Mn pesticide license

MN Pesticide Application License #: * Please select the program you're registering for: February 27, 2024 Webinar. March 5, 2024 Webinar. October 24, 2024 Webinar. November 13, 2024 Webinar ... Minnesota Pesticide Information and Education (MN PIE) is an educational cooperative of individuals,

Mn pesticide license. Pesticide Dealer Licensing & Sales Reporting; Clean Water Fund Activities. ... Saint Paul, MN 55155-2538. Phone: 651-201-6000 Toll Free: 800-967-2474 711 TTY. Resources.

Use in fall when native plants are dormant for leafy spurge control, spot spraying before killing frost when milky sap still emits from broken stem. To enhance foliar absorption of herbicides add a surfactant (silken) and apply when plants are actively growing. Always read and follow the label when using herbicides.

Regulation, Inspection & Enforcement. Our agency regulates the use, application, storage, sale, handling and disposal of agricultural chemicals. This includes fertilizers and products to control weeds, insects, fungi, rodents and other pests. Pesticides must be registered with both the U.S. Environmental Protection Agency (EPA) and the state of ...Structural Pest Control licenses are for companies and their employees that control structural pests on or in structures. Minnesota Department of Agriculture (MDA) Subject: Pesticides Creation Date: 9/11/2008 2:17:46 PM Modification Date: 1/25/2024 1:42:52 PMTo become licensed, an applicant must: Apply online or complete and submit a New Structural Pest Control Applicator License Application Form (PDF) Pay application fee before taking certification exams. Be employed by a licensed structural pest control company with a Master applicator. Pass a certification exam in CORE (A) and at least …Object Moved This document may be found here Schedule exam . Call 651-201-6633 or email [email protected]. Study Materials. Commercial and Structural Pest Control Applicators must meet Financial Responsibility Requirements. Renewal Requirements. All pesticide applicator licenses expire on December 31st. Private applicators. Persons who apply any restricted use pesticides for the production of an agricultural commodity on property owned or rented by themselves or their employers, or on the property of other agricultural producers with whom they trade services. Certified handlers. Persons employed by a licensed commercial applicator ...

Study materials are available through the University of Minnesota Bookstore at 612-301-3989. The applicator also must complete an application form, provide proof of financial responsibility (if applying for a commercial license) and pay the fees. The 2001 Minnesota Legislature required that any pesticide application made to golf course property ...Pesticide Licensing. Pesticide & Fertilizer Management. 651-201-6615. [email protected]. Follow us. Like Us. Email Updates. View Videos. Contact the MDA. 625 Robert Street North Saint Paul, MN 55155-2538. Phone: 651-201-6000 Toll Free: 800-967-2474 711 TTY. Resources. Ag in the Classroom;Are you a young aspiring quarterback looking to take your skills to the next level? Look no further than the youth QB camps in Minnesota. At MN youth QB camps, emphasis is placed o...An application record with the following information must be provided to the customer: 1) The net weight of fertilizer applied, which may be listed as the total net weight applied or the net weight applied per unit treated; 2) the guaranteed analysis; 3) your name and address; 4) the number of units treated in square feet, acres, or another unit of measure; and 5) a …Fertilizer Overview. The MDA regulates the use, storage, management, and licensing of fertilizers and soil/plant amendments. In addition, we work to provide resources and guidelines to help farmers maximize yield while also protecting our water resources. Fertilizers are provided to promote plant growth. They provide in varying proportions the ...Pesticide Management. The MDA is the lead state agency for all aspects of pesticide and fertilizer environmental and regulatory functions. These authorities are described in the following Minnesota Statutes: Groundwater Protection, Pesticide Control, Fertilizer, Soil Amendment, and Plant Amendment, and Agricultural Chemical Liability.

Total license fee includes additional fees per Minnesota Statutes, section 171.06, subdivision 2. To add endorsements to an existing CDL, you must pass the appropriate tests and apply for a duplicate license. Adding school bus, passenger or motorcycle endorsement requires a road test in an appropriate vehicle.MASS/NASS annual chemical usage reports, including pesticide use and use rate information for Minnesota. Historic data is available through the NASS Quick Stats online database. In 2001, an expanded pesticide use survey was conducted as a pilot project in conjunction with the MASS/NASS corn production survey.What is BTi? Bacillus Thuringiensis, is a special formulation of a common soil bacteria that is highly effective in controlling black flies. Study with Quizlet and memorize flashcards containing terms like Definition of Minnesota Statute, Definition of Minnesota Rule, What is a Category A license used for? and more.Pesticide Applicator Search. Search by Applicator Name or License Number. Company Name: (Optional) If you're not sure how a name begins, type a percent sign (%) in front of it. If you're not sure how a name ends, only type the beginning of it. Do not include a percent sign.

