Pesticide Licensing Forms

Form Description How to submit this form
AB_License_Application_VPA-013 Application for a new Pesticide Applicator Business license. Email this form to pestcertcourses@dep.nj.gov.
DB_License_Application_VPA-014 Application for a new Pesticide Dealer Business license. Email this form to pestcertcourses@dep.nj.gov.
Recert_Course_Application_VPA-015 Apply to offer a continuing education course. Instructions included. Email this form to pestcertcourses@dep.nj.gov.
Pesticide_Trainer_Application_VPA-016 Apply to become a Certified Pesticide Trainer. Instructions included. Email this form to pestcertcourses@dep.nj.gov.
Reciprocal_License_Application_VPA-017 Apply for a Reciprocal Pesticide Applicator License, or renew your Reciprocal License after 5 years. Email this form to pestcertcourses@dep.nj.gov.
Operator_License_Application_VPA-028 Application for a new Pesticide Operator license. Email this form to pestoperator@dep.nj.gov.
Business_Change_Form_VPC-001 Make amendments to your Pesticide Business’s information. Email this form to pestcertcourses@dep.nj.gov.
Operator_RCA_Change_VPC-003 Change the Responsible Certified Applicator (RCA) for your Operator(s). Email this form to pestoperator@dep.nj.gov.
License_Change_Form_VPC-004 Make amendments to your Applicator or Operator license. Email this form to pestcertcourses@dep.nj.gov.
Course_Roster_Template_VPR-100 Recertification Course Roster template with instructions. For use by Course Coordinators only. Email this form to pestcertcourses@dep.nj.gov.
Insurance_Coverage_Verification_VPI-001 Insurance verification form for a Pesticide Applicator Business.
Do not use this form if paying online.		 Mail this form with your Pesticide Business license invoice
to the address at the top of the form. Please do not fax this form.
Affidavit_VPE-001 Category Training Affidavit for previously licensed Pesticide Applicators reapplying for certification exams. Upload this form to your account in the PACER portal.
Training_Verification_Form_VPE-002 Category Training Verification form for initial Pesticide Applicators. Upload this form to your account in the PACER portal.