AZ At Your Service - Office of the Arizona Governor Doug Ducey 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Full Legal Name in the designated field. Ensure you include your First Name, Middle Name, and Last Name without any initials.
3. Fill in your Mailing Address, City, State, and ZIP code accurately to ensure proper communication.
4. Provide your Telephone Number and E-Mail address for contact purposes.
5. Enter your Date of Birth and Social Security Number in the respective fields. If you are certified in Arizona, include your Certification Number.
6. Select the credential and category you are testing for by checking all applicable boxes. This includes options for Private Applicator, Commercial Applicator, Golf Applicator, and more.
7. Indicate if you have taken and failed any exams within the last 12 months by selecting 'Yes' or 'No'. If 'Yes', list all applicable exams.
8. Finally, sign and date the form at the bottom to affirm that all information provided is true and correct.

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