Pest Control Licensing Section                               
 

FORMS AND REPORTS

The following pest control forms and reports are being made available as Adobe PDF files.  Some of our forms and reports are interactive Adobe (pdf) file formats and can be downloaded as an electronic version to view on your computer, filled out and printed on your printer for mailing or faxing.  Also, any of these forms are available from any of our district or sub-district offices of the Nevada Department of Agriculture.  Click here for a list of office locations.


 

Title of Form or Report

Fill-in Adobe PDF


Example Record Keeping Form
Example Record Keeping Form (pdf)
Agricultural Pesticide Use Report - Air and Agricultural Ground
 
Agricultural Pesticide Use Report - Air and Agricultural Ground (pdf)Interactive
Nevada Certificate of Insurance - Ground Application
 
Nevada Certificate of Insurance - Ground Application (pdf)Interactive
Nevada Certificate of Insurance - Aerial Application
 
Nevada Certificate of Insurance - Aerial Application (pdf)Interactive
Ground License Application
 
Ground License Application (pdf)Interactive
Aerial License Application
 
AdobeInteractive
Aerial / Agricultural Ground Business License Application
 
Aerial / Agricultural Ground Business License Application (pdf)
Applicator License Requirements and Application for Principal Pest Control License Examination
 
Applicator License Requirements and Application for Principal Pest Control License Examination (pdf)Interactive
Urban and Structural / Agricultural Ground Pest Control Business License Application
 
Urban and Structural / Agricultural Ground Pest Control Business License Application (pdf)
Agricultural Aircraft Operator's Certificate of Qualification
 
Agricultural Aircraft Operator's Certificate of Qualification (pdf)Interactive
Urban & Structural Test Application & Score Sheet
 
Urban & Structural Test Application & Score Sheet (pdf)Interactive
Urban & Structural Year End Pesticide Summary
 
Urban & Structural Year End Pesticide Summary (pdf)Interactive
Urban & Structural Pesticide Use Records Form Urban & Structural Pesticide Use Records Form (pdf)Interactive
Aerial / Agricultural Ground Test Application & Score Sheet Aerial / Agricultural Ground Test Application & Score Sheet (pdf)Interactive
Termite Pretreatment Notification Form Termite Pretreatment Notification Form (pdf)Interactive

Affidavit of Pest Control Non-Operations

Affidavit of Pest Control Non-Operations (pdf)Interactive

 

Pest Control Company Name Application


Pest Control Company Name Application (pdf)Interactive

 

Service Vehicle 
Check List


Service Vehicle Check List (pdf)

 


Fumigation
Management Plan


Fumigation Management Plan (pdf)

You will need the Adobe Acrobat Reader plug-in to download and view the .pdf files.   If you don't have the plug-in, you can download the plug-in by clicking on the Get Acrobat Reader button here: 

Get Adobe Reader

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Sparks, NV 89431
775-353-3600
Fax: (775) 353-3638
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Last Updated: 08/20/09 10:03:23 AM 
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