California Department of Pesticide Regulation Forms

This Form is used for conducting safety inspections of field workers in California.

This document is a supplemental form used in California for reporting inspection results and violation notices.

This form is used for monitoring inspections of commodity fumigation use in California.

This form is used for authorizing the release of medical information in the state of California.

This form is used for submitting a supplemental report on field worker dermatitis in California.

This Form is used for authorizing the release of medical information in California.

This form is used for reporting information about witnesses, injured individuals, or complainants involved in an episode in California.

This form is used for reporting incidents of antimicrobial exposure in California. It is used to document episodes of exposure to antimicrobial agents and collect relevant information for further investigation and analysis.

This document is a supplement to a complaint referral form in California. It is used to provide additional information or details related to the complaint.

This form is used for filing a complaint referral in the state of California. It is a formal process to report issues or concerns to the appropriate authorities.

This form is used for investigating non-occupational exposure to pesticides during a pesticide episode in California.

This form is used for completing a checklist related to pesticide use, storage, and disposal in California. It helps ensure compliance with guidelines and regulations to protect the environment and public health.

This form is used for submitting a pesticide analysis report in California.

This form is used for requesting pest proofing and repairs needed inside a property in California.

This form is used for monitoring weed growth in turf areas within California. It helps track and manage the presence of weeds to maintain a healthy and attractive appearance.

This form is used for applying for a supplemental permit for restricted materials in California.

This Form is used for conducting pest inspections and reporting sanitation conditions in California. It is essential to ensure that properties meet health and safety standards.

This template is used to create a course agenda for Continuing Education (CE) courses in California. It helps outline the topics and schedule for the course.

This Form is used for requesting language access assistance in California.

This form is used for producing a sample analysis report in California.

This form is used for requesting a time extension for a pesticide illness investigation in California.

This form is used for applying for a permit to handle restricted materials in California. It is an application form specifically designated for obtaining a Restricted Materials Permit.

This form is used for applying for a Section 18 Emergency Exemption in the state of California.

This Form is used for resolving language access services-related issues in California. It is available in Spanish.

This form is used for pest control aircraft pilots in California to provide a statement of supervision for apprentices by journeyman pilots.

This form is used for providing additional application information for obtaining a maintenance gardener pest control business license in California.

This Form is used for applying for pesticide registration in the state of California. It provides instructions for filling out the application and includes information on necessary documentation and fees.

This document is a record of continuing education for the County Agricultural Commissioner's staff in California.

This Form is used for submitting TGA data to the California state government.

This form is used for creating a Fumigant Management Plan for field fumigation activities in the state of California. It is an important document that ensures proper handling and management of fumigants to protect the environment and public health.

This Form is used for releasing clothing items in California. It is available in both English and Spanish.

This form is used for submitting a decision report supplement in the state of California. It is an additional document that provides additional information or supporting evidence for a decision report.

This Form is used for reporting loss, nonperformance or damage in the state of California.

This Form is used for applying for an Operator Identification Number in California.

This document is for providing supplemental information for enforcement or compliance actions in California. It is used to summarize the actions taken.