Licensing Forms

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Certification and Training Regulations Update - Visit this page for more information about 2024 regulation changes.

Application and renewal packets

The complete packets include the application and other required forms, fact sheet on licensing or certification requirements, suggested study materials, and Visa/Mastercard transaction form.

Application packets to apply for a new license or certificate

• Agricultural Pest Control Adviser License Packet, PDF
• Aircraft Pilot Pest Control Certificate Packet, PDF
• Maintenance Gardener Pest Control Business License Packet, PDF
• Pest Control Business License Packet, PDF
• Pest Control Dealer Business License Packet, PDF
• Pest Control Dealer Designated Agent License Packet, PDF
• Pesticide Broker License Packet, PDF
• Qualified Applicator Certificate Packet, PDF
• Qualified Applicator License Packet, PDF

Renewal application packets to renew a license or certificate

• Individual License/Certificate Renewal Application Packet, PDF
• Maintenance Gardener Pest Control Business Renewal Application Packet, PDF
• Pest Control Broker License Renewal Application Packet, PDF
• Pest Control Business Renewal Application Packet, PDF
• Pest Control Dealer License Renewal Application Packet, PDF

Financial Responsibility Forms

• PR-PML-052 - Certificate of Insurance, PDF
• ACORD 25 - Financial Responsibility Options for Pest Control Business, PDF
• PR-PML-170 - Liability Certification Statement - Maintenance Gardener Pest Control Business License, PDF
• PR-PML-053 - Pest Control Business Licensees Bond, PDF

Continuing Education Forms

• In-Person Continuing Education Approval Request Application (LIC-131A), PDF
• Interactive Online and Webinar Continuing Education Approval Request Application (LIC-131B), PDF
• Continuing Education Additional Course Date Request (LIC-132), PDF
• Continuing Education Record Renewal Summary, PDF (LIC-141, Pg 2)

Miscellaneous Forms

• PR-PML-002 - Change of Address and/or Name Form, PDF
• LIC-083 - Reexamination or Adding New Categories, PDF
• PR-PML-143 - Supplemental Application Information - Maintenance Gardener Pest Control, PDF
• DPR-PML-006 - Supplemental Information for Pest Control Business License (Fee Exempt), PDF
• DPR-105 - Visa/Mastercard Transaction, PDF
• PR-LIC-120 - Worker's Compensation Insurance Verification, PDF
• LIC-045 - Private Applicator Certificate Application, PDF Applicants will submit PR-PML-045 to County Agricultural Commissioners, not to the Department of Pesticide Regulation)
• DPR-PML-002B - Business Change of Name/Address Form, PDF

If you have questions about California's licensing, certification, and training requirements to perform pest control work (new applications, renewals, change of address, qualifications, examinations, study materials, and continuing education), please contact the Licensing Program at LicenseMail@cdpr.ca.gov or by phone at (916) 445-4038