Printer-friendlyApplication Instructions for the Pesticide Business/Agency Registration
General Instructions
Each business location offering, advertising or providing the services of commercial application of pesticides either entirely or as part of the business, and each agency that applies pesticides, must register with the Department.
Your pesticide business or agency cannot apply pesticides without a valid pesticide business or agency registration.
Renewal applications should be received at least three weeks before your registration expires to avoid a lapse in registration.
Note that the registration expiration date is determined by the DEC Region and/or county in which a business or agency is located. Fees will not be prorated for any part of a registration period. The registration period is for three years. To determine your region see DEC Divisions and Regions web page.
| Region | Expiration Date |
|---|---|
| 1 (Nassau) | October 31 |
| 1 (Suffolk) | December 31 |
| 2 | February 28 |
| 3 | April 30 |
| 4 | June 30 |
| 5 | June 30 |
| 6 | June 30 |
| 7 | July 31 |
| 8 | August 31 |
| 9 | September 30 |
| Out of State | June 30 |
Instructions for Completing the Application Form:
1a. Check if registration is new or a renewal. If a renewal, write the current registration number in the box.
1b. Check whether the registration is for a commercial business, fee exempt agency or agency. An agency means any State agency, municipal corporation, public authority, college, railroad, telegraph, telephone, pipeline, gas or electric corporation which applies pesticides. If all agency pesticide applications are performed by registered commercial businesses, the agency does not have to register. Only agencies that are State agencies, municipal corporations (including school districts), public authorities or colleges are fee exempt. A letter requesting fee exemption for each registered location must be submitted with each application.
2. In accordance with Federal and State Laws, the New York State Department of Environmental Conservation requires that all applicants for business registrations provide their Federal Employer Identification Number (FEIN) or Social Security Number (SSN) if they are not required to have a FEIN. This information is also used to maintain accurate registration records. The SSN or FEIN may be shared with other State or Federal agencies, consistent with applicable laws and Departmental policy, but will otherwise be kept confidential. Statutory authority for requiring Federal Social Security Numbers is found in: Federal Law-Privacy Act of 1974 (Section 7 of P.L., 93-579); Welfare Reform Act of 1996 (42 USCA 666(a)); New York State Tax Law, Chapter 60, Article 1 - Short Title, Section 5; and New York State General Obligations Law, Chapter 24-A, Article 3, Title 5, Section 3.
3. Provide complete legal name of business or agency and all D.B.A.'s, A.K.A.'s, etc. These are the only names that can be used on advertisements and on business or agency contracts related to pesticide application.
4. Provide mailing address. Include street or post office box, two letter State abbreviation, and zip code.
5. Provide street address, if different from mailing address. Include street, two letter State abbreviation, and zip code.
6. Provide the name of the county where your business or agency is located.
7. Provide the business or agency telephone number, including area code.
8. Check the appropriate response for other business/agency locations. You must register each location with a separate application and pay the registration fee for each such place of business. Individuals conducting business under more than one name other than an incorporated "D.B.A." or "A.K.A." must register and pay the registration fee for each such name at each place of business.
9. List each location where you store pesticides, application records or pesticide application equipment, if the location(s) are different from your street address.
10. Check your ownership type.
11. Individual owners supply your name and title. Corporations and Partnerships supply the names of the president, vice-president, secretary and treasurer. Managers of Limited Liability Corporations supply your name and title. Agency officials supply your name and title.
12. List the name of all persons (i.e. apprentices, certified technicians and certified applicators) who apply pesticides and are employed by the business or agency. If the person is certified, include their NYS certification ID number, expiration date of their certification card and their certification category(ies). If you employ more than ten persons who apply pesticides, attach a sheet listing those employees. Except as noted below, each agency applying pesticides and each business providing the services of commercial application of pesticides, must employ a certified commercial pesticide applicator or technician, certified in the proper application category at each location required to be registered. If a registered business or agency is applying pesticides in Category 1 - Agriculture, Category 5 - Aquatics, Category 7 - Industrial, Institutional, and Structural or applying pesticides by aircraft, they must employ at least one certified commercial pesticide applicator, certified in the category that corresponds with the type of application. An Aquatic Antifouling Paint Business may employ or contract with a certified antifouling paint applicator, a pesticide applicator or pesticide technician. Do not leave this box blank.
13. List all of the NY certification categories/subcategories that describe the type of pesticide applications performed by your business or agency.
14. Vehicles transporting pesticides and commercial pesticide applicator equipment need pesticide identification stickers. Small pieces of hand-held or portable equipment such as two and one-half gallon sprayers or back pack mist blowers do not require such stickers. Specify the number of vehicles used to transport pesticides or application equipment that will require pesticide stickers.
15. A certificate of commercial general liability insurance must accompany this application (this is not vehicle or workers compensation insurance). Minimum insurance requirements are $300,000 individual, $1,000,000 per incident bodily injury and $300,000 property damage insurance; or $1,000,000 each occurrence. The Department will accept insurance coverage afforded by: 1) insurers classified by the New York State Insurance Department (NYSID) as licensed; 2) insurers listed as an ELANY Eligible E&S insurers; and 3) insurers that have reinsurance with an insurer that is listed in the NYSID Directory of Regulated Companies. A valid insurance certificate (copy) for the business must accompany each application. Valid certificates show coverage currently in effect and names the DEC Albany office as certificate holder. Certificate should list the insurance company name, NAIC number, policy number and expiration date. Do not send a "Declarations Page".
16. If your business is a sole proprietorship, New York State General Obligations Law, Section 3-503 requires a written statement that, as of the date of the filing, the applicant is, or is not, under an obligation to pay child support. Individuals who are four months or more in arrears in child support may be subject to suspension of their business, professional and/or driver's licenses. Individuals who are under an obligation to pay child support but are not in compliance with the General Obligations Law can be issued a registration for no more than six months to discharge child support obligations consistent with that law. The intentional submission of false written statements for the purpose of frustrating or defeating the lawful enforcement of support obligations is punishable pursuant to Section 175.35 of the New York State Penal Law.
17. All applicants must complete this section with appropriate information. This section must be notarized; the Notary must provide their notary stamp, I.D. number and the date their commission expires.
HAVE YOU:
Enclosed a check or money order in the amount of $450 made payable to Commissioner, NYSDEC?
Enclosed a copy of a valid general liability insurance certificate in the proper amount showing NYSDEC, 625 Broadway, Albany, NY as certificate holder?
Mail the completed original application to:
NYSDEC
Pesticide Reporting & Certification Section
625 Broadway
Albany, NY 12233-7254
