What is the Commercial Applicator Pesticide Use Summary Report?
This form is developed by the Connecticut Department of Energy and Environmental Protection. The report must be completed and filed by commercial pesticide applicators. They must maintain all records of pesticide usage during a certain period.
What is the Purpose of the Commercial Applicator Pesticide Use Summary Report?
Generally, the document must be used by the applicators of pesticides to report the detailed usage and maintenance. The applicators are responsible for the amount of used pesticides (in gallons or pounds) on a certain territory during a certain time.
When is the Commercial Applicator Pesticide Use Summary Report Due?
The report refers to the calendar year starting from January 1st to December 31st. So the document must be completed, signed and filed on or before January 31st. To know more you may contact the Pesticide Management Program.
Is the Commercial Applicator Pesticide Use Summary Report Accompanied by Other Forms?
No, this form does not require any additional attachments.
What Information do I Include in the Commercial Applicator Pesticide Use Summary Report?
First of all, indicate the date when you fill out the report. Then write the name of certified supervisor and his full address, business number and e-mail. After that provide the details of the business: its name, address, fax, title, e-mail, etc. Indicate the reporting period in the second part of the document. Also, type the name of certified applicator and the number of certification. The next part of the report is devoted to pesticide usage. Here you must indicate the pesticide name, product registration number and the total amount of pesticide. The report also includes the certification of accuracy.
Where do I Send the Commercial Applicator Pesticide Use Summary Report?
Send the report to the following address:
Pesticide Management Program
Engineering and Enforcement Division
Bureau of Materials Management and Compliance Assurance
Department of Energy and Environmental Protection
79 Elm Street-06106-5127