Pesticide Use Reporting (PUR) Forms

Back to Pesticide Use Reporting (PUR)

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

These forms must be downloaded, filled out, printed, and then submitted to your local county agricultural commissioner by mail or delivered in person. Your pesticide use report cannot be saved or submitted from this website.

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


For content questions, contact:
Hannah Jensen
1001 I Street, P.O. Box 4015
Sacramento, California 95814-4015
Phone: (916) 445-4239
E-mail: Hannah.Jensen@cdpr.ca.gov