Form ARM-ACM-226 "Landscape Pesticide Application Advance Notice Registry Annual Registration Form" - Wisconsin

What Is Form ARM-ACM-226?

This is a legal form that was released by the Wisconsin Department of Agriculture, Trade and Consumer Protection - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2018;
  • The latest edition provided by the Wisconsin Department of Agriculture, Trade and Consumer Protection;
  • 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 printable version of Form ARM-ACM-226 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Agriculture, Trade and Consumer Protection.

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Download Form ARM-ACM-226 "Landscape Pesticide Application Advance Notice Registry Annual Registration Form" - Wisconsin

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ARM-ACM-226 (Rev. 07/18)
OFFICE USE ONLY
Wisconsin Department of Agriculture, Trade and Consumer Protection
Landscape Registry - DARM
Date Received:
PO Box 8911
Madison WI 53708-8911
Phone: (608) 224-4500
Date Entered:
Landscape Pesticide Application Advance Notice Registry
Annual Registration Form
Chapter ATCP 29.56, Wis. Admin. Code
Participant Information
First Name:
Middle Name:
Last Name
Street Address:
City:
State:
Zip Code:
County:
Phone Number:
Required
Mailing Address
(If different than home address):
Advanced Notice Parcel Address Information
Instructions:
Enter one neighboring property (parcel) for which you want advanced notification per line. Attach additional pages if needed.
Parcels must be located on your block of residence or an immediately adjoining block.
You may list your own address if you live in an apartment, condo or similar development and you do not hire the pesticide
application business servicing the property.
The Registry does not apply to agricultural property, utility or roadside right-of-way areas and pest control applications
made around building foundations.
Incomplete, incorrect and ineligible addresses will be excluded from the registry.
Street Address:
City:
Zip Code:
Registration Deadline is February 1
You must register annually.
.
Send the completed registration form to:
Landscape Registry - ARM Division, Wisconsin Department of Agriculture, Trade and
Consumer Protection, PO Box 8911, Madison WI 53708-8911
I hereby certify that the above information is correct.
SIGNATURE
DATE
Personal information provided may be used for purposes other than that for which it was originally collected (s. 15.04(1)(m) Wis. Stats.).
Registration is voluntary. Your information is NOT confidential; and is available on the DATCP website and via open records requests.
Online registration is available at
https://datcp.wi.gov/Pages/Programs_Services/LandPestReg.aspx
If you have questions contact DATCP at (608) 224-4500 or
datcplandscaperegistry@wisconson.gov
ARM-ACM-226 (Rev. 07/18)
OFFICE USE ONLY
Wisconsin Department of Agriculture, Trade and Consumer Protection
Landscape Registry - DARM
Date Received:
PO Box 8911
Madison WI 53708-8911
Phone: (608) 224-4500
Date Entered:
Landscape Pesticide Application Advance Notice Registry
Annual Registration Form
Chapter ATCP 29.56, Wis. Admin. Code
Participant Information
First Name:
Middle Name:
Last Name
Street Address:
City:
State:
Zip Code:
County:
Phone Number:
Required
Mailing Address
(If different than home address):
Advanced Notice Parcel Address Information
Instructions:
Enter one neighboring property (parcel) for which you want advanced notification per line. Attach additional pages if needed.
Parcels must be located on your block of residence or an immediately adjoining block.
You may list your own address if you live in an apartment, condo or similar development and you do not hire the pesticide
application business servicing the property.
The Registry does not apply to agricultural property, utility or roadside right-of-way areas and pest control applications
made around building foundations.
Incomplete, incorrect and ineligible addresses will be excluded from the registry.
Street Address:
City:
Zip Code:
Registration Deadline is February 1
You must register annually.
.
Send the completed registration form to:
Landscape Registry - ARM Division, Wisconsin Department of Agriculture, Trade and
Consumer Protection, PO Box 8911, Madison WI 53708-8911
I hereby certify that the above information is correct.
SIGNATURE
DATE
Personal information provided may be used for purposes other than that for which it was originally collected (s. 15.04(1)(m) Wis. Stats.).
Registration is voluntary. Your information is NOT confidential; and is available on the DATCP website and via open records requests.
Online registration is available at
https://datcp.wi.gov/Pages/Programs_Services/LandPestReg.aspx
If you have questions contact DATCP at (608) 224-4500 or
datcplandscaperegistry@wisconson.gov