Department of Regulatory Services
Pesticide Regulation
   
Complete and Submit this form to verify your email address!

Role:
Last Name:
First Name:
Email Address:
Phone Number:
Company:
License Number*:

   
*To ensure processing, be sure to enter your full and correct license number.
Examples:
Business - B0001234
Company - 1001234
Commercial - CA012345 or C0012345
Non Commercial - N0012345
Dealer - D4001234
Private - P40001234
Note: In all license numbers, "0" is the number zero. There is no letter "O" in any license number.