Form DPR-PML-006 "Fee Exempt Pest Control Business" - California

What Is Form DPR-PML-006?

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 July 1, 2011;
  • 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 DPR-PML-006 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 DPR-PML-006 "Fee Exempt Pest Control Business" - California

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DEPARTMENT OF PESTICIDE REGULATION
STATE OF CALIFORNIA
PEST MANAGEMENT AND LICENSING BRANCH
FEE EXEMPT PEST CONTROL BUSINESS
LICENSING AND CERTIFICATION PROGRAM
DPR-PML-006 (REV. 07/11)
1001 I STREET
Page 1 of 1
SACRAMENTO, CALIFORNIA 95814-2828
(916) 445-4038
FAX - (916) 445-4033
Print Form
Web site: http://www.cdpr.ca.gov/
FEE EXEMPT (Neighborhood Operator)
In accordance with FAC Section 11709, a person not regularly engaged in the business of pest control that operates only in the vicinity
NOTE:
of his or her own property and for the accommodation of his or her neighbors is not required to pay the fee specified by Section 11703,
but is required to procure a license. The person shall register with the commissioner as provided in Section 11732, and is subject to all
other provisions of this division. The determination of the director that a person is engaged in the business of pest control beyond the
vicinity of his or her own property or for the accommodation of others than his or her neighbors is final.
SUPPLEMENTAL INFORMATION FOR PEST CONTROL BUSINESS LICENSE (FEE EXEMPT)
Name
Address
City
Zip
County
Applicant's property consists of:
Acres
Commodity/Site
Location
Neighbor's property to be treated:
Name
Acres
Commodity/Site
Location
The undersigned applies for a license to engage for hire in the business of pest control in accordance with Section 11709 of the Food and
Agricultural Code -- operates only in the vicinity of his/her own property and for the accommodation of his/her neighbors.
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of Applicant
Date
APPLICANT - Submit the completed form to the county agricultural commissioner for review.
COUNTY AGRICULTURAL COMMISSIONER - Please review and complete.
Yes
No
Does the applicant operate property in this county?
Does the applicant solicit for or engage in the business of pest control?
Are neighbor's properties listed in the vicinity of the property operated by the applicant?
Comments:
County Agricultural Commissioner Signature
Date
APPLICANT - Submit this form with your application for a Pest Control Business License to: Department of Pesticide Regulation, Pesticide
Enforcement Branch, Licensing and Certification Program, 1001 I Street, Sacramento, California 95814-2828
OFFICE USE ONLY -
Approved
Date
Denied by
Reason:
DEPARTMENT OF PESTICIDE REGULATION
STATE OF CALIFORNIA
PEST MANAGEMENT AND LICENSING BRANCH
FEE EXEMPT PEST CONTROL BUSINESS
LICENSING AND CERTIFICATION PROGRAM
DPR-PML-006 (REV. 07/11)
1001 I STREET
Page 1 of 1
SACRAMENTO, CALIFORNIA 95814-2828
(916) 445-4038
FAX - (916) 445-4033
Print Form
Web site: http://www.cdpr.ca.gov/
FEE EXEMPT (Neighborhood Operator)
In accordance with FAC Section 11709, a person not regularly engaged in the business of pest control that operates only in the vicinity
NOTE:
of his or her own property and for the accommodation of his or her neighbors is not required to pay the fee specified by Section 11703,
but is required to procure a license. The person shall register with the commissioner as provided in Section 11732, and is subject to all
other provisions of this division. The determination of the director that a person is engaged in the business of pest control beyond the
vicinity of his or her own property or for the accommodation of others than his or her neighbors is final.
SUPPLEMENTAL INFORMATION FOR PEST CONTROL BUSINESS LICENSE (FEE EXEMPT)
Name
Address
City
Zip
County
Applicant's property consists of:
Acres
Commodity/Site
Location
Neighbor's property to be treated:
Name
Acres
Commodity/Site
Location
The undersigned applies for a license to engage for hire in the business of pest control in accordance with Section 11709 of the Food and
Agricultural Code -- operates only in the vicinity of his/her own property and for the accommodation of his/her neighbors.
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT
Signature of Applicant
Date
APPLICANT - Submit the completed form to the county agricultural commissioner for review.
COUNTY AGRICULTURAL COMMISSIONER - Please review and complete.
Yes
No
Does the applicant operate property in this county?
Does the applicant solicit for or engage in the business of pest control?
Are neighbor's properties listed in the vicinity of the property operated by the applicant?
Comments:
County Agricultural Commissioner Signature
Date
APPLICANT - Submit this form with your application for a Pest Control Business License to: Department of Pesticide Regulation, Pesticide
Enforcement Branch, Licensing and Certification Program, 1001 I Street, Sacramento, California 95814-2828
OFFICE USE ONLY -
Approved
Date
Denied by
Reason: