Provisional Landscape Pesticide Approval Application
The Provisional Pesticide Approval is issued by the Department of Environment as an amendment to the Landscape Pesticide Permit authorizing the application of
above the 50% total lawn/turf area per property per season authorized in the Landscape Pesticide Permit.
* Required fields
Property owner(s) name:
Property identification (Civic address and PID):
Pesticide Operator’s Legal/Operating Name:
Pesticide Applicator’s name and certification number:
Percent of property treated to date:
If approved, approximate date (YYYY/MM/DD) property will be treated:
Identified insect, numbers per square meter (m2) and monitoring method:
Total lawn/turf area in square meters (m2) to be treated under the provisional approval:
Percent (%) of total lawn/turf area of the property to be treated under the provisional approval:
Pest Control Product Trade Name and Registration Number (PCP) to be used under this provisional approval:
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.
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