New Hampshire pest control service report template

Set up for New Hampshire

• The record names the division's registrants or permittees who participated in the applicationN.H. Code Admin. R. Pes 901.02 (c) (7)

Also required in New Hampshire

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

• Each application is recorded simply and accurately with the crop or site treated, the address and town, the pesticide and formulation employed, the dosage, the method of application, the date or dates, and the target organismsN.H. Code Admin. R. Pes 901.02 (a), (c)
• Records are kept at the registered firm, branch office or subsidiary the work was done from, for at least 2 years whether or not certification is renewed, and made available to the divisionN.H. Code Admin. R. Pes 901.02 (a), (b), (d)
• Applicators and permittees report their pesticide use to the division every year, for the period ending October 31, on or before December 1, giving the applicator and firm, the year, the sites, the licenses covered, each trade name, the active ingredient in the concentrate, EPA registration numbers, the major site treated, the acres treated and the total concentrate usedN.H. Code Admin. R. Pes 901.04
• Restricted use applications are also recorded with the customer's name and address, the location, the size of the area, the time and date, the brand name, EPA registration number, the total amount per location, and the name and certification number of the certified applicator plus any noncertified applicator under their direct supervisionN.H. Code Admin. R. Pes 901.02 (e)
• A complete copy of the product's labeling accompanies all service containers and application equipment in the vehicle carrying themN.H. Code Admin. R. Pes 502.02
• Service containers carry an affixed abbreviated label with the product name, the concentrate's signal word, the common name and percentage of active ingredients, the firm's name, address and phone, and whether the contents are dilute or concentrateN.H. Code Admin. R. Pes 504.01
• On-highway vehicles used for commercial application show the business name and firm registration number in contrasting letters at least 2 inches highN.H. Code Admin. R. Pes 504.02
• Commercial turf applications need written notice to the customer (firm, contact, pesticides by common chemical name, forms and methods, schedule, and the statement "you have the right to request and receive advanced notification of the date that each pesticide application will be made") and yellow 8 1/2 by 11 inch NOTICE signs left at least 48 hoursN.H. Code Admin. R. Pes 508.01

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 New Hampshire pest control service report requirements.