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Pesticide Licensing Forms

Form Description How to submit this form
AB_License_
Application _VPA-013
Application for a new Pesticide Applicator Business license. Email this form to pestcertcourses@dep.nj.gov.
DB_License_
Application _VPA-014
Application for a new Pesticide Dealer Business license. Email this form to pestcertcourses@dep.nj.gov.
Recert_Course_
Application _VPA-015
Apply to offer a continuing education course. Instructions included. Email this form to pestcertcourses@dep.nj.gov.
Pesticide_Trainer_
Application _VPA-016
Apply to become a Certified Pesticide Trainer. Instructions included. Email this form to pestcertcourses@dep.nj.gov.
Reciprocal_License_
Application _VPA-017
Apply for, and make amendments to, a Reciprocal Pesticide Applicator License. Email this form to pestcertcourses@dep.nj.gov.
Operator_License_
Application _VPA-028
Application for a new Pesticide Operator license. Email this form to Brittney.Strano@dep.nj.gov.
Business_Change_
Form _VPC-001
Make amendments to your Pesticide
Business’s information.
Email this form to pestcertcourses@dep.nj.gov.
Operator_RCA_
Change _VPC-003
Change the Responsible Certified Applicator (RCA) for your Operator(s). Email this form to Brittney.Strano@dep.nj.gov.
License_Change_
Form _VPC-004
Make amendments to your Applicator or Operator license. Email this form pestcertcourses@dep.nj.gov.
Course_Roster_
Template _VPR-100
Recertification Course Roster template with instructions. For use by Course Coordinators only. Email this form to pestcertcourses@dep.nj.gov.
Insurance_Coverage
_Verification _VPI-001
Insurance verification form for a Pesticide Applicator Business.
Do not use this form
if paying online.
Mail this form with your
Pesticide Business license invoice to the address
at the top of the form.
Please do not fax this form.
Affidavit_VPE-001 Category Training Affidavit for previously licensed Pesticide Applicators reapplying for certification exams. Upload this form to your account in the PACER portal
at https://pacer.rutgers.edu/
Training_Verification_
Form _VPE-002
Category Training Verification form for initial Pesticide Applicators. Upload this form to your account in the PACER portal
at https://pacer.rutgers.edu/

 

 
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Last Updated: June 16, 2022