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Vermont pest control service report template

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Your Vermont pest control service report has 10 rules to meet. ReportDraft puts every one on your checklist and checks your draft before you sign.

  • Operational records written daily, kept three years
  • The annual application report with the renewal, before January 1
  • Rented units: the landlord's written notice to the occupant 24 hours to 7 days before

A pest control service report template set up for Vermont, with fields for the name of the person for whom the pesticide was applied, their address and the location of the application, time of application, certified applicator who made or supervised the application, certified applicator certificate number, company providing service: name, address and telephone and noncertified applicator who applied it under direct supervision (if any). In Word and PDF.

See a free preview filled from sample notes

REPORTDRAFT.COM
Vermont Pest control service report Template
Name of the person for whom the pesticide was applied
Their address and the location of the application
Service date
Time of application
Certified applicator who made or supervised the application
Certified applicator certificate number
Pests targeted
Company providing service: name, address and telephone
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Set up for Vermont

  • A business that uses pesticides on the land or home of another person, paid or not, holds a company license that expires December 31, employs properly certified applicators and tells the Secretary in writing within 30 days when a certified commercial applicator leaves; anyone who uses or supervises the use of a pesticide on the lands and homes of others is certified as a commercial applicator unless working under a certified applicator's direct supervisionCVR 20-031-012, ss. 3.01, 3.04 (a) (eff. 2023-02-24)
  • At the time of application, every paying customer gets a bill, invoice or other written or electronic document with the common or trade name and EPA registration number of each pesticide, the address and sites treated as named on the label, the date and time, the amount of each pesticide, the total dilution used, the pest treated for, the applicator's name and certificate number, the name, address and telephone of the applicator or company, any Worker Protection Standard information, and the label's post-application safety precautionsCVR 20-031-012, s. 5.02 (k)
  • The customer document and the operational record both give the date and time of applicationCVR 20-031-012, ss. 5.02 (k) (4), 8.02 (b) (6)

Also required in Vermont

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

  • Company licenses and commercial applicator certificates run from January 1 to December 31 and are renewed each year; certification renews annually for up to five years before recertification by training or re-examination6 V.S.A. 1112 (b) ยท CVR 20-031-012, s. 3.06 (a)-(b)
  • A federally restricted use pesticide is used only by a certified applicator: in Vermont a noncertified applicator may not use one even under direct supervisionCVR 20-031-012, ss. 3.04 (e), 5.03 (a)
  • Certified commercial applicators keep daily operational records of all pesticides applied (not only restricted use ones): the name and address of the person for whom it was applied, the pest, the location, the size of the area treated, the site, the time and date, the brand or product name, the EPA registration number, the total amount applied per location per application, and the name and certificate number of the certified applicator plus any noncertified applicator who applied under direct supervisionCVR 20-031-012, s. 8.02 (a)-(b)
  • Operational records are kept three years and shown to the Secretary on request; the licensed company collects them from its certified applicators and holds them for three yearsCVR 20-031-012, ss. 8.02 (c), 8.04 (b)
  • Certified applicators and licensed companies file an annual pesticide application report (EPA number, product name, amount applied, general purpose and county) with the renewal, the company's before January 1; certificates are not renewed without it, and it is due even for a year with no applications or a last year before not renewingCVR 20-031-012, ss. 8.02 (d), 8.04 (c), 8.07 (b)
  • Before an application inside a rented residential unit whose occupant did not ask for it, the owner or landlord gives the occupant written notice 24 hours to seven days ahead (by mail, electronically or in person) naming the certified applicator or company, the expected date and time, the product and EPA number, the pests and the landlord's contact; a unit treated at the occupant's own request is exemptCVR 20-031-012, s. 7.03
  • Outdoor applications to turf or ornamental plants (golf courses excepted) need the customer told the common name, EPA number and proposed rate beforehand; a CAUTION / Pesticide Application / KEEP OFF UNTIL DRY sign at least 4 by 5 inches, 12 inches up, with the date and time on the back, at each access point, left for 24 hours; and a statement left on site with the company, the applicator's certificate number, each product's name, EPA number, amount and pest, label precautions, date, time and locationCVR 20-031-012, s. 7.01
  • Since July 1, 2025, applying a neonicotinoid pesticide to ornamental plants is prohibited in Vermont unless the Secretary issues a written emergency exemption order6 V.S.A. 1105c (a) (4), (b)
  • Applicators and licensed companies use calibrated, leak-free equipment with anti-siphoning devices, work only when conditions are proper, label service containers with the company's name, address and phone, product, EPA number, active ingredient and dilution, keep at least 50 feet from potable water sources when treating soil or vegetation, and completely and accurately keep and report application recordsCVR 20-031-012, ss. 5.02 (a)-(g), (n), 5.03 (d)
  • Violating the pesticide law, its rules or a license, certificate or permit is punishable by a fine of up to 25,000 dollars, up to six months in prison, or both, with each violation a separate offense6 V.S.A. 1107

What is in it

  • Products appliedCommon or trade name, EPA Reg. No., Active ingredient, Total amount applied, Total dilution used (if any), Method, Site treated (as on the label) and size of area
  • 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 customerThe post-application safety precautions from each product's label that the notes give (for example the restricted entry interval or keeping people and pets off until dry), and anything else the customer was told to do or avoid.
  • Next stepsThe next service, any callback, and what the customer agreed to do.

Rules last reviewed October 16, 2026. Read the full Vermont pest control service report requirements.