Forms by Number


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Forms by Number

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 
Pesticide Application Record (Registro de Aplicación de Pesticidas):
    * AGR 4226 Version 1:   English   PDF   WORD  |  Español   PDF
    * AGR 4235 Version 2:   English   PDF   WORD  |  Español   PDF
    * AGR 4236 Version 3:   English   PDF   WORD  |  Español   PDF
    * AGR 4234 Version 4:   English   PDF   WORD  |  Español   PDF
    * AGR 4237 Version 5:   English   PDF   WORD  
AGR 4242 - Supplemental Commercial Applicator Pesticide License Application
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 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 630-4139- Section 25(b) Minimum Risk CSF
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 630-4350 - Pesticide Registrations in Washington
AGR 630-4352 - 25(b) 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