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STATE OF CALIFORNIADEPARTMENT OF PESTICIDE REGULATION PEST MANAGEMENT AND LICENSING BRANCH LICENSING AND CERTIFICATION PROGRAM DPRPML001A (REV. 05/1001/18) Page 1 of 2 1001 I STREET, P.O. BOX 4015
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How to fill out qualified applicator certificate application

01
To fill out a qualified applicator certificate application, follow these steps:
02
Obtain the application form from the relevant licensing authority or download it from their website.
03
Fill out your personal information, such as your name, address, phone number, and email address.
04
Provide details about your current employer or business, including the name, address, and contact information.
05
Specify the category or categories of pesticide application you are seeking certification for.
06
Attach any required supporting documents, such as proof of training, education, or experience.
07
Sign and date the application form.
08
Pay the application fee, if applicable.
09
Submit the completed application either by mail or in person to the licensing authority.
10
Wait for the authority to process your application and notify you about the status of your certificate application.
11
If approved, follow any additional instructions provided by the licensing authority to obtain your qualified applicator certificate.

Who needs qualified applicator certificate application?

01
Anyone who wishes to apply or use restricted pesticides in the designated categories within their jurisdiction needs to fill out a qualified applicator certificate application. This includes individuals working in agricultural, horticultural, landscaping, pest control, and related industries. The specific requirements and categories may vary depending on the local regulations and licensing authority.
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The qualified applicator certificate application is a form submitted by individuals seeking certification as a qualified applicator in the field of pesticide application.
Individuals who wish to become certified as qualified applicators are required to file the application.
The application can be filled out online or submitted in paper form with the required information and documentation.
The purpose of the application is to ensure that individuals who apply pesticides are properly trained and certified to do so safely and effectively.
The application requires personal information, training and certification details, and documentation of experience in pesticide application.
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