The Office of Indiana State Chemist is temporarily located in AGAD (615 W. State Street, Room 18, West Lafayette, IN 47907).
Visitor paid parking is available in the Harrison Street Garage.
Our mailing address remains the same (175 S. University Street, West Lafayette, IN 47907-2063).


Pesticide Section - Application Forms
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Application Forms




Pesticide Licenses, for:
  • Pesticide Business License [NOTE: Category 11 (Aerial) new businesses, enclose Part 137]
  • Pesticide Commercial Applicator License
  • Pesticide Registered Technician
  • Restricted Use Pesticide Dealer
  • Wood Destroying Pest Inspector License
Download the Pesticide License Application  (pdf, 257kb)


Farmer (Private Applicator) Licenses:
  • Pesticide Application - Manure Application
Download the Farmer License Application  (pdf, 30kb)


Fertilizer Licenses, for:
  • Fertilizer Licenses -- Agriculture ONLY Commercial Applicators
  • Fertilizer Business License
  • Fertilizer Material Distributor
Download the Fertilizer License Application  (pdf, 30kb)




Pesticide Product Registration: