Licensing Forms

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Application and renewal packets

The complete packets include the application and other required forms, fact sheet on licensing or certification requirements, suggested study materials, exam schedule, and Visa/Mastercard transaction form. Individual forms are listed by category and do not include the required supplemental forms. See packets for all required forms and information.

Application packets to apply for a new or change an existing license or certificate

Aircraft Pilot Pest Control Certificate Packet, PDF (125 kb)
Agricultural Pest Control Adviser License Packet, PDF (83 kb)
Maintenance Gardener Pest Control Business License Packet, PDF (193 kb)
Pest Control Business License Packet, PDF (179 kb)
Pest Control Dealer Designated Agent License Packet, PDF (148 kb)
Pest Control Dealer License Packet, PDF (83 kb)
Pesticide Broker License Packet, PDF (75 kb)
Qualified Applicator Certificate Packet, PDF (194 kb)
Qualified Applicator License Packet, PDF (271 kb)

Renewal application packets to renew a license or certificate

Individual License/Certificate Renewal Packet, PDF (198 kb)
Maintenance Gardener Pest Control Business Renewal Packet, PDF (86 kb)
Pest Control Business Renewal Packet, PDF (209 kb)
Pest Control Dealer Business License Renewal Packet, PDF (46 kb)
Pesticide Broker Business License Renewal Packet, PDF (41 kb)

Forms to apply for or request changes in a license or certificate
PR-PML-005, PDF
(63 kb)
Aircraft Pilot Pest Control Certificate Application
PR-PML-084, PDF
(65 kb)
Agricultural Pest Control Adviser License Application
PR-PML-004, PDF
(104 kb)
Maintenance Gardener Pest Control Business License Application
PR-PML-042, PDF
(22 kb)
Pest Control Business License Application
DPR-PML-043, PDF
(67 kb)
Pest Control Dealer Designated Agent License Application
PR-PML-041, PDF
(107 kb)
Pest Control Dealer License Application
PR-PML-217, PDF
(94 kb)
Pesticide Broker License Application
PR-PML-045, PDF
(20 kb)
Private Applicator Certificate Application
(Applicants will submit PR-PML-045 to County Agricultural Commissioners, not to the Department of Pesticide Regulation)
PR-PML-001A, PDF
(46 kb)
Qualified Applicator Certificate Application
PR-PML-001, PDF
(36 kb)
Qualified Applicator License Application
   
Financial Responsibility Forms
PR-PML-052, PDF
(46 kb)
Certificate of Insurance
ACORD 25, PDF (14 kb)
 
Financial Responsibility Options for Pest Control Business
PR-PML-170, PDF
(9 kb)
Liability Certification Statement - Maintenance Gardener Pest Control Business License
PR-PML-053, PDF
(24 kb)
Pest Control Business Licensees Bond
   
Continuing Education Forms
PR-PML-131, PDF
(1.6 mb)
Continuing Education Approval Request
Sample Agenda, Word
(35 kb)
Sample CE Course Agenda Template
PR-PML-132, PDF
(1.6 mb)
Continuing Education Additional Presentation Request
PR-PML-123, PDF
(90 kb)
Continuing Education Records Renewal Summary
DPR-105, PDF
(33 kb)
Visa/Mastercard Transaction Form
   
Miscellaneous Forms
PR-PML-085, PDF
(17 kb)
Agricultural Pest Control Adviser Core Course Requirements for New License Applicants Form
PR-PML-002, PDF
(57 kb)
Change of Address and/or Name Form
PR-PML-010, PDF
(37 kb)
Pest Control Aircraft Pilot Statement of Supervision of Apprentice by Journeyman
PR-PML-083, PDF
(143 kb)
Reexamination or Adding New Categories
PR-PML-143, PDF
(10 kb)
Supplemental Application Information - Maintenance Gardener Pest Control
DPR-PML-006, PDF
(257 kb)
Supplemental Information for Pest Control Business License (Fee Exempt)
DPR-105, PDF
(12 kb)
Visa/Mastercard Transaction
PR-PML-120, PDF
(16 kb)
Worker’s Compensation Insurance Verification
   

If you have questions about California’s licensing, certification, and training requirements to perform pest control work (new applications, renewals, change of address, qualifications, examinations, study materials, and continuing education), please contact the Licensing Program at licensemail@cdpr.ca.gov or by phone at (916) 445-4038