Page History

Record Layouts

Form 26

Reporting Columns - For each product in each pesticide application, report these fields using Form 26.  All columns are required except for the End Date.

1. EPA Registration Number

2. Product Name

3. Quantity

4. Units of Measure

5. Application Date

6. End Date

7. County Code

8. Address

9. Municipality

10. Zip Code

Record Keeping Columns - These columns are optional; you may use them to fulfill the record keeping requirements of the PRL.

11. Dosage Rate

12. Method of Application

13. Target Organism(s)

14. Place of Application

Form 26A

For each commercial applicator, technician and anti-fouling applicator report these fields using Form 26A.  All columns are usually required (non-registered businesses making pesticide applications (such as a golf course, cemetery, greenhouse, etc.) may omit the Business Registration Number).

1. Certification ID Number

2. Business Registration Number

3. Applicator First Name

4. Applicator Last Name

5. Applications Indicator

Form 27

For each sale of restricted use pesticides or general use agricultural pesticides to certified private applicators, report these fields using Form 27.  All columns are required.

1. EPA Registration Number

2. Product Name

3. Quantity

4. Units of Measure

5. Application Date

6. County Code

7. Address

8. Municipality

9. Zip Code

xxx

Form 25

For each container size of each restricted use pesticide sold to New York purchasers, report these fields using Form 25.  All columns are required.

1. EPA Registration Number

2. Product Name

3. Container Size Quantity

4. Container Size Units

5. Containers Sold