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New York pest control service report template

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Your New York pest control service report has 8 rules to meet. ReportDraft puts every one on your checklist and checks your draft before you sign.

  • Annual use report due February 1
  • Every product used according to its label

A pest control service report template set up for New York, with fields for the location of application (street address with five-digit ZIP code), certified applicator's certification (ID card) number and pesticide business registration number. In Word and PDF.

See a free preview filled from sample notes

REPORTDRAFT.COM
New York Pest control service report Template
Customer name
Location of application (street address with five-digit ZIP code)
Service date
Technician
Certified applicator's certification (ID card) number
Pests targeted
Pesticide business registration number
Download in Word or PDFIncluded with Pest Control Reports and its free trial.

Set up for New York

Also required in New York

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

  • Commercial applicators keep a pesticide use record for each application with the EPA registration number, product name, quantity of each pesticide used, date applied, and location by address including the five-digit ZIP code, and keep it for at least three yearsN.Y. Environmental Conservation Law 33-1205 (1)
  • Commercial applicators file an annual report of their pesticide use records with the Department, on or before February 1 for the prior calendar yearN.Y. Environmental Conservation Law 33-1205 (1)
  • Before a commercial lawn application the applicator signs a written contract with the owner (approximate dates, number of applications, total cost) and gives the owner the list of products with active ingredients, the label warnings, and the company name, address, phone, business registration number and applicator ID card number; markers at least 4 by 5 inches, 12 inches off the ground, tell people to keep off for at least 24 hoursN.Y. Environmental Conservation Law 33-1001 ยท N.Y. Environmental Conservation Law 33-1003
  • The Department may deny or revoke a certification or business registration when a pesticide was applied or used contrary to its registered label, or an application statement was falseN.Y. Environmental Conservation Law 33-0909 (1)

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 15, 2026. Read the full New York pest control service report requirements.