Get School Site And Child Day Care Facility Pesticide Use Reporting Form

This guide provides clear and detailed instructions on how to complete the School Site And Child Day Care Facility Pesticide Use Reporting Form online. Following this step-by-step process will ensure that you accurately submit the required information effectively.

Follow the steps to successfully complete the reporting form online.

1. Click ‘Get Form’ button to access the pesticide use reporting form and open it in your preferred online platform.
2. Enter the application year in the designated field to indicate when the pesticide was applied.
3. Fill in the business registration, license, or certificate number as applicable.
4. Provide the name of the business or operator, including the city and state where the business is located.
5. Input the complete business address, including the ZIP code for accurate processing.
6. Specify whether the location is a school or child day care facility by entering the appropriate CDS number or providing the name and address.
7. Indicate the county where the application took place.
8. Document the date and time when the application was completed in the provided boxes.
9. Select the location from which pesticide was applied using the appropriate code number from the list of locations.
10. Provide the manufacturer and name of the pesticide product used.
11. Enter the EPA or California registration number found on the product label, including the alpha code if available.
12. Input the business phone number where the pesticide application service can be reached.
13. Specify the amount of pesticide used by checking one unit of measure and filling in the appropriate values.
14. Indicate the types of pest control codes relevant to the application, selecting from the provided list to describe the nature of the pesticide use.
15. Finally, indicate who prepared the report by adding their name, along with the date of preparation.
16. Once all information is completed accurately, save changes to the form, and consider downloading, printing, or sharing it to submit to the Department of Pesticide Regulation.

Complete and submit your reporting form online today to ensure compliance with pesticide regulations.