Cty Bee Inspector

Design:
Geländer

Fireplace Cast Iron

Cty Bee Inspector

Division of Plant Health – Apiary Program

8995 East Main Street, Reynoldsburg  OH  43068

Phone: 614-728-6373 – Fax: 614-728-6453

www.agri.ohio.gov – apiary@agri.ohio.gov

 

APPLICATION FOR APIARY REGISTRATION

 

PLEASE RETURN WITH PAYMENT BY JUNE 1

 

IDENTIFICATION NUMBER:                                                       CERTIFICATE NUMBER:                                 

 

NAME:

 

 

ADDRESS:

 

 

CITY, STATE, ZIP:

 

 

PHONE#:

 

 

EMAIL:

 

 

COUNTY:

 

Check boxes that apply:

 Registered previously

 Additional apiary(ies)

New beekeeper

PAYMENT REQUIRED:

 

Please enclose $5.00 per apiary LOCATION payable to the “Ohio Department of Agriculture”.

 

Payment by check or money order only; Payment Method:   Check#                 Money Order #                       . 

 

Number of Apiary Locations:               x $5.00= $_____________Total Amount Due            

 

(Applications Postmarked After June 1st are subject to a $10.00 late filing fee)

 

Queen certificates can’t be issued for “no consent” apiaries.

 

Apiary

Location

# of

Colonies

 

County

 

Township

Directions:

Address

Location needs

Queen Inspection

 

Property Owner

1

 

 

 

 

 

         

 

2

 

 

 

 

 

         

 

3

 

 

 

 

 

         

 

4

 

 

 

 

 

         

 

5

 

 

 

 

 

         

 

6

 

 

 

 

 

         

 

7

 

 

 

 

 

         

 

My signature below certifies that the information provided above is true and accurate to the best of my knowledge.

 

SIGNATURE:

 

 

DATE:

 

                       

PLNT-AP-4201-002

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