Updated 5/2/08
Forms by Number
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AGR 1006 - Request for Public
Records Disclosure
AGR 4112 -
Pesticide Sensitive Individual Application Form
AGR 4115 - Permit
Request Form
AGR 4120 -
Pesticide Sensitive Individual Renewal Form
AGR 630-4139 -
Section 25(b) Confidential Statement of Formula
AGR 4175 - Strucutral
Pest Inspection Company License Application
AGR 4177 - Structural Pest Inspectors Bond Form
AGR 4179 - Structural Pest Inspectors Financial Responsibility
Insurance Certificate, Option 1
AGR 4187
- Structural Pest Inspector Assigned Account
AGR
4189 - Structural Pest Inspectors Financial Responsibility
Insurance Certificate, Option 3
AGR 630-4216
- Application for 2 Year Registration of Pesticides
AGR 4226 -
Pesticide Application Record Version 1
PDF
WORD
AGR 4235 -
Pesticide Application Record Version 2
PDF
WORD
AGR 4236 -
Pesticide Application Record Version 3
PDF
WORD
AGR 4234 -
Pesticide Application Record Version 4
PDF
WORD
AGR 4237 -
Pesticide Application Record Version 5
PDF
WORD
AGR 4242 - Supplemental
Commercial Applicator Pesticide License Application
AGR 630-4250
- Addendum
AGR 4279 - Commercial Pesticide
Applicators Financial Responsibility Insurance Certificate (FRIC)
AGR 4286 - Request for
Recertification Course Accreditation
AGR 4300A -
Application for Registration of Commercial Fertilizer
AGR 4300B -
Commercial Fertilizer New Product Registration
AGR 4300C -
Fertilizer Component Information
AGR 4302
- Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4302-FIL - Fertilizer
Semi-Annual Tonnage Report (with calculations)
AGR 4302A
- Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4302B
- Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4302C
- Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4302D
- Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4303 -
Commercial Fertilizer Inspection Fee Liability Statement
AGR 4311 - Laws and Rules Order
Form
AGR 4330 - Commercial Fertilizer Annual Tonnage Report
AGR 4330A - Commercial Fertilizer
Annual Tonnage Report
AGR 4330B - Commercial Fertilizer
Annual Tonnage Report
AGR 4330C - Commercial Fertilizer
Annual Tonnage Report
AGR 4330D - Commercial Fertilizer
Annual Tonnage Report
AGR 630-4119
- Supplemental Information for Registration of Adjuvants
AGR 630-4128
- Application for Use of Experimental Pesticides on Aquatic Sites
AGR
630-4129 - Aquatic Risk Assessment
AGR
630-4130 - Collective Experimental Use Permit
AGR 630-4257 -
Washington State Experimental Use Permit (WSEUP)
AGR
630-4325 - Spray Adjuvant Confidential Statement of Formula
AGR 630-4335 -
Spray Adjuvant Registrations in Washington
AGR 640-4222 -
Pesticide/Pest Inspector License Recertification Requirements
Commercial Pesticide Applicators Surety Bond Form - Download
Ecology Questionnaire -
Download
Reporting Structural Fumigations using Methyl Bromide and Sulfuryl
Fluoride -
Download