Home
Forms Library
Wsda pesticide record form

Agr form 640 4234-2026

wsda pesticide record form Preview on Page 1

See details

4.7 out of 5

48 votes

The document is a Pesticide Application Record form (AGR FORM 640-4234) required for commercial pesticide applications in Washington State. It must be completed on the same day as the application and retained for seven years. The form collects essential information such as the date of application, applicator details, pesticide information, customer details, and specific conditions during application. It is specifically designed for residential ornamental and lawn applications, not for agricultural employers.

Here's how it works

01. Edit your wsda pesticide record form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send 640 4234 via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out agr form 640 4234 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the agr form 640 4234 in the editor.
Begin by entering the Date of Application in section A. You can spell it out or use numerical values for Year, Month, and Day.
In section B, fill in your Firm Name and Telephone Number, along with the Commercial Applicator's Name and License Number. Ensure all details are accurate.
Section C requires you to list the names and license numbers of all individuals who applied the pesticide.
For section D, provide detailed Pesticide Information including Full Product Name, EPA Registration Number, Concentration, and Amount used per 100 gallons of tank mix.
In section E, specify the Application crop or site. Section F asks for the Apparatus License Plate Number.
Finally, complete section G by recording customer information and application conditions such as amount applied, area treated, start & stop time, temperature, wind direction, and velocity.

Start using our platform today to easily fill out your agr form 640 4234 for free!

See more agr form 640 4234 versions

We've got more versions of the agr form 640 4234 form. Select the right agr form 640 4234 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2007	4.7 Satisfied (48 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is it safe to sign my agr form 640 4234 electronically?

You need to use only reliable software solutions with strong security compliance to sign your documents electronically. DocHub is just the type of editor you need! It stores data on Amazon Web Servers and complies with all necessary security requirements and eSignature regulations, so it’s a trusted way to eSign your agr form 640 4234 or other paperwork using this tool.

How do you edit agr form 640 4234 on Android?

Document editing with DocHub is equally convenient on desktop and mobile devices. You only need an internet browser to revise your agr form 640 4234 on Android. Open our website and sign in to access the instruments you require. Add your document and introduce your intended modifications. Next, you can keep your form in your document storage or send it out instantly.

Do I need a license to spray herbicides in Washington state?

In Washington State, you will need a license. If you will be applying pesticides to the land or property of another, you will either need a Commercial Applicator or Commercial Operator license.

Who needs a pesticide license in MA?

A Massachusetts Pesticide License issued by the Massachusetts Department of Agricultural Resources (MDAR) is required in Agriculture when an individual is going to use a Restricted Use Pesticide (RUP). If an individual is using a General Use Pesticide, then he/she does not need to have a pesticide license.

How to get a pest control license in SC?

How do I become licensed? Take SC private applicator training and exam. To be certified as a private applicator, you must be at least 18 years-old, complete the proper training and pass an exam. Have a valid SC commercial or non-commercial license. Be a Certified Crop Advisor (CCA)

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How long do you need to keep pesticide application records?

AMS administers the Federal Pesticide Recordkeeping Program, which requires all certified private pesticide applicators to keep records of their use of federally restricted use pesticides (RUP) for a period of 2 years.

Agr form 640 4234-2026

Here's how it works