West Virginia pest control service report template

Set up for West Virginia

• Everyone applying pesticides for a pesticide business, restricted use or not, is a certified applicator in the right category or subcategory, or a registered technician under the direct supervision of a certified commercial applicatorW. Va. Code 19-16A-7 (e) · 61 CSR 12A-8.1.a (eff. 2024-04-15)
• The record gives the time, date and place of application61 CSR 12A-9.1.a.C

Also required in West Virginia

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

• No one may apply pesticides for hire without a pesticide application business license from the Commissioner, issued only after an owner, manager, partner or officer passes the business exam, limited to the classifications for which the business keeps certified commercial applicators, required for each branch office or suboffice, and expiring at the end of the calendar yearW. Va. Code 19-16A-7 (a)-(d)
• Non-certified employees who apply pesticides register with the Commissioner as registered technicians after completing an approved, verifiable training program taught by a certified applicator within 30 days of starting work; they carry the Commissioner's identification card and show it to anyone who asks, and the business reports a technician's termination in writing within 30 days61 CSR 12A-6.4, 6.4.a, 6.4.d, 6.4.e
• While a non-certified applicator uses a restricted use product, the certified applicator can reach the point of use within a reasonable time, is reachable at once, gives site-specific instructions, checks the equipment before each day of use and makes sure the labeling and required protective equipment are at hand; label supervision requirements, such as a certified applicator on site, control61 CSR 12A-8.1.b, 8.2, 8.3
• Each commercial applicator keeps, for at least two years, records of the application of all pesticides with the brand name and EPA registration number, the formulation, dilution rate and quantity used, the time, date and place of application with the name and address of the person for whom it was applied, the pest, the crop, commodity, stored product or site, the size of the area treated, and the name and certification number of the certified and non-certified applicators; the business's records may serve for its certified employees61 CSR 12A-9.1, 9.2
• Records are a condition of the business license: kept at least two years, and the Commissioner may require them to be submitted, with failure to submit requested records grounds for revoking the licenseW. Va. Code 19-16A-9
• Before letting a non-certified applicator use a restricted use pesticide, the commercial applicator creates or verifies a record of that person's qualifying training, and has access to it at the business61 CSR 12A-9.4.a-9.4.c
• A pesticide application business license is issued only after the business files a surety bond or liability insurance in the amount the Commissioner sets for its classification, kept up all year, with 45 days' notice to the Commissioner before any cancellation or reductionW. Va. Code 19-16A-8
• A person claiming damage from a pesticide application files a written statement on the Commissioner's form within 60 days of the damage, and must let the Commissioner and the licensee examine the damage or the claim against the licensee is barredW. Va. Code 19-16A-19 (a), (d)
• Application equipment is in sound mechanical condition, leakproof and able to dispense the proper amount, with cut-off valves to pass non-target areas, and every mixing or loading site has a backflow or anti-siphon valve or an air gap61 CSR 12A-12.1, 12.2

What is in it

• Products appliedBrand name, EPA Reg. No., Formulation (and active ingredient), Quantity used, Dilution rate, Method, Site where applied and size of the area treated
• 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 16, 2026. Read the full West Virginia pest control service report requirements.