Forms

The following PARP forms are available to print out and copy. They are PDF documents and will require Adobe Acrobat to open. Click on the following link to download a free copy of Adobe Acrobat.

Private Applicator Permit Application | Attendance Sheet — PA# | Attendance Sheet — SS# | Exam Brochure | Making PA Mailing Labels |
Private Applicator Program Letter | Recertification Program Approval

 

Private Applicator Permit Application

The Private Applicator Permit Application is sent to Private Applicators with expiring permits from OISC. It is also the form to complete for a Reciprocal Private Applicator Permit.

2013 Exam Brochure

The tri-fold brochure lists the dates and locations of the pesticide core exam for private applicators. Includes registration form needed for taking the exam at the regional sites.

Attendance Sheet: Private Applicator Number-only

Private Applicators with their PA permit number sign this sheet to receive credit for a pesticide recertification program.

 

 

 

 

Attendance Sheet: Individual SS#-only Registration

A Private Applicator can complete this individual form with the last 4 digits of their Social Security Number if their PA permit number is not known, in order to receive recertification credit at a program.

Labels for back of Private Applicator Card

Avery label that can be attached to back of private applicator's card to record PARP program attended. Also lists ProgramLine phone number and website.

PA Record Letter

An example of a letter to Private Applicators informing them of the number of recertification programs they've attended.

How to Make PA Mailing Labels

Step-by-step instructions in a Word.doc on how to download PA addresses from the website and create mailing labels in Word.

 

Recertification Program Approval

Program must be submitted no less than 2 weeks in advance to Cheri Janssen.
Include date, time, location, topic(s) presented, length of presentation and contact. Submit via mail, fax, email (not by phone).

It's helpful to include on the website and program phone line if advanced registration is required or fees other than the $10 will be charged.

Approval will be given within one week and a program number will be assigned.