Who Needs This Form?
Pest control officers, base environmental health officers, and facility managers at military installations complete this record after any pesticide application. Contracting pest control companies operating on DoD facilities submit completed forms to the installation pest management coordinator. Related forms include the pest control contract template and DD Form 2870.
The form can be filled out online without difficulty. Use FormsPal's PDF editor to complete it quickly. Here is how to get started:
Step 1: Click the "Get Form Button" at the top of this page to open the PDF editor. All fields required to complete the document are available there.
Step 2: Using this PDF editor, you can do more than fill in blanks. Add custom text, refine existing content, insert images, and sign the document.
This document requires specific data, so fill in each field carefully:
1. Complete all required fields. Gather all necessary information before you start to avoid leaving anything blank.
2. Fill in these fields: Date, Serviced, Work Origin, Unit of Measure, Target Pest, Control Operation, Name, EPA Reg, Conc Amount, Labor Time, Applicator Initials, and REMARKS.
Pay careful attention to Conc Amount and Serviced, as these fields are where errors most often occur.
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Frequently Asked Questions
What is this form used for?
It documents pesticide applications and pest management activities at DoD-managed buildings and areas. The record includes the target pest, pesticide name and EPA registration number, concentration, amount applied, and applicator initials for each treatment.
Who is required to complete this form?
Pest control officers and environmental health teams at military installations complete it after each pesticide application. Contracted companies working at Army, Navy, Air Force, or Marine Corps installations also submit completed records to the base coordinator.
How long must completed forms be retained?
DoD policy requires facilities to retain pest management records for a minimum period specified by applicable installation and federal regulations. Contact your installation environmental office for the current retention schedule.
Can I fill this out online?
Yes. FormsPal's PDF editor works in your browser. Open the form, complete all required fields, add your initials or signature, and download or print the finished document at no cost.