Form PR-PML-083 "Reexamination or Adding Categories Application" - California

What Is Form PR-PML-083?

This is a legal form that was released by the California Department of Pesticide Regulation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the California Department of Pesticide Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PR-PML-083 by clicking the link below or browse more documents and templates provided by the California Department of Pesticide Regulation.

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Download Form PR-PML-083 "Reexamination or Adding Categories Application" - California

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State of California
Department of Pesticide Regulation
Reexamination or
Licensing and Certification Program
PO Box 4015
Adding Categories Application
Sacramento, California 95812
PR-PML-083 (Rev. 05/19)
(916) 445-4038
E-Mail: LicenseMail@cdpr.ca.gov
Web site: http://www.cdpr.ca.gov/
Do Not Use This Form For A New Applicant
Applicant Type - Check the appropriate box(es).
License/Certificate Type - Check the appropriate box . Only one per application.
Manned Journeyman Pilot
Unmanned Journeyman Pilot
Reexamination
DA
QAL
Adding New Category(ies)
Manned Apprentice Pilot
Unmanned Apprentice Pilot
PCA
QAC
Applicant Information - Print or Type
DPR Application/License Certificate Number
(MI)
Name
(Last)
(First)
Mailing Address
E-Mail Address
Telephone Number
(Number and Street)
(City)
(County)
(State)
(Zip Code)
Limit of four exams per site.
PCA applicants taking Laws, Regulations, and Basic Principles may only take an additional two category exams.
Laws, Regulations, and Basic Principles must be passed in addition to at least one category in order to obtain a license or certificate.
Applicants who do not obtain a license or certificate within 12 months of their original exam date will be required to submit a new
application, new application fees, and must retest in all exams passed.
Each Examination Requires a $50.00 Fee
1.
2.
3.
4.
Faxed or E-Mailed Copies Are Not Accepted
Mail Applications and Payment to:
Cashier MS 4A, Department of Pesticide Regulation
Make checks payable to “Cashier, DPR”.
PO Box 4015
Sacramento, CA 95812
Total Amount Enclosed: $_____________
The current Exam Schedule can be found at: https://www.cdpr.ca.gov/docs/license/exam_sched.pdf
nd
Select a 2
choice for the exam site (Month and City) in case your first choice is not available.
st
1 choice Month: ________________________________
City: ______ _______________________________
nd
2
choice Month: ________________________________ City: _____________________________________
Signature:
_____________________________________________ Date: ___________________________________
State of California
Department of Pesticide Regulation
Reexamination or
Licensing and Certification Program
PO Box 4015
Adding Categories Application
Sacramento, California 95812
PR-PML-083 (Rev. 05/19)
(916) 445-4038
E-Mail: LicenseMail@cdpr.ca.gov
Web site: http://www.cdpr.ca.gov/
Do Not Use This Form For A New Applicant
Applicant Type - Check the appropriate box(es).
License/Certificate Type - Check the appropriate box . Only one per application.
Manned Journeyman Pilot
Unmanned Journeyman Pilot
Reexamination
DA
QAL
Adding New Category(ies)
Manned Apprentice Pilot
Unmanned Apprentice Pilot
PCA
QAC
Applicant Information - Print or Type
DPR Application/License Certificate Number
(MI)
Name
(Last)
(First)
Mailing Address
E-Mail Address
Telephone Number
(Number and Street)
(City)
(County)
(State)
(Zip Code)
Limit of four exams per site.
PCA applicants taking Laws, Regulations, and Basic Principles may only take an additional two category exams.
Laws, Regulations, and Basic Principles must be passed in addition to at least one category in order to obtain a license or certificate.
Applicants who do not obtain a license or certificate within 12 months of their original exam date will be required to submit a new
application, new application fees, and must retest in all exams passed.
Each Examination Requires a $50.00 Fee
1.
2.
3.
4.
Faxed or E-Mailed Copies Are Not Accepted
Mail Applications and Payment to:
Cashier MS 4A, Department of Pesticide Regulation
Make checks payable to “Cashier, DPR”.
PO Box 4015
Sacramento, CA 95812
Total Amount Enclosed: $_____________
The current Exam Schedule can be found at: https://www.cdpr.ca.gov/docs/license/exam_sched.pdf
nd
Select a 2
choice for the exam site (Month and City) in case your first choice is not available.
st
1 choice Month: ________________________________
City: ______ _______________________________
nd
2
choice Month: ________________________________ City: _____________________________________
Signature:
_____________________________________________ Date: ___________________________________