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.
Application packets to apply for a new license or certificate
- Agricultural Pest Control Adviser License Packet, PDF (1.9 mb)
- Aircraft Pilot Pest Control Certificate Packet, PDF (1.3 mb)
- Maintenance Gardener Pest Control Business License Packet, PDF (1.3 mb)
- Pest Control Business License Packet, PDF (1.1 mb)
- Pest Control Dealer Business License Packet, PDF (995 kb)
- Pest Control Dealer Designated Agent License Packet, PDF (1 mb)
- Pesticide Broker License Packet, PDF (1.1 mb)
- Qualified Applicator Certificate Packet, PDF (1.6 mb)
- Qualified Applicator License Packet, PDF (2.2 mb)
Renewal application packets to renew a license or certificate
- Individual License/Certificate Renewal Application Packet, PDF (1.4 mb)
- Maintenance Gardener Pest Control Business Renewal Application Packet, PDF (2.9 mb)
- Pest Control Broker License Renewal Application Packet, PDF (1.3 mb)
- Pest Control Business Renewal Application Packet, PDF (1.9 mb)
- Pest Control Dealer License Renewal Application Packet, PDF (1.3 mb)
Financial Responsibility Forms
|
PR-PML-052, PDF (53 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
|
DPR-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 (604 kb) |
Continuing Education Records Renewal Summary |
Miscellaneous Forms
| PR-PML-085, PDF (17 kb) |
Agricultural Pest Control Adviser Core Course Requirements for New License Applicants Form |
| PR-PML-002, PDF (45 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 (105 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 (339 kb) |
Visa/Mastercard Transaction |
| PR-PML-120, PDF (16 kb) |
Worker's Compensation Insurance Verification |
| PR-PML-045, PDF (80 kb) | Private Applicator Certificate Application (Applicants will submit PR-PML-045 to County Agricultural Commissioners, not to the Department of Pesticide Regulation) |
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