USDA Registration application [Class T – Carrier]

USDA Registration Application [Class T – Carrier]

Provided by CitizenShipper LLC
Once you fill out this online form and click "Submit", a copy of your completed registration application will be submitted to the USDA via email. In this way, your application will be automatically completed, all for FREE.
Application For New Registration (APHIS Form 7011A)
1. TYPE OF REGISTRATION REQUESTED:*

INTERMEDIATE HANDLERCARRIERRESEARCH FACILITYFEDERAL RESEARCH FACILITYAGRICULTURAL RESEARCH FACILITYVETERANS’ ADMINISTRATION
2. TYPE OF ORGANIZATION:*

INDIVIDUALCORPORATIONPARTNERSHIPUNIVERSITYLLCSOLE PROPRIETORTRUSTSOther
3. TYPE OF PUBLIC: (Select one)*

STATE, LOCAL, TRIBAL GOVERNMENTBUSINESS OR OTHER FOR-PROFITNOT-FOR-PROFIT INSTITUTIONFARMFOREIGN OR DOMESTIC FEDERAL GOVERNMENTINDIVIDUAL OR HOUSEHOLD
4. NAME OF REGISTRANT AND MAILING ADDRESS: *
Name and permanent mailing address, including ZIP Code
5. COUNTY:*
The county that the mailing address above is located in
6. TELEPHONE:*
7. ADDRESS TYPE*

RESIDENTIAL ADDRESSNON-RESIDENTIAL ADDRESS
8. EMAIL*
Your email address
9. ALL BUSINESS NAMES AND LOCATION ADDRESSES HOUSING ANIMALS AND/OR TRANSPORT VEHICLES:*
List ALL D/B/A names and physical addresses where regulated animals and/or transport vehicles are located.
10. COUNTY:*
11. TELEPHONE NUMBER AT THIS LOCATION:*
12. OPTIMAL HOURS FOR INSPECTION AT THIS LOCATION:*
13. WEBSITE:
Your website. Keep it blank if you don't have a website.
14. IF INDIVIDUAL, IDENTIFY EACH OWNER, IF PARTNERSHIP IDENTIFY EACH PARTNER OR OFFICER, IF CORPORATION, IDENTIFY PRINCIPAL OFFICERS FOR RESEARCH FACILITIES.
14.A. NAME*
Your full name
14.B. TITLE*
If the applicant is an individual - you can keep this field as it is
14.C. ADDRESS (FULL ADDRESS INCLUDING ZIP CODE)*
15. SIGNATURE*

Sign with your hand by tapping on mobile or by your mouse on desktop devices
16. NAME*
Your full name
16. Title*
If the applicant is an individual - you can keep this field as it is
12. DATE SIGNED*

MonthDayYear
Federal Debt Collection Form (APHIS Form 7030)
1. State*
State of the business address of the licensee/registrant
2. Customer Number:*
Type in N/A if not applicable
3. Certificate Number:*
Type in N/A if not applicable
4. Name:*
Your Full Name (if Individual) or Business Name (if Corporation or other)
5. SSN or EIN:*
Your Social Security Number (if Individual) or Employee Identification Number (if Corporation or other)
Distinct ID
Will be autofilled
Should be Empty:

USDA Registration Application [Class T – Carrier]

Application For New Registration (APHIS Form 7011A)

Federal Debt Collection Form (APHIS Form 7030)