Get Dpr-hsa-118 (rev

The DPR-HSA-118 (REV) is a crucial document for reporting pesticide use in schools and child care centers in California. Completing this form accurately ensures compliance with state regulations and contributes to safe pesticide management.

Follow the steps to fill out the DPR-HSA-118 (REV) online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the application year at the top of the form, ensuring it reflects the correct reporting period.
3. Fill in the district or center name, entering the official name of the school or child care center.
4. Provide the optional license or certificate number if applicable.
5. Input the name of the person preparing the report along with their email address, city, and phone number for contact purposes.
6. Complete the field titled 'Name & Address' by specifying whether it is a school or child care center, and add the relevant CDS number if known.
7. Indicate the county where the school or child care center is located.
8. Fill in the date and time when the application was completed.
9. Choose the location code from the list provided, based on where the pesticide application took place.
10. Enter the manufacturer and the name of the pesticide product used, along with its EPA registration number.
11. Report the amount of pesticide used, selecting the appropriate unit of measurement from the options provided.
12. Select the pest control code that corresponds to the type of pest control performed.
13. Optionally, use the notes section for recordkeeping or other relevant information.
14. List the reasons for application, ensuring that they meet Healthy Schools Act recordkeeping requirements.
15. Review all entries for accuracy before finalizing the document.
16. Once the form is complete, save changes, and utilize options to download, print, or share the form as needed.

Complete your DPR-HSA-118 (REV) online today to ensure proper pesticide reporting.