Provisional Landscape Pesticide Approval Application
$50.00

The Provisional Pesticide Approval is issued by the Department of Environment as an amendment to the Landscape Pesticide Permit authorizing the application of insecticide above the 50% total lawn/turf area per property per season authorized in the Landscape Pesticide Permit.

* Required fields
* 1. Property owner(s) name:
* 2. Property identification (Civic address and PID):
* 3. Pesticide Operator’s Legal/Operating Name:
* 4. Pesticide Applicator’s name and certification number:
* 5. Percent of property treated to date:
* 6. If approved, approximate date (YYYY/MM/DD) property will be treated: (yyyy/mm/dd)
* 7. Identified insect, numbers per square meter (m2) and monitoring method:
* 8. Total lawn/turf area in square meters (m2) to be treated under the provisional approval:
* 9. Percent (%) of total lawn/turf area of the property to be treated under the provisional approval:
* 10. Pest Control Product Trade Name and Registration Number (PCP) to be used under this provisional approval:
  11. Mix volume in kilograms (kg) or liters (L) of active ingredient to be used in this treatment:
IF YOU HAVE ENTERED ALL RELEVANT INFORMATION, CLICK ON "ADD TO BASKET"
(ONLY ONCE) TO SUBMIT YOUR APPLICATION.
IF YOU WISH, PRINT A COPY FOR YOUR FILES USING YOUR BROWSER'S PRINT FUNCTION.