Application for Live Plant Inspection

Plant Protection and Weed Control Program
1320 Research Park Drive
Manhattan, KS 66502
Telephone: (785) 564-6698 Fax: (785) 564-6779
KDA.PPWC@ks.gov

Fees:
Inspection fee:	$30 per hour plus mileage
Certification fee:	$20 for domestic shipments $50 for international shipments
A bill will be sent to you upon completion of the inspection. If you have questions or need additional information, please contact our office.

* Applicant Name:

* Street Address:

* City:

* State:

* Zip Code:

* Telephone:

Format example: (913) 555-1212

Fax:

Format example: (913) 555-1212

* Contact Person:

* Location Of Growing Commodity:

Destination Country Or State:

* Common Name Of Commodity:

* Approximate Acreage To Be Inspected:

* Date The Inspection Needs To Be Completed By:

Format Example: 12/12/2012

Agreement:

I agree to allow the Kansas Department of Agriculture to release my name and contact information following an inspection that indicates my product meets weed-free forage standards.

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