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Private Applicator Restricted Use Pesticide Summary Reporting in ink or type unless otherwise noted. Retain a copy for your records. Retain a copy for your records for at least 5 years. This form
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How to fill out certified private applicators

01
Obtain the application form for certified private applicators from the relevant agricultural department or agency.
02
Fill out the application form completely and accurately, providing all necessary information such as personal details, contact information, and agricultural experience.
03
Provide any required documentation or certifications along with the application form, such as proof of pesticide training or education.
04
Submit the completed application form and any supporting documents to the appropriate agricultural department or agency for review and approval.
05
Attend any necessary training or testing sessions as required by the agricultural department or agency to become a certified private applicator.

Who needs certified private applicators?

01
Farmers and agricultural workers who apply restricted used pesticides on their own land or property for the purpose of producing agricultural commodities.

What is Certified Private Applicators - Missouri Department of Agriculture Form?

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Certified private applicators are individuals who have been certified by their state to use or supervise the use of restricted used pesticides on their own property or the property of their employer.
Individuals who apply restricted use pesticides on their own property or their employer's property and have been certified by their state as private applicators are required to file certified private applicator reports.
Certified private applicators can typically fill out their reports online through their state's Department of Agriculture website or submit physical forms by mail.
The purpose of certified private applicators is to ensure that individuals using restricted use pesticides are properly trained and certified to minimize risks to human health and the environment.
Information such as the types of pesticides used, amount applied, location of application, and any adverse effects observed must be reported on certified private applicator reports.
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