VDACS Forms

Century Farm Application

NEW - FY 2008 Fiscal Certification Form - July 2 Deadline
NEW - FY 2008 Program Certification Form - August 31 Deadline

Animals
Agricultural Animal Seizure Report (PDF 21KB)
Animal Custody Record (PDF 28KB)
Animal Facility Inspection Form – Pound Regulations (PDF 54KB)
Animal Heatlh Laboratory Submission Form (PDF 16KB)
Animal Record (PDF 34KB)
Application for Livestock/Poultry Dealer Registration (PDF 16KB)
Canine Care Workshop Registration Form
Dangerous Dog Registration Change of Address Form
Dangerous Dog Registration Change of Address Supplemental Owner Information Form
Dangerous Dog Registration Remittance Form
Dangerous Dog Renewal Registration Form
Dangerous Dog Verification of Compliance and Registration Form
Dangerous Dog Verification of Compliance and Registration Supplemental Owner Information Form
Equine Event Report (PDF 34KB)
Equine Event Denied Entry Report (PDF 34KB)
Humane Investigator Investigation Report (PDF 23KB)
Humane Investigator Quarterly Report (PDF 20KB)
Instructions For Completing The Animal Record Summary Report (PDF 37KB)
Poultry Service Request Form & Fees (PDF 17KB)
2003 Statewide Summary Report — Reporting Rescue Groups (PDF 96KB)
2003 Statewide Summary Report — Reporting Cities (PDF 98KB)
2003 Statewide Summary Report — Reporting Counties (PDF 96KB)
2003 Statewide Summary Report — Reporting Humane Societies (PDF 87KB)
2003 Statewide Summary Report — All Reporting Entities (PDF 96KB)

Food
Food Safety Consumer Complaint Form (PDF 9KB)

Meat & Poultry Services
Application for Permit of Exemption (PDF 5KB)
Application for Permit of Poultry Exemption (PDF 8KB)
Application for State Meat and Poultry Inspection (PDF 11KB)
Application/Approval for Voluntary Reimbursable Inspection Service (PDF 13KB)

Consumer Affairs

Official Consumer Complaint Form (OCA-1) (PDF 137KB)
Price Gouging Complaint Form (PDF 30KB)

Charitable Solicitation
Virginia Exemption Application for Charitable or Civic Organization - Form 100
Registration Statement for a Charitable Organization - Form 102
Forms for Fundraisers (PDF 1,696KB)
Virginia Solicitation of Contributions Law
Rules Governing the Solicitation of Contributions (PDF 89KB)

Membership Campgrounds
Application for the Registration of Membership Camping Operator (OCA-51) (PDF 20KB)
Membership Campground Letter of Credit (OCA-53) (PDF 6KB)
Membership Camping Operator's Bond (OCA-54) (PDF 8KB)
Membership Campground Remittance Form (OCA-52) (PDF 7KB)

Credit Services Business
Credit Services Business Bond (OCA-74) (PDF 8KB)
Credit Services Business Irrevocable Letter of Credit (OCA-73) (PDF 6KB)
Credit Services Business Registration Form (OCA-71) (PDF 11KB)
Credit Services Business Remittance Form (OCA-72) (PDF 7KB)

Extended Service Contract
Extended Service Contract Letter of Credit (OCA-63) (PDF 5KB)
Extended Service Contract Provider/Obligor Application for Registration (OCA-61) (PDF 36KB)
Extended Service Contract Provider/Obligor Bond (OCA-64) (PDF 13KB)
Extended Service Contract Remittance Form (OCA-62) (PDF 7KB)

Health Spa
Health Spa Bond (OCA-34) (PDF 11KB)
Health Spa Letter of Credit (OCA-33) (PDF 8KB)
Health Spa Refund Request (OCA-02) (PDF 158KB)
Health Spa Registration (OCA-31) (PDF 28KB)
Health Spa Contract Requirements
Health Spa Act

Travel Clubs
Additional Travel Club Registration Guidelines (OCA-23) (PDF 7KB)
Application for Registration Travel Clubs (OCA-21) (PDF 7KB)
Travel Club Bond (OCA-24) (PDF 6KB)
Travel Club Remittance (OCA-22) (PDF 7KB)
Irrevocable Letter of Credit Travel Clubs (OCA-26) (PDF 19KB)

Pesticide Services
Application for New Pesticide Product Registration (PDF 10KB)
Application for Reciprocal Pesticide Applicator Certificate (PDF 51KB)
Application for Virginia Pesticide Business License (PDF 12KB)
Certificate of Insurance (PDF 10KB)
Change of Information Form (PDF 75KB)
Commercial A Pesticide Applicator Certification Application (PDF 35KB)
Commercial Application Instructions (PDF)
Commercial B Pesticide Applicator Request for Authorization to Take Pesticide Applicator Examination (PDF 50KB)
Pesticide Registered Technician Application
Pesticide Disposal Registration Form (PDF)
Power of Attorney (PDF 67KB)
Private Pesticide Applicator Request for Authorization to Take Pesticide Applicator Examination at Department of Motor Vehicles Customer Service Center (PDF 11KB)
Registered Technician Instructions (PDF)
Request to take the Virginia Pesticide Business License Examination (PDF 49KB)
Responsibilities of Commercial Pesticide Applicators and Registered Technicians in Virginia
Training Manual Order Form
Virginia Pesticide Discontinuance Policy
Virginia Pesticide News
Worker Protection Standard, Training Verification Program, State - Training Provider Agreement (PDF 8KB)

Plant Industry Services
Permit Application (PDF 11KB)
Virginia Ginseng Management Program (PDF 8KB)
Virginia Plants and Plant Product Inspection Law and Quarantine Requirements (PDF 6KB)
Registration Packet for Agricultural Products Dealer
Registration Packet for Commercial Feed Licenses and Product Registration (PDF 28KB)
Registration Packet for Virginia Fertilizer License and Product Registration (PDF 121KB)
Registration Packet for Virginia Lime License and Product Registration (PDF107KB)
Registration Packet for Virginia Seed License and Product Registration (PDF 137KB)
Summary Form for Reporting Monthly Tonnage of Fertilizer Sold in Virginia (PDF 10KB)
Virginia Fertilizer/Lime Contractor — Applicator Permit (PDF 13KB)

Weights and Measures
Application for the Registration of Motor Fuels (PDF 8KB)
Application for Weights and Measures Service Agency Certification — Taxi Companies (PDF 26KB)
Application for Weights and Measures Service Agency Certification (PDF 28KB)
Application for Weights and Measures Service Technician Certification and Registration for Technician Training (PDF 28KB)
Application for Weights and Measures Service Technician Certification and Registration for —Taxi Meter (PDF 26KB)
Registration Packet for Commission Merchants
Registration Packet for Cotton Handlers
Virginia Petroleum Products Retail Locations (PDF 7KB)
Virginia Public Weighmaster Law and Application (PDF 135KB)

Livestock Marketing
Services Beef Breeding Cattle Clearing House Questionnaire (PDF 9KB)
Sheep Clearing House Questionnaire (PDF 7KB)
Goat Clearing House Request (PDF 5KB)

Market News Service
Hay Clearing House Request Form
Market News Publications Request Form

Promotional
Virginia Grown Guide - Application for Participation Form
Virginia Grown Point-of-Sale Materials (PDF 4KB)
Organic Cost Share Application, Info sheet and W-9 form

Fruit, Vegetable & Peanut Marketing Services
Fruit and Vegetable Programs Request for Inspection, Reinspection or Appeal Inspection (PDF 9KB)