Gov ie - Poultry Registration Application Form (PR1 form)Selling Eggs, Meat, and Poultry in North Ca 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Licensee/Farm/Business Name and Date at the top of the form. Ensure this information is accurate as it identifies your application.
3. Fill in the Premise Address where your birds are located, including City, County, State, and Zip Code. This is crucial for compliance checks.
4. Provide your Phone Number, E-Mail Address, and After Hours Contact Number for any follow-up communications.
5. Indicate if your mailing address differs from the premise address by filling out the additional space provided.
6. Select whether you are submitting a New Application or a Renewal by checking the appropriate box.
7. Choose your Hatchery Type(s) and Dealer Type & Fee options. Make sure to note any applicable fees next to each selection.
8. Finally, sign and date the application at the bottom. Remember that no application will be accepted without a signature.

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