Louisiana pest control service report template

Set up for Louisiana

• Each application record gives the place of business name, address and permit numberLAC 7:XXV.117.H.1.a, H.2.a
• Each record gives the primary licensee's name, address and department I.D. numberLAC 7:XXV.117.H.1.b, H.2.b
• Each record gives the applicator and their department I.D. numberLAC 7:XXV.117.H.1.n, H.2.k
• Each record gives the customer's name and address, the location, and the application date and timeLAC 7:XXV.117.H.2.c, d, h

Also required in Louisiana

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

• For general pest and commercial vertebrate work, each record gives the product or brand name, EPA registration number, whether it is restricted or general use, the pest treated and type of application, and the mixture concentration in percent; restricted use products add the total amount and the size of area treatedLAC 7:XXV.117.H.2
• Termite records add the target pest, the type of application (pre-treat, post, spot), the size of area in square or linear feet, the mixture concentration, the total product per location, the contract, the inspection date and time, and any waiver or wood destroying insect report; bait system records add the perimeter, every station installed, inspected or replaced, who inspected, an inspection diagram and the contractLAC 7:XXV.117.H.1, H.4
• Records are kept on an approved form or format at the address on the place of business permit, for three years after the application (general pest, vertebrate, ship and commodity fumigation) or three years after the contract expires (termite control and structural fumigation), and copies are made available to the department within 48 hours of noticeLAC 7:XXV.117.H
• The permittee or primary licensee reports all termite contracts, termite perimeter applications and wood destroying insect reports each month on the department's form, due by the tenth of the following month, with the fee for each contract and reportLAC 7:XXV.117.K, L
• A wood destroying insect report on the commission's LPCA-143 form is issued only for a sale or refinance, by a licensee in termite control or a certified WDIR technician under one, and carries a guarantee to treat without charge if live subterranean termites covered by the report are found in a readily accessible area within 90 days of the inspection; no one may promise moreLAC 7:XXV.121
• Structural pest control work is governed exclusively by the Structural Pest Control Commission's rules, which prevail over conflicting rules of other agenciesLa. R.S. 3:3366 (C)

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 Louisiana pest control service report requirements.