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
Notice of Intent to Apply Restricted Materials, PDF PR-ENF-126X
Pesticide Use Report, PDF DPR-PML-025
Production Agriculture Monthly Pesticide Use Report, PDF DPR-PML-017C
Production Agriculture Monthly Pesticide Use Report:
Multiple Site/Commodity, PDF
DPR-PML-183
Monthly Summary Pesticide Use Report, PDF DPR-PML-060
School Site Pesticide Use Reporting
For reporting pesticide use in schools and day care facilities, PDF
DPR-ENF-117


For content questions, contact:
Rodney Jones
1001 I Street, P.O. Box 4015
Sacramento, California 95814-4015
Phone: (916) 445-4027
E-mail: Rodney.Jones@cdpr.ca.gov