Form Fgis-944 - Application For License Under The United States Grain Standards Act (Usgsa) And/or The Agriculture Marketing Act (Ama) Of 1946 Page 3

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Field Offices
Review the application, complete the section on the form reserved for FGIS use only.
Complete sections 16 – 18 on the Application with the following information:
16.
Action to be taken. Place an “X” in the appropriate box.
17.
Name and/or Signature of Field Office Manager. The printed name and/or signature of
the supervising Field Office Manager, or their designee.
18.
Date. The date the application was signed by the field office official.
Filing and Distribution Instructions
Official agencies
1.
Forward the original copy of the completed application to the supervising Field Office for
review. Retain a copy of the application (until the Field Office completes and returns the
application) for official agency records.
2.
After the Field Office reviews, completes, and returns the application, file a copy of the
completed application in the employee's licensing file.
Field Offices
1.
Retain the original copy of the completed form in the applicant's licensing file.
2.
Send a copy of the completed application to the Official Agency for their records.
If assistance is needed to complete this information please contact:
Field Management Division
Robert Lijewski
Telephone: (202) 720-0228
Fax: (202) 720-1015
Return form to the local FGIS office.
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