Beekeeper deregistration form

Beekeeper name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Nature of your request *

I am no longer keeping bees and wish to have my registration as a beekeeper cancelled

I wish to deregister the following apiaries

I sold or gave away my bees

My bees were robbed out

All my hives died

I'm a new beekeeper and never got any hives

I have packed away all of the hives and gear into storage. I don’t have any dead beehives left out in the field *

Please note if you still have hives at an apiary those sites should be registered as apiaries and you can’t deregister as a beekeeper.

Yes

Address of apiary (Include property name if applicable) *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country