A person applying for a commercial feed license under section 24 of this chapter shall apply using forms provided by the director or forms reproduced locally by the applicant containing the following information:

1. (1) Name, complete mailing address, and physical location of the person applying for a commercial feed license.
2. (2) Telephone number, fax number, and electronic mail address.
3. (3) A list of subsidiaries located in Indiana or any out of state subsidiaries that distribute directly into Indiana.

4. (4) A declaration describing whether the person intends to:

   1. (A) manufacture; or

   2. (B) distribute;

      commercial feeds under their label in or into Indiana.

5. (5) A designation whether the person intends to manufacture or distribute pet foods or specialty pet foods in containers:

   1. (A) of ten (10) pounds or less; or
   2. (B) exceeding ten (10) pounds.
6. (6) A declaration describing where the manufacturer or distributor is located.
7. (7) If the person is a manufacturer, a declaration describing whether the person only manufactures customer formula feed.
8. (8) The printed name and title of the contact person for the manufacturer or distributor.
9. (9) The signature of the person submitting the application.

As added by P.L.16-2026, SEC.11.