It is extremely important that licensed pesticide applicators maintain accurate records of each pesticide application made.  In New Jersey, all licensed pesticide applicators are required to maintain application records of any pesticide applied, whether it is a restricted or general use pesticide.  Additionally, licensed pesticide applicators must maintain records of the active ingredient used, as well as record of any applicator or operator on-the-job training. 

As a service, we have provided below template forms that incorporate the three types of required records into a single form.  These forms have been reviewed by the NJDEP Pesticide Control Program to be compliant with the November 2001 revised regulation changes in required records. The forms below are an option and are not required to be used.  If you choose, you may devise your own record keeping system as long as it is in compliance with the applicable regulations.

Records of all pesticide applications must be maintained on file as follows:

• Private applicators:  3 years
• Commercial applicators: 3 years; with the exception of termiticide applications , which be maintained on file for a minimum of 5 years.

Consult the New Jersey pesticide control regulations online or contact the NJDEP Pesticide Control Program or by phone at 609-530-4070 for more specifics. The NJDEP released a policy clarification on pesticide record keeping in October of 2002, which is posted for your convenience.  Call the NJDEP for further clarification.

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Pesticide Applicator Storage Inventory Submittal

In New Jersey, all licensed pesticide applicators who store pesticides are required per N.J.A.C. 7:30-9.5 to maintain a list of the pesticides stored or likely to be stored during the license year. This includes storage in the vehicles. A storage inventory should be kept separate from the actual storage area. See below for a template form that meets the requirements for a single storage location address. The purpose of the inventory is to provide local fire departments with an accurate description of things stored by location in case of fire or other emergency. We suggest filling out a form per storage address of your establishment. You may also devise a form that suits your needs as long as it meets the requirements of N.J.A.C. 7:30-9.5.

All licensed pesticide applicators who store pesticides are required by law to send a copy of their storage inventor(ies) with an explanatory cover letter to the local fire company along with the actual location of each storage area. Specifically, NJDEP regulations provide; "The cover letter shall explain that this list has been sent pursuant to N.J.A.C. 7:30-9.5(b).4". See below for a template submittal letter that meets the requirements.

Submittal to the fire department is required annually by May 1st of each year. (This does not pertain to pesticides stored for personal use, or to those storing pesticides at loading or application areas for less than 7 days.) Applicators must keep the cover letter on file for a minimum of three years and should have it available for NJDEP upon request

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Choose the form you need according to the intended purpose listed below.

Record or Form	User	Intended Purpose
Pesticide Applicator Records
Private Applicator Application, Active Ingredient, and Supervision Record (4/18/03)	Private Applicators	Farm pesticide application record
Commercial Applicator Application, Active Ingredient, and Supervision Record (revision 2- 4/18/03)	Commercial Applicators	Pesticide application in or around structures.  Can be used for any commercial application.
Landscape Application Record Form (revision 2- 4/18/03)	Commercial Applicators	Landscape pesticide application record
Pesticide Application Notification Templates
Consumer Information Notice	Commercial Applicators	Required information for release to consumer on pesticide(s) used in commercial applications
Pesticide Applicator Storage Inventory & Submittal Letter
Pesticide Storage Inventory Form (for a single address); revision 1 4/23/03.	Private & Commercial Applicators	Required information to be submitted to local fire department annually
Cover Letter to Fire Department