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LANDSCAPING GENERAL LIABILITY SUPPLEMENT (Include application) Applicant s Name: Mailing Address: Location Address: Does applicant use pesticides or herbicides? Yes No If yes, are they EPA approved?
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How to fill out the "Does Applicant Use Pesticides" form:

01
Enter the required personal information of the applicant, such as their name, address, contact details, and any relevant identification numbers.
02
Indicate the purpose of the form by selecting the appropriate option, such as applying for a license, seeking a permit, or registering as a pesticide user.
03
Provide information about the applicant's use of pesticides, including the types of pesticides used, the frequency of use, and the intended targets (e.g., insects, weeds, rodents).
04
If applicable, mention any certifications or licenses the applicant holds related to pesticide use, ensuring to provide supporting documents if required.
05
Specify the methods or techniques employed by the applicant when using pesticides, such as spraying, baiting, or fumigating.
06
If applicable, provide details regarding any safety measures taken by the applicant, such as using protective equipment, following proper disposal procedures, or storing pesticides in a secure manner.
07
Answer any additional questions on the form regarding the applicant's pesticide use, ensuring to provide accurate and complete information.
08
Review the filled-out form for any errors or omissions before submitting it.

Who needs to complete the "Does Applicant Use Pesticides" form?

01
Individuals or businesses involved in agriculture or horticulture that utilize pesticides as part of their operations.
02
Pest control companies or professionals engaged in providing pest management services using pesticides.
03
Organizations or individuals applying for permits or licenses related to pesticide use, such as research institutions, government agencies, or educational facilities specializing in pest control or agricultural sciences.
04
Anyone seeking to register or certify themselves as a pesticide applicator or handler.
05
Entities requiring documentation of their pesticide use for compliance with local, state, or national regulations.
Remember, it is important to follow the specific guidelines provided on the form and consult any relevant regulations or authorities to ensure accurate and compliant completion of the "Does Applicant Use Pesticides" form.
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The applicant uses pesticides to control and eliminate pests in their agricultural or residential environment.
Anyone who uses pesticides for agricultural or commercial purposes is required to file information about their pesticide use.
To fill out the information about pesticide use, applicants must provide details about the type of pesticide used, the quantity, and the methods of application.
The purpose of reporting pesticide use is to ensure proper usage, minimize environmental impact, and protect human health.
Information such as the type of pesticide used, the quantity applied, the target pests, application methods, and the date of application must be reported.
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