Washington pesticide application record 2026

1. Click ‘Get Form’ to open the Washington Pesticide Application Record in the editor.
2. Begin by entering the Date of Application. You can input this either numerically or spelled out.
3. Fill in the Name of the person for whom the pesticide was applied, along with their Firm Name and Street Address.
4. If applicable, provide the Licensed Applicator's Name, License Number, and contact details.
5. Indicate whether the application method is Air, Ground, or Chemigation by checking the appropriate box.
6. Specify the Application Crop or Site and Total Area Treated in relevant units (e.g., acres or square feet).
7. If applicable, indicate if this application was made under a WSDA Permit and provide the Permit Number.
8. List all Pesticide Information including Full Product Name, EPA Registration Number, and amounts used.
9. Provide the Address or exact location of application. If over one acre, mark it on the map provided.
10. Complete additional fields such as Time Start/Stop, Wind Direction/Velocity, and Temperature as required.

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