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The forms available in this page are for downloading & printing. Data is not sent to us by you filling in these forms. The fill-in feature is provided for your convenience only so you can fill-in and print. Thank You.

Pesticide Use Enforcement

Complaint of Human Exposure or Unsafe Condition
Complaint of Human Exposure or Unsafe Condition Form . Please print this form, fill it out and fax or mail to our offices.
Training & Worker Safety Forms
Pesticide Handler Written Training Program
Respiratory Protection Model and Questionnaire
Respiratory Protection Model and Questionnaire (Spanish)
Pesticide Handler Training Program (Spanish)
Fieldworker Safety Training Program
Fieldworker Safety Training Program (Spanish)
Field Posting Requirements and Signs
Restricted Pesticide Permits and Operator ID's
Permit Application
Authorized Rep Form
California Restricted Pesticides chart
Private Applicator Certificate Application
Site map form
2008 Methyl Bromide Worksite Plan Packet
2008 Methyl Bromide Permit Conditions
Pest Control Business Licensing
QAC/QAL/PCA exam schedule / Applications
Application and Use Records
Production Agriculture Monthly Use Report (PR-ENF-017C)
Monthly Summary Pesticide Use Report (PR-ENF-060)
Pesticide Use Report (PR-ENF-025)
Notice of Intent (PR-ENF-126X) - Must be submitted 24 Hrs before application
Multiple Site / Commodity Pesticide Use Report
Structural Pest Control Business Forms
Structural Registration Branch I
Structural Registration Branch II & III

Pest Exclusion

Phytosanitary Certificate Request
Phyto Request Santa Maria Office
Phyto Request Santa Barbara Office

Quarantine Certificate Request

QC Request Santa Maria Office
QC Request Santa Barbara Office

 
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