Beekeeper or Company Name:
Firm Number:? Your firm number is located at the bottom of your Certificate of Apiary Registration
Email Address:
Phone Number:? Please use digits only (e.g. use xxxxxxxxxx, not (xxx) xxx-xxxx).
Street Address:
City:
Zipcode:
Number of Colonies:
Treatment Requested:
	By checking this box you agree that you are willingly sharing the information above for the purposes of veterinary feed directive or prescription request processing. A finished pdf of your request will be sent to the email you have provided if approved.

By completing this form, you are requesting a Veterinary Feed Directive (VFD) or prescription for honey bee antibiotics.

Requests will be approved and distributed by a veterinarian licensed within your state. You can find out more by contacting:
Gary David Butcher
Address: 2015 SW 16th Avenue Box 100136, University of Florida College of Veterinary Medicine, Gainesville, Florida 32611
Phone: 3522944390
State/Lic. No.: VM13431

In order to place this request, you must currently be a registered beekeeper in the state of Florida. For registration information, visit: https://www.fdacs.gov/Agriculture-Industry/Bees-Apiary/Beekeeper-Registration

Antibiotics approved through this system can only be applied to managed honey bee colonies operating in the state of Florida.

Any questions can be directed to the Florida Department of Agriculture and Consumer Services, Bureau of Plant and Apiary Inspection at (352) 420-8401 or Brandi.Stanford@FDACS.gov

Honey Bee Antibiotic Request Form Web Application made by Tomas Bustamante. User interface designed by Mary Bammer. Sponsored and managed by the Florida State Beekeepers Association. Please email questions and suggestions to: FSBABoard@gmail.com

HONEY BEE ANTIBIOTIC REQUEST FORM