The following pest control
forms and reports are available from district or
sub-district offices of the Nevada Department of
Agriculture throughout the State of Nevada.
Title of Form or Report
Fill-in Adobe
PDF
Microsoft
Word
Corel
WordPerfect
Urban and Structural Monthly
Pesticide Use Report - Southern Region
Urban and Structural Monthly
Pesticide Use Report - Northern Region
Agricultural Pesticide Use
Report - Air and Agricultural Ground
Nevada Certificate of
Insurance - Ground Application
Nevada Certificate of
Insurance - Aerial Application
Ground License Application
Aerial License Application
Aerial / Agricultural Ground
Business License Application
Applicator License
Requirements and Application for Principal Pest Control
License Examination
Urban and Structural /
Agricultural Ground Pest Control Business License
Application
Agricultural Aircraft
Operator's Certificate of Qualification
Urban & Structural Test
Application & Score Sheet
Annual Continuing Education
Opportunity
Urban & Structural Year End
Pesticide Summary
N/A
N/A
Urban & Structural Pesticide
Use Records Form
Aerial / Agricultural Ground
Test Application & Score Sheet
Termite Pretreatment
Notification Form
N/A
N/A
Affidavit of
Pest
Control
Non-Operations
Pest
Control
Company Name Application
Service
Vehicle
Check List
Fumigation
Management Plan
N/A
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