3900-009Mortality Management Plan
LEPP 3900-010Emergency Response Plan
LEPP 3900-011Operating Record

Marketing Forms

Markets Grants
Farmers Market Access RFPFarmers Market Access Project
Mkts_2009-001Farmers Market Cost Share Registration
Mkts_2009-002National Organic Certification Program Application Form

Rural Partners Grants
Rural_2009-001Ohio Rural Partners Revolving Loan Fund Plan
Rural_2009-002Ohio Rural Partners Revolving Loan Fund Application
Rural_2009-003Ohio Rural Rehabilitation Program Application
Rural_2009-004Ohio Rural Rehabilitation Program Advisory Committee Guidelines

Meat Inspection Forms

Meat_4400-09Label application
Meat_4400-18Exempt request form
Meat_4400-25Product formulation sheet (submit with form 4400_09)
Meat_4400-29Cooked/Smoked formulation sheet (submit with form 4400_09)
Meat_4400-39Custom red meat slaughter record
Meat_4400-39PCustom poultry slaughter record
Meat_4400-PABlueprint Narrative for processing areas
Meat_4400-SABlueprint Narrative for slaughter areas
Meat_4400-RIRequest for Information

Plant Industry Forms

Apiary
Plnt_4201-001No Consent Form
Plnt_4201-002Application for Apiary Registration

EAB
Plnt_4207-001Submit a sample
Plnt_4207-002Trapping Form

Fertilizer
Plnt_4202-001Agricultural Additive Registration Application
Plnt_4202-002Anhydrous Ammonia System Construction and Operation Application
Plnt_4202-003Commercial Fertilizer License Application
Plnt_4202-005Liming Material License Application to Manufacture, Sell, or Distribute
Plnt_4202-006Non-Agricultural Production Custom Mixed Fertilizer Blender License Application
Plnt_4202-007Secondary Containment Construction Application
Plnt_4202-008Specialty Fertilizer Products Registration Application

Grain Warehouse, Feed & Seed
Plnt_4202-004Ohio Feed Registration Application
Plnt_4203-001Agricultural Commodity Handler License Application
Plnt_4203-002Agricultural Commodity Tester Application
Plnt_4203-003Apply Legume Inoculant Application
Plnt_4203-004Certificate of Insurance
Plnt_4203-005Grain Handled Report
Plnt_4203-006Indemnity Fund Claim Form
Plnt_4203-007Legume Inoculant Registration
Plnt_4203-008Seed Labelers Permit Application
Plnt_4203-009Warehouse Receipt on Handler-Owned Commodity
Plnt_4203-010Warehouse Receipt Order Form

Pesticide
plnt_4204_014-bApplication for Request of Recertification Credits
plnt_4204_014-cApplication for Approved Sponsor
Plnt_4204-001Application for Registration of Pesticide
plnt_4204-003Ohio Pesticide License Application (License Term 10/1/09 to 9/30/10)
Plnt_4204-004Private Applicator Certification (Renewal)
Plnt_4204-009Pesticide Licensing Instructions (Commercial)
Plnt_4204-010Insurance Instructions / Explanations
Plnt_4204-011Insurance Form SAMPLE
Plnt_4204-012Insurance Requirements Letter
plnt_4204-014INSTRUCTIONS: for Request of Recertification Credits Form
Plnt_4204-015Certificate of Insurance Form
Plnt_Change of Info Form ApplicatorsChange of Information Form for Applicators
Plnt_Change of Info Form BusniessChange of Information Form for Businesses
plnt_Dealer_Sales_200905Dealer Sales Report

Plant Pest Control
Plnt_4205-001Application for Dealer In Nursery Stock
Plnt_4205-002Application for Nursery Inspection

Specialty Crop Promotion Program Forms

2010 Application2010 Application
FY20082008 Reimbursement From
FY2008 Farm Bill FMAP08 Farmers Market Access Project Reimbursement Form
FY20092009 Reimbursement Form
FY20102010 Reimbursement Form
Vendor Information FormVendor Information Form
W9 form and instructionsW-9 Form and Instructions

Weights and Measures Forms
Wght_4300-001Registration of Service Agency Application
Wght_4300-002Registration of Service Agency Renewal Application
Wght_4300-003Registration for Serviceperson Application
Wght_4300-004Complaint Form
Wght_4300-006Registration of Serviceperson Testing Dates 2010
Wght_4300-007NTEP Vehicle-Livestock Worksheets
Wght_4300-008NTEP Class III Worksheets
Wght_4300-009Timing Device Checklist
Wght_4300-010Fabric/Wire & Cordage/Linear Measure Test Form
Wght_4300-011Tolerance Worksheet: Automatic Multi-Interval/Multiple-Range Scale
Wght_4300-012Tolerance Worksheet: Multi-Interval/Multiple-Range Scale SAMPLE
Wght_4300-013Tolerance Worksheet: Medium-Capacity Scales
Wght_4300-014Tolerance Worksheet: Retail Computing Scales
Wght_4300-015Ohio Metrology customer survey
Wght_4300-035Broken Seal Form
Wght_4300-0362009 Annual Report - State Summary & A-F
Wght_4300-0372009 Annual Report G-L
Wght_4300-0382009 Annual Report M-S
Wght_4300-0392009 Annual Report T-Z (includes Cities)

Serviceperson Study Material - Meters
Wght_4300-026Approval Process
Wght_4300-027Example of Test Questions
Wght_4300-028Exam Day Agenda
Wght_4300-029Agri Chemical Meters EPO
Wght_4300-030Loading Rack Meter EPO
Wght_4300-031LPG Meter EPO
Wght_4300-032Mass Flow Meter EPO
Wght_4300-033Retail Motor Fuel Dispensers EPO
Wght_4300-034Vehicle Tank Meter EPO

Serviceperson Study Material - Scales
Wght_4300-016Approval Process
Wght_4300-017Example of Test Questions
Wght_4300-018Exam Day Agenda
Wght_4300-019Hopper Scale EPO
Wght_4300-020Animal Scale EPO
Wght_4300-021Jewelery & Precious Metals EPO
Wght_4300-022Medium Capacity Scale EPO
Wght_4300-023Small Capacity Scale EPO
Wght_4300-024Vehicle Scales EPO
Wght_4300-025Livestock Scale EPO
         
Ohio Department of Agriculture, 8995 E. Main St., Reynoldsburg, Ohio 43068