Forms by Number

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AGR 1006 - Request for Public Records Disclosure
AGR 4112 - Pesticide Sensitive Individual Application Form
AGR 4115 - Permit Request Form
AGR 4120 - Pesticide Sensitive Individual Renewal Form
AGR 630-4139* - Section 25(b) Confidential Statement of Formula
AGR 4175 - Strucutral Pest Inspection Company License Application
AGR 4177 - Structural Pest Inspectors Bond Form
AGR 4179 - Structural Pest Inspectors Financial Responsibility Insurance Certificate, Option 1
AGR 4187 - Structural Pest Inspector Assigned Account
AGR 4189 - Structural Pest Inspectors Financial Responsibility Insurance Certificate, Option 3
AGR 630-4216* - Application for 2 Year Registration of Pesticides
AGR 4226 - Pesticide Application Record Version 1   PDF   WORD
AGR 4235 - Pesticide Application Record Version 2   PDF   WORD
AGR 4236 - Pesticide Application Record Version 3   PDF   WORD
AGR 4234 - Pesticide Application Record Version 4   PDF   WORD
AGR 4237 - Pesticide Application Record Version 5   PDF   WORD
AGR 4242 - Supplemental Commercial Applicator Pesticide License Application
AGR 630-4250* - Addendum
AGR 4279 - Commercial Pesticide Applicators Financial Responsibility Insurance Certificate (FRIC)
AGR 4286* - Request for Recertification Course Accreditation
AGR 4300A - Application for Registration of Commercial Fertilizer
AGR 4300B  - Commercial Fertilizer New Product Registration
AGR 4300C - Fertilizer Component Information
AGR 4302 - Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4302-FIL - Fertilizer Semi-Annual Tonnage Report (with calculations)
AGR 4302A - Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4302B - Commercial Fertilizer Semi-Annual Tonnage Report
AGR 4302C - Commercial Fertilizer Semi-Annual Tonnage Report  
AGR 4302D - Commercial Fertilizer Semi-Annual Tonnage Report 
AGR 4303  - Commercial Fertilizer Inspection Fee Liability Statement
AGR 4311 - Laws and Rules Order Form
AGR 4330 - Commercial Fertilizer Annual Tonnage Report
AGR 4330A - Commercial Fertilizer Annual Tonnage Report
AGR 4330B - Commercial Fertilizer Annual Tonnage Report
AGR 4330C - Commercial Fertilizer Annual Tonnage Report 
AGR 4330D - Commercial Fertilizer Annual Tonnage Report
AGR 630-4119 - Supplemental Information for Registration of Adjuvants 
AGR 630-4128* - Application for Use of Experimental Pesticides on Aquatic Sites
AGR 630-4129* - Aquatic Risk Assessment
AGR 630-4130* - Collective Experimental Use Permit 
AGR 630-4139* - Section 25(b) Minimum Risk CSF
AGR 630-4257* - Washington State Experimental Use Permit (WSEUP)
AGR 630-4325* - Spray Adjuvant Confidential Statement of Formula
AGR 630-4335 - Spray Adjuvant Registrations in Washington
AGR 630-4350 - Pesticide Registrations in Washington
AGR 630-4352 - 25(b) Registrations in Washington
AGR 640-4222 - Pesticide/Pest Inspector License Recertification Requirements
Commercial Pesticide Applicators Surety Bond Form - Download
Ecology Questionnaire - Download
Reporting Structural Fumigations using Methyl Bromide and Sulfuryl Fluoride - Download

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