Department of Agriculture and Forestry, State of Louisiana - Mike Strain DVM, Commissioner

Grain Dealer Form Checklist

____ Application

____ Registration with the Louisiana Secretary of State

____ Property Insurance Certificate (if applicable)

____ Security form (either the Self Insurance Fund Application or the LACC Bond Requirement Form)

____ Chief Executive Form

____ Resolution of the Board of Directors

____ Audited Financial Statement

____ Application Fee