The Pesticide Act of Iowa requires commercial, public, and noncommercial pesticide applicators to maintain records of each pesticide applied for three years after the date of application. Use this form to keep your pesticide application records, however, there is no official record keeping form. Fill out all sections of this form for your records, items in the “optional” section are not required by Iowa Administrative Code.

Download options include Form 1 for use by a single applicator or Form 2 for multiple applicators.