Company certification – Phytosanitary Association of Ukraine

Certificate application form enterprises for pest control

Company name *

Issuing authority
(in case of recertification)

Address *

Phone / cell number *

E-mail *

Fax

Storage warehouse information *

(Address, if different from above. If work is done in more than one place, attach a list of individual places, including names and certificate numbers, their validity for each place.)

Vehicle information:

Car registration number *

Does the car have a separate body that is well ventilated to store chemicals and equipment contaminated with clothing? *

Yes No

Name of the owner / director of the company *

Pest control activities *

Category A - General pest control (except fumigation) Category B - Fumigation

Specify the data, certificate numbers and certification category of the pest control company. For each category *

The following documents are attached to this application:

Certified copy of the permit for performance of works of high risk, for the enterprise *

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Certified copy of the insurance policy *

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Завірена копія сертифікату ОБШ, що працюють в компанії *

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