Get Ct Dep-pest-rep-006 2012-2026

The CT DEP-PEST-REP-006 is a crucial document for reporting pesticide use by commercial applicators. This guide provides step-by-step instructions to assist users in accurately completing and submitting the form online, ensuring compliance with state regulations.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to obtain the CT DEP-PEST-REP-006 and open it for editing.
2. In Part I, enter the name and contact details of the Certified Supervisor, including their mailing address, city/town, state, zip code, and business phone. Provide the certification numbers and check the box if the home address has changed.
3. Continue in Part I by filling in the information for the business, including the name, mailing address, and contact details of the contact person. Again, check the box if the business address has changed.
4. In Part II, specify the reporting period from January 1 to December 31 of the preceding year. If another Certified Supervisor reported pesticide usage, check the box and provide their name and certification number.
5. In Part III, fill in the name and certification number of the Certified Applicator.
6. In Part IV, list the pesticide products used, including the EPA product registration number and the total amount used before diluting (in gallons or pounds). Continue to fill in the details for each product.
7. If additional sheets are necessary, check the provided box and attach any reproduced sheets.
8. In Part V, certify the accuracy of the report by signing and dating the document. Include your printed name and title.
9. Once all sections are completed, save your changes and download, print, or share the form as necessary for submission.

Complete your CT DEP-PEST-REP-006 online today to ensure compliance and accuracy.