Certified Supervisor Title Mail completed Commercial Applicator Pesticide Use Summary Report to: PESTICIDE MANAGEMENT PROGRAM ENGINEERING AND ENFORCEMENT DIVISION BUREAU OF MATERIALS MANAGEMENT AND COMPLIANCE ASSURANCE DEPARTMENT OF ENERGY AND ENVIRONMENTAL PROTECTION 79 ELM STREET HARTFORD, CT 06106-5127 DEP-PEST-REP-006 3 of 3 Rev. 10/12/12 .
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to use or fill out the CT DEP-PEST-REP-006 online
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.
- Press the ‘Get Form’ button to obtain the CT DEP-PEST-REP-006 and open it for editing.
- 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.
- 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.
- 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.
- In Part III, fill in the name and certification number of the Certified Applicator.
- 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.
- If additional sheets are necessary, check the provided box and attach any reproduced sheets.
- In Part V, certify the accuracy of the report by signing and dating the document. Include your printed name and title.
- 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.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
Oct 12, 2012 — Report (DEP-PEST-REP-006). This report must be completed and submitted on...
by JS Dukes · 2009 · Cited by 743 — This pa- per explores how the ranges and impacts...
Get answers to your most pressing questions about US Legal Forms API.
How do I contact CT deep pesticide?
For more information, please contact the Pesticide Management Program at (860) 424-3369 or Deep.PesticideProgram@ct.gov Email is our preferred method of communication.
How do I get a pesticide applicator license in CT?
Registering for Examination Registering for a new E-License account. Applying for a Private Applicator Certification. Upon successful completion of the exam, you will be emailed that you have an additional fee due, upon paying your certification fee you will be emailed your new certification.
What is EPA registered pesticide?
Pesticides must be registered with EPA unless they meet the criteria for a minimum risk pesticide. EPA evaluates pesticides to ensure that when they are used ing to label directions they will not harm people, non-target species or the environment.
How to start a pest control business in Connecticut?
A Certificate of Registration from the Connecticut Department of Energy and Environmental Protection (DEEP) is required prior to any person operating a pesticide application business in Connecticut. The business registration is required in addition to individual applicator certification.
How much is Connecticut pesticide registration?
All businesses must pay the $240.00 yearly fee. A renewal notices will go out 90 days prior to expiration with instructions for completing your online renewal.
Do exterminators need a license in CT?
All persons using pesticides professionally in Connecticut must possess an up-to-date certificate issued by the Department of Energy and Environmental Protection.
How do I get a fertilizer license in CT?
Any person making commercial fertilizer applications to an urban landscape must be certified by FDACS. To obtain a certificate, an applicant must take six hours of Green Industry Best Management Practices training and submit a copy of the training certificate and fee with the application form.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.