Pesticide Use Reporting (PUR) Forms

Back to Pesticide Use Reporting (PUR)

The Pesticide Use Reporting (PUR) forms are available in PDF format:

You can download and save the PDF versions to your local system or you can fill it out on-line. In both cases, you will print it from your local printer. Remember, when using the PDF version, if you are using the free Acrobat Reader, you cannot save the data that you write into the form. If you need to make a change after printing and exiting the form, you can either reenter all of the data or hand write the updates on the printed form. (If you have purchased the full version of Adobe Acrobat, you can save PDFs along with any data entered.)

Title Form Number Format
Notice of Intent to Apply Restricted Materials PR-ENF-126X PDF (431 kb)
Pesticide Use Report DPR-PML-025 PDF (634 kb)
Production Agriculture Monthly Pesticide Use Report DPR-PML-017C PDF (729 kb)
Production Agriculture Monthly Pesticide Use Report:
Multiple Site/Commodity
DPR-PML-183 PDF (660 kb)
Monthly Summary Pesticide Use Report DPR-ENF-060
PDF (62 kb)
School Site Pesticide Use Reporting
For reporting pesticide use in schools and day care facilities
PDF (122 kb)

For content questions, contact:
Debra Lynn-Shimasaki
1001 I Street, P.O. Box 4015
Sacramento, California 95814-4015
Phone: (916) 445-4027