Pesticide Certification Program - Forms Fees & Exams
- applicator recertification
- dispenser recertification
- applicator reciprocity
- applicator certificate replacement
- special certificate grading
- homestudy order form
- name change.
|Application forms - All require your signature|
The following applications are accepted via fax or email (PDF format only), signatures are required on the forms. Fax 1-780-853-8723 or email to firstname.lastname@example.org
Dispenser Application form (pdf)- This form is for dispenser renewal, reciprocity, and replacement certificates, Also if you currently hold a full, unrestricted Pesticide Applicator certificate and would like a dispenser certificate you can submit this completed form to our office for the additional certification.
Applicator Recertification form (pdf)- This form needs to be submitted to have your Applicator certificate(s) recertified.
Applicator Reciprocity form (pdf) - If you have a valid certificate in another province and would like to have an Alberta certificate issued, you will need to submit this completed application to our office.
Applicator Replacement form (pdf)- If you require another copy of your certificate, you must submit this form to our office.
Special Certificate Grading form (pdf) - If you are submitting Lesson 505, 801 or 804 for grading, this form must be included with the lesson. If it isn't included, the lesson can't be graded.
Name Change form (pdf) - If you have changed your name and would like us to update it on our system, you must submit this form along with the required documentation. If you require a new certificate printed, please aslo submit the Applicator Replacement form.
|Homestudy course order form|
|Homestudy Material Order form (pdf)
|Exams and proctored exam locations|
What you need to know:
Exam Proctor Sites:
|Alberta Environment forms & resources|
|All of Alberta Environment's pesticide applicator related forms are available on the pesticide management application forms page. Those forms include:
Authorized assistant training check list: The Training Checklist must be completed with supervising certified applicators: Prior to any pesticide application; whenever the pesticide, application equipment or use location changes; and at least yearly afterwards. The training checklist is also available in the Environmental Code of Practice for Pesticides.
You might also be interested in these resources. Both are long PDFs and may not load instantly.
|Application and other fees|