Wisconsin pest control service report template

Set up for Wisconsin

• The record and the customer's copy give the first and last name of each individual who made the application, and the license number of each who made or directly supervised itWis. Admin. Code ATCP 29.21 (2) (a), 29.22 (2)
• The record gives the month, day, year and approximate starting and ending time of the applicationWis. Admin. Code ATCP 29.21 (2) (e)
• Within 30 days of an application the customer receives in writing (or electronically with written consent) a phone number to reach the business, the names and license numbers, the site and location, the date and times, each product name and EPA number, the concentration and quantity, the label's post-application precautions, and a free label copy or notice that one is free on requestWis. Admin. Code ATCP 29.22

Also required in Wisconsin

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

• The record gives the customer's name and address, the site, each pesticide's brand, product or common chemical name and EPA registration number, and either the concentration and total quantity applied or the amount per unit area and total area treatedWis. Admin. Code ATCP 29.21 (2) (b), (c), (f), (g)
• The record describes the location of the application site specifically enough that it can be readily found from the description, and names any mixing or loading site other than the licensed business location (unless applied straight from a retail container or from equipment holding 5 gallons or 50 pounds or less)Wis. Admin. Code ATCP 29.21 (2) (d), (h)
• The individual who made the application completes the record the same day; the business keeps it legible for at least 2 years and lets the department inspect and copy itWis. Admin. Code ATCP 29.21 (1)
• The label's post-application precautions reach the customer in time for them to take those precautionsWis. Admin. Code ATCP 29.22 (8)
• At a residential structure, residents get a written notice at the time of application with the business name, address and phone, each applicator's name and license number, the product, the concentration and quantity, the label's post-application precautions, the date and times, and notice that the label is available on request; a label with a restricted entry interval also needs a warning sign at each entrance to the treated areaWis. Admin. Code ATCP 29.55 (3)
• Before the first residential application for a customer, and at least yearly under a continuing contract, the business offers in writing to give pre-application information: the products that may be used, their labels, the date, and who to contactWis. Admin. Code ATCP 29.55 (2)

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 Wisconsin pest control service report requirements.