Fillable State of Connecticut Department of Agriculture Hemp Seed (State of Connecticut/Department of Administrative Services)

Fill Online, Printable, Fillable, Blank State of Connecticut Department of Agriculture Hemp Seed (State of Connecticut/Department of Administrative Services) Form

Use Fill to complete blank online STATE OF CONNECTICUT/DEPARTMENT OF ADMINISTRATIVE SERVICES (CT) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

State of Connecticut Department of Agriculture Hemp Seed (State of Connecticut/Department of Administrative Services)

On average this form takes 8 minutes to complete

The State of Connecticut Department of Agriculture Hemp Seed (State of Connecticut/Department of Administrative Services) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Connecticut/Department of Administrative Services

BROWSE STATE OF CONNECTICUT/DEPARTMENT OF ADMINISTRATIVE SERVICES (CT) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
State of Connecticut
Department of Agriculture
Bureau of Regulatory Services
450 Columbus Blvd, Suite 702 Hartford, CT 06103
Phone: 860-713-2502 Email: AGR.Hemp@ct.gov
Hemp Seed Modification Request
(rev. 7/25/19)
This form will only be accepted through the DOAG E-License portal. Paper
applications will not be accepted.
The submission of this request form and a subsequent License Agreement Amendment must be executed
prior to the growing, handling, processing, or storage of hemp materials at any location (GPS coordinates)
NOT already listed on your License Agreement.
License Holder:
Grower License #:
Name of Signing Authority (if Business):
Email:
Phone#:
Print
Save
Hemp Variety/ Strain
exactly as listed on
seed certification
documents or seed
label.
Planted
Seeds or
Transplants
Name and Address for source of seeds or transplants
Plot name or
number where
hemp will be grown
By signing my name below, I attest that I am the license holder or the signing authority for the license
holder, and that this information is accurate and complete. I understand that giving a false statement is
punishable by law under section 53a-157b of the Connecticut General Statutes.
________________________________________________________ Date: _____________________
Individual Licensee, On-Site Manager or Signing Authority Signature
Seed/ Propagule Variety CHANGE ***
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

State of Connecticut Department of Agriculture Hemp Seed (State of ConnecticutDepartment of Administrative Services)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document