Termite Protection Certificate of Compliance (Sample) Required by 2026

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  1. Click ‘Get Form’ to open the Termite Protection Certificate of Compliance in our editor.
  2. Begin by entering your company name and address at the top of the form. Ensure that all contact information is accurate for future correspondence.
  3. Fill in the 'Address of Treatment' section with the specific location where termite treatment was performed.
  4. Input the 'Permit Number' associated with the treatment, followed by selecting the 'Type of Dwelling' from the provided options.
  5. Enter the 'Date/Time of Application' and 'Renewal Date', along with any applicable renewal rates to keep your records updated.
  6. Describe the 'Method of Termite Prevention Treatment' used, such as soil barrier or bait systems, and specify any pesticides utilized.
  7. Finally, ensure that all signatures are completed at the bottom, including those from the owner/agent and termiticide contractor, along with their respective dates.

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