Connecticut pest control service report template

Set up for Connecticut

• Each application record gives the name and certification number of the commercial supervisor and of the commercial operatorC.G.S. 22a-66g (a) (1) (A)

Also required in Connecticut

These rules are about how and when you report, not the template's fields. Check them before you deliver.

• Each record gives the kind and amount of pesticide used, the acreage treated if applicable, the date and place, the pest treated for and the crop or site, with each pesticide's name and EPA registration number on the record or in a separate listC.G.S. 22a-66g (a) (1) (B) to (E), (2), (b)
• Pesticide application businesses keep records at their place of business at least five years from when the record is made or amended, open to the commissioner, and give a customer a copy of the record for their application on written requestC.G.S. 22a-66g (a), (c), (d)
• Before agreeing to apply a pesticide, the business gives the person requesting it and the resident or manager of the property notice of the neighbor notification registry and the label portion showing the product name and registration number, manufacturer, active ingredients, signal word, emergency phone and precautionary statements (including reentry), and does the same before first using any other pesticideC.G.S. 22a-66a (a)
• Before applying within one hundred yards of a property line, the business notifies any abutting owner or tenant on the commissioner's registry of the time and date, with at least two attempts no later than twenty-four hours before, and leaves notice on their door if the attempts failC.G.S. 22a-66a (b) · Regs. Conn. State Agencies 22a-66a-2
• An outdoor application within one hundred yards of a property line gets a 4 by 5 inch rigid yellow sign with black lettering ("PESTICIDE APPLICATION", the prohibition symbol, date and applicator) at each conspicuous point of entry, and for commercial applicators every 150 feet of road frontage, posted at the time of application and left at least twenty-four hoursRegs. Conn. State Agencies 22a-66a-1 (b)
• Since January 1, 2019, no one may install or use a residential automatic pesticide misting system that sprays pesticide at timed intervals around a homeC.G.S. 22a-66n (a)
• Federally restricted use pesticides are used only under the supervision of a certified applicatorRegs. Conn. State Agencies 22a-66-3 (a)

What is in it

• Products appliedProduct, EPA Reg. No., Active ingredient, Amount, Dilution or rate, Method, Where applied
• Pest activity and conditions: insidePest activity seen inside, Sanitation and food or water sources, Leaks and moisture, Clutter and harborage
• Pest activity and conditions: outsidePest activity seen outside, Entry points: gaps, door sweeps, vents and utility openings, Vegetation, mulch and firewood against the structure, Drainage, gutters and standing water
• Monitoring and bait devicesRodent bait stations (secured and tamper-resistant), Traps and glue boards, Insect monitors, Termite monitoring stations
• Service performedWhat was inspected and treated, and how: areas serviced, devices checked, replaced or added, and any exclusion work done.
• Precautions given to the customerWhat the customer was told to do or avoid after the treatment, such as keeping people and pets off treated areas until dry.
• Next stepsThe next service, any callback, and what the customer agreed to do.

Rules last reviewed October 14, 2026. Read the full Connecticut pest control service report requirements.