NJDEP-Compliance and Enforcement - Pesticide Operators

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 pestoperator@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 pestoperator@dep.nj.gov.
License_Change_ Form _VPC-004	Make amendments to your Applicator or Operator license.	Email this form to 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/