Application forms shall be supplied by the department upon request and the following information must be supplied by the applicant:
1. Number of hives or boxes. The number of hives or the number of boxes containing comb, or both, to be moved;
2. Place of origin. The locality; city or cities, if any; the county or counties; and the state of origin of the hives or boxes of comb;
3. Destination. The property, locality and county in which the hives or boxes of comb will be placed;
4. Date of entry. The proposed date of entry into the State;
5. Purpose. Facts pertaining to the purpose for which the honeybees and boxes of comb, or both, are to be moved, including evidence establishing the existence of a contractor agreement for pollination services; and
6. Bees leased or brokered for pollination purposes. In the event that honeybees are leased or brokered to another beekeeper for pollination purposes:
A. The name and address of the individual who leased the bees to the pollinator; and
B. A list of all brands or other evidence of identity of brokered bees.