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Application for Live Plant Inspection

Plant Protection and Weed Control Section
Forbes Field - Building 282, P.O. Box 19282
Topeka, KS 66619-0282
Telephone: (785) 862-2180 Fax: (785) 862-2182
ppwc@kda.ks.gov

*Firm Name:

*Contact Name:

Address:

City:

State:

Zip Code:

*Telephone:

Fax:

FEIN:

OR
SSN:

E-mail Address:

Do you grow Barberry or Mahonia from seed?	Yes No
Please list all locations where live plants, nursery stock, or other plants are to be inspected. Detailed information such as addresses or legal descriptions of all sites would be appreciated. Please include an acreage estimate for each individual location.
Location/Address/Legal Description and Acreage:
List all states into which you plan to ship live plants. Each state regulates specific plant pest that you inspector will need to be alert for when inspecting your plants.

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.

Kansas Department of Agriculture

Application for Live Plant Inspection

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