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License, Permit and Regulation Forms


Agricultural Diversification & Market Development
Wallace State Office Building
502 East. 9th St.
Des Moines, Iowa 50319
515-281-7656

Century/Heritage Farms Program
Wallace State Office Building
502 East. 9th St.
Des Moines, Iowa 50319
515-281-3645

  1. Organic Certification Form
  1. Century Farms Application
  2. Heritage Farms Application
Animal Industry Bureau
Wallace State Office Building
502 East. 9th St.
Des Moines, Iowa 50319
Phone: 515-281-5305
Fax: 515-281-4282

Commercial Feed & Fertilizer
Wallace State Office Building
502 E. 9th St.
Des Moines, Iowa  50319
515-281-8597
515-281-4185 (fax)

  1. Animal Welfare Complaint Form
  2. Application to Operate in Iowa as Licensed Animal Welfare Facilty
  3. Application For a Permit to Operate in Iowa As A Federal Animal Welfare Dealers/Breeders
  4. BSE
  5. Brand Application
  6. Brucellosis and Tuberculosis Levy Letter
  7. Brucellosis and Tuberculosis Levy Remittance Form
  8. Instructions for Applying for a Brand
  9. Bull Breeder Application
  10. Hatchery Application
  11. Livestock Dealer/ Order buyer Permit Application
  12. Livestock Dealer/Market Agent  Permit Application
  13. Livestock Market Permit Application
  14. Pig Dealer License Application
  15. Pig Dealer's Agent  Permit Application
  16. Poultry Buyers License Application.
  17. Premise Identification Number Application
  18. Dead Animal Disposal/Dead Animal Transporter
  19. Sheep Dealer Application
  20. Dangerous Wild Animal Registration Form
  21. Veterinarian Inspection Form
  22. Request For Supplies
  23. APPLICATION FOR A PERMIT TO OPERATE IN IOWA AS A FEDERALLY LICENSED FACILITY WITH DANGEROUS WILD ANIMALS
  24. APPLICATION FOR REGISTERED SWINE EXHIBITION/SALE
  25. Iowa Swine Exhibitions Reporting Form
  26. APPLICATION FOR REGISTERED POULTRY EXHIBITION/SALE
  27. Johnes Vaccine Order Form
  1. Certificate of Free Sale
  2. Commercial Feed License Application
  3. Commercial Feed License Branch Addition Form
  4. Pet Food Registration
    Contact Sherry Roberts at 515-281-8603
    or sherry.roberts@iowaagriculture.gov

  5. Ammonium  Nitrate Sales Record Form
  6. Application for Agricultural Liming Material License
  7. Application for Fertilizer Dry Bulk Animal Nutrient License
  8. Application for Commercial Fertilizer License
  9. Application for Registration of Fertilizer and Soil Conditioners (Large Packages)
  10. Application for Registration of Fertilizer and Soil Conditioners (Small Packages)
  11. Dry Bulk Animal Nutrient Distribution Statement
  12. Fertilizer Inspection Fee Report
  13. Feed Inspection Fee Report
  14. Application For Inclusion On Exempt Buyer List
  15. Application for Egg Handlers License
  16. Application for Liquid or Dry Fertilizer Secondary Containment

Dairy Products Control
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319
Phone: 515-281-3545

Entomology & Plant Science
Iowa Laboratory Facility
2230 South Ankeny Blvd
Ankeny, IA  50023
Phone: 515-725-1470
Fax: 515-725-1471

  1. Application for Milk Vehicle for a "Two-Year" Permit
  2. Application for Re-inspection
  3. Application for Re-inspection - farm
  4. Dairy Farm Inspection Report
  5. Milk Producer Fee Report
  6. Grader/Hauler Form
  1. Application for Agricultural / Vegetable Seed Permit
  2. Application for Iowa Nursery Dealer Certificate
  3. Application for Iowa Nursery Grower Certificate / Request for Inspection
  4. First-time On-line Apiary Registration
  5. Information for Registering Apiary Sites
  6. Application for Apiary Entry Permit
  7. Application for Certificate of Apiary Inspection
  8. For Information on Phytosanitary Certificates, contact the Entomology Bureau at 515-725-1470
Field Services
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319

515-281-5258
Horse & Dog Breeding
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319

515-281-4103
  1. Stormwater Water Loans
  2. Local Water Protection
Horse Breeding Forms
  1. Application for Iowa-Foaled Status
  2. Application for Eligibility Iowa Registered Stallion
  3. Stallion Affidavit
  4. Record of Mares Bred
  5. Mare Status Report
  6. Broodmare Registration Application
  7. Mare Transfer of Ownership
  8. Policy Statement Bred Back Requirements for Mares Foaling in Iowa

Dog Breeding Forms

  1. Dog Breeding Paperwork Overview
  2. Iowa Greyhound Dog Dam Information Report
  3. Iowa Greyhound Dog Application for Iowa- Whelped Litter Registration
  4. Iowa Greyhound Dog Application for Iowa Whelped Individual Registration
  5. Application to Operate In Iowa as:
    A Greyhound/Farm

Grain Warehouse
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319
515-281-5987

  1. Financial information sheets, regular
  2. Financial information sheets sole proprietor  respectively
  3. Iowa Grain Dealers License
  4. Grain Dealer Monthly Grain Statement Form (W-11)
  5. Lost Warehouse Receipt Release Form
  6. Disclosure of Company Ownership, Control, & Management
  7.  Warehouse License Application
  8.  Warehouse Tariff Forms
  9. Warehouse supplemental tariff
  10. Warehouse operator monthly grain statement form (W-11)
  11.  Warehouse insurance certificate (W-19)
  12. Warehouse endorsement (W-20) forms
  13. Grain Depositors and Sellers Indemnity Fund Grain Dealer Claim Form
  14. Instructions for Grain Dealer Claim Form
  15. Grain Depositors and Sellers Indemnity Fund Warehouse Claim Form
  16. Instructions for Warehouse Claim Form
Horticulture and Farmers Market
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319

515-281-8232
Meat & Poultry Inspection
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319

515-281-3338
  1. FMNP Vendor Application
  2. Iowa Grape and Wine Commission Scholarship application
  1. Application for License to Operate Establishment Under Iowa Meat Inspection Act
  2. Application for Inspection- Meat & Poultry
Laboratory
Iowa Laboratory Facility
2230 South Ankeny Blvd
Ankeny, IA  50023

Mines & Minerals
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319

515-281-4246
  1. AUTOCLAVE CYLE TIMING CHECK
  2. COMMERCIALLY PREPARED DILUTION BOTTLES
  3. ANALYTICAL BALANCE SENSITIVITY CHECK
  4. DMSCC COMPARISON
  5. LAB THERMOMETER CALIBRATION CHECK
  6. NIST Thermometer QA Form
  7. PAC COMPARISON
  8. SINGLE STRIP FACTOR
  9. DAILY TEMPERATURE RECORD
  10. PETRIFILM MOISTURE WEIGHT LOSS PERCENTAGE
  11. Pipette QA FORM
  12. TEST KIT SUITABILITY CHECK FOR DRUG RESIDUE TESTING
  13. 300 µl -QA FORM
  14. 100 µl -QA FORM
  15. 1 ml 3M PIPETTOR QA FORM
  16. 1 ml 3M PIPETTOR QA FORM
  17. Antibiotic Testing Flow Chart
  1. Annual Report Form
  2. Assignment of Certificate of Deposit
  3. Surety Bond Form
  4. Application for Mining License
  5. Reclamation Approval Request
  6. Application for Mine Registration
  7. Bond Release Request
  8. Mine Registration Transfer Request
  9. New Operator Letter
Water Resources
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319
515-2816146

Pesticide
Wallace State Office Building
502 E. 9th St.
Des Moines, IA  50319

515-281-8591
  1. Watershed Development and Planning Assistance Grant Application
  1. On-line Renewals

Data Requests

  1. Request For Commercial Pesticide Applicator Listing
  2. Request for Pesticide Dealer Listing
  3. Request for Private Applicator Listing

Commercial Pesticide Applicator Licenses (not Aerial)

  1. Requirement Summary for Iowa Commercial Pesticide Applicator Licenses & Certifications (4/5/2013)
  2. Application for Iowa Commercial Pesticide Applicator License
  3. Certification for Compliance with Secondary Containment
  4. Request for Modification of Applicator Status
  5. Iowa Agent Designation Form
  6. Application for Reciprocal Commercial Applicator

Commercial Pesticide Applicator Licenses (Aerial)

  1. Requirement Summary for Iowa Commercial Pesticide Aerial Applicator Licenses & Certifications (memo 4/9/2013)
  2. Requirement Summary for Containment and Aerial Applicator Records
  3. Administrative Rules Concerning Aerial Applicator Consultants and Iowa Bee Rule
  4. Application for Iowa Commercial Pesticide Aerial Applicator License
  5. Certification for Compliance with Secondary Containment
  6. Checklist for Aerial Applicator Secondary Containment Requirements
  7. Iowa Agent Designation Form
  8. Application for Reciprocal Commercial Applicator
  9. Aerial Applicator Consultant Registration Form
  10. Aerial Applicator Consultant Basic Checklist
  11. Checklist for Aerial Application Job
  12. Verification Form for Aerial Applicator Consultant
  13. Request for Modification of Applicator Status
  14. IDOT Aircraft Registration Notification March 2012

Pesticide Dealers Licenses

  1. Application for Pesticide Dealer License

Pesticide Product Registrations

  1. Application for Registration of Pesticides

Private Pesticide Applicator Certifications

  1. Application for Private Pesticide Applicator Certification based on Current Commercial Applicator Certification

Iowa Mini-bulk Recycling Program Inventory Registration

Weights & Measures
Iowa Laboratory Facility
2230 South Ankeny Blvd
Ankeny, IA  50023

515-725-1492
  1. Application for registered service agency, serviceperson or construction company
  2. Application Form For Anti-Freeze Permit
  3. Commercial Meter License Application
  4. Commercial Meter License Renewals
  5. Complaint Form
  6. Registered Service Agency, Service Person, and Construction Company License Renewals
  7. Scale License Renewal
  8. Notice of Sale of Scale for Companies
  9. Notice of sale of Moisture Meter
  10. Oath of Weighmaster
  11. Placed In Service Report
  12. Placed in Service Report - Scales
  13. Placed In Service Report Retail Motor Fuel Dispensers By Registered Service Company
  14. Placed In Service Refine Fuel & LP Meters
  15. Scale Application for Weighing and Measuring Device License
RENEWABLE FUEL INFRASTRUCTURE PROGRAM
  1. Renewable Fuel Infrastructure Program Application Form 


 

   
Mailing Address: IDALS,  Wallace State Office Building,   502 E. 9th Street,  Des Moines, IA 50319:     PH: 515-281-5321
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