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Pesticide Forms

Registration Forms for Pest Control Businesses

Pesticide Complaint Form

Please use our complaint form to register a complaint about a specific pesticide exposure incident or unsafe condition within Orange County.

1.  Download the PDF Form using the link below.
2.  Complete the form.
3.  Save and Print out a copy of the form on your printer.   
4.  Sign and Date the form.
5.  Fax this completed form to us at (714) 921-2713, or mail it to:

Agricultural Commissioner
Pesticide Regulation
222 East Bristol Lane
Orange, CA 92865

We will call you as soon as possible to acknowledge our receipt of your complaint and ask for any additional information.
Download Complaint Form Here picture_as_pdf