Dacs 13340 Form – Fill Out and Use This PDF

The DACS-13340 form is a recommended recordkeeping tool by the Florida Department of Agriculture and Consumer Services for pesticide applicators, compliant with state and federal regulations. Designed to ensure the proper tracking of pesticide applications, this document aligns with requirements for restricted use pesticides and supports the Worker Protection Standard's central posting obligations. For those in need of completing or updating their pesticide application records, click the button below to get started.

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Dacs 13340 Form PDF Details

The DACS-13340 is a standardized recordkeeping form issued by the Florida Department of Agriculture and Consumer Services Division of Agricultural Environmental Services. Licensed pesticide applicators and property owners use it to document each pesticide application in compliance with Florida Pesticide Law and the Worker Protection Standard.

Each completed form captures the treatment site address, pesticide brand name, EPA registration number, active ingredients, application method, and the licensed applicator's credentials. The form also records timing details required under the Worker Protection Standard's central posting mandate.

Applicators must keep completed DACS-13340 records on file for at least two years. This documentation protects both workers and the environment and demonstrates compliance during regulatory inspections.

Question	Answer
Form Name	Dacs 13340 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	fdacs wps, suggested pesticide recordkeeping form, pesticide recordkeeping form printable, suggested fdacs wps

How to Edit Dacs 13340 Form Online for Free

The DACS-13340 is a two-page Florida pesticide application record. One record must be completed for each treatment site. Use this form to satisfy state and federal recordkeeping obligations.

How to Fill Out the DACS-13340

Treatment site. Enter the property address, crop or land use type, and total acreage treated.
Pesticide product. Record the brand name, EPA registration number, and active ingredients. Include the formulation type and application concentration.
Application details. Note the application method (spray, granular, fumigation, etc.), equipment used, and the product rate per unit area.
Applicator credentials. The licensed applicator must print their name, sign the form, and include their Florida pesticide license number and category.
Date and time. Record the calendar date, start time, and end time of the application.
WPS central posting. If the application falls under the Worker Protection Standard, post the completed record at the designated central posting location within 24 hours of application and keep it posted for 30 days.

Related Florida Agriculture Forms

Florida agricultural operators and licensed applicators may also need the DACS-13616 form, the FDACS-13606 form, or the DACS-03202 form for other reporting requirements. For worker safety documentation, see the pesticide safety training forms also available on FormsPal.

Frequently Asked Questions

Who must complete the DACS-13340?

Florida licensed pesticide applicators and property owners who authorize restricted use pesticide applications must keep a completed record for each treatment. Both the applicator and the property owner may be responsible depending on the type of application.

How long must I keep these records?

Florida law requires applicators to retain pesticide application records for at least two years from the date of application. Records may be requested during regulatory inspections by the Florida Department of Agriculture and Consumer Services.

What is the Worker Protection Standard central posting requirement?

The Worker Protection Standard (WPS) is an EPA regulation that protects agricultural workers and pesticide handlers from chemical exposure. The central posting requirement means the completed pesticide application record must be displayed at a visible location on the farm or agricultural establishment within 24 hours of the application and remain posted for 30 days.

Can I fill out and print this form online?

Yes. Use the FormsPal online editor to fill in all required fields, then download and print the completed DACS-13340 as a PDF. No account is needed to access the form.