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Bloomington, MN/Apple Valley, MN/Burnsville, MN/Eden Prairie, MN ... Licenses & Certifications. turf and ornamental pesticide license Graphic ... Minneapolis, MN.Yes. Minnesota Statutes 18B.31 states, in part, “A pesticide dealer license is required for an individual not located in Minnesota who offers for sale or sells a restricted use or bulk pesticide to a pesticide end user located in Minnesota.”. Anyone offering restricted use or bulk pesticides for sale into Minnesota must obtain a Minnesota ...The process to become certified varies depending on the location, but most U.S. states offer a Pesticide Safety Education Program. Contacting the programs for states in which you operate is the first step, as they can provide details on the process of becoming certified, as well as study materials to help ensure a smooth certification process.When it comes to choosing a safe and reliable vehicle, Toyota is a brand that often comes to mind. With its commitment to producing high-quality vehicles equipped with top-notch sa...The Montana Department of Agriculture approves all trainings for pesticide applicators and dealers regardless of location and license type. Generally, over 400 trainings are approved for Continuing Education Credits (CEs) each year. Some are sponsored by MDA, many are sponsored by industry, professional organizations, online training institutions, universities, and more.Category A-2: Minnesota Pesticide Certification & Licensing Laws & Regulations Pesticide Applicator Training Manual, 3rd Edition ( 2023 ) Extension. ... Category P: Vertebrate Pest Control Pesticide Certification Study Manual, 2nd Edition (2016) Extension. $50.00: Category O: Soil Fumigation Pesticide Applicator Training Manual (2013) Extension.

If you’re looking to buy or sell a property in Bird Island, MN, finding the right realtor is crucial. A knowledgeable and experienced real estate agent can help you navigate throug...625 Robert Street North Saint Paul, MN 55155-2538. Phone: 651-201-6000 Toll Free: 800-967-2474 711 TTYSoil & Plant Amendment Product Registration. Registration Fee. Registration Late Renewal Fee (after December 31) $200 per product. $100 per product. Below are the fees by license type for new license applications, renewals, and duplicate or change of license.Learn how to certify or recertify as a private applicator who uses restricted use pesticides on their land or sites. Find study manuals, exam information, workshops and contact details.Registration will be cancelled for any pesticide products containing intentionally added PFAS from the 11 product categories (carpets or rugs, cleaning products, cookware, cosmetics, dental floss, fabric treatments, juvenile products, menstruation products, textile furnishings, ski wax, and upholstered furniture) beginning January 1, 2026.PESTICIDE USE LICENSE REQUIREMENT; INTERNET SALES PROHIBITED; RESTRICTED USE PESTICIDES. 18B.305: PESTICIDE EDUCATION AND TRAINING. 18B.31: PESTICIDE DEALER LICENSE. ... Minnesota Office of the Revisor of Statutes, 700 State Office Building, 100 Rev. Dr. Martin Luther King Jr. Blvd., St. Paul, MN 55155 ... For more information see: Pesticide Applicator License Types, and Pesticide Applicator License Changes. ... MN 55155-2538. Phone: 651-201-6000 Toll Free: 800-967-2474 ... Learn about pesticide applicator testing, the license processing, and study guide ordering.License. A pesticide dealer license: (1) is issued by the commissioner upon receipt and review of a complete initial or renewal application; (2) is valid for one year and expires on January 31 of each year unless it is suspended or revoked before that date; (3) is not transferable to another location; and. (4) must be prominently displayed to ...

Title: Private Pesticide Applicator Certification Alternate Title: Description: Private pesticide applicators are certified through a program administered by the Minnesota Department of Agriculture (MDA) and University of Minnesota Extension. Subject: Pesticides Creation Date: 9/15/2008 12:35:13 PM Modification Date: 1/25/2024 12:24:24 PM

For commercial pesticide applicators certified in service categories C01-C14, and C16, the deadline for completing continuing education credits (CEUs) for the three year period that ran from July 1, 2020 through June 30, 2023, has also been extended for 90 days. Commercial applicator CEUs for this time period must now be completed by Oct. 2, 2023. Title: Private Pesticide Applicator Certification Alternate Title: Description: Private pesticide applicators are certified through a program administered by the Minnesota Department of Agriculture (MDA) and University of Minnesota Extension. Subject: Pesticides Creation Date: 9/15/2008 12:35:13 PM Modification Date: 1/25/2024 12:24:24 PM Pesticide NPDES permits. The MPCA administers four National Pollutant Discharge Elimination System (NPDES)/State Disposal System (SDS) pesticide general permits that regulate the use of pesticides in and around lakes, rivers, streams, and wetlands. Entities that exceed a discharge threshold are required to submit an application for permit ...An "agricultural chemical" is a pesticide as defined in Minn. Stat. Chapter 18B or a fertilizer, plant amendment or soil amendment as defined in Minn. Stat. Chapter 18C. Other Notes Persons who store or transport agricultural chemicals are construed as being " in control of " or having a " responsibility for " that substance, and therefore are ...The Licensing Information System (LIS) lists all individuals or companies who hold licenses, certificates and/or permits required by state law and regulated by the Department. ... Agricultural Pesticide Sales Report: Help : License Number: PIN: Create Sales Report: View Completed Sales Report MDA Licensing Regulations and Policies ©2013 MDA v ...Tavium (EPA Reg. # 100-1623). This new use of dicamba herbicide provides another post-emergence control option for broadleaf weeds in DT soybeans in Minnesota. This is especially important for control of weeds resistant to glyphosate and other herbicides. Dicamba products registered for OTT applications to DT soybeans are "Restricted Use ...Commercial pesticide applicator licenses are for anyone who applies any pesticide for hire. For hire means you charge or invoice for the service. Noncommercial licenses are for all pesticide applicators that apply Restricted Use Pesticides (RUPs) as part of their job on property owned or controlled by their employer, or for two or more governmental units sharing resources through a joint ...Invoices paid online must be paid in full. Questions should be directed to the person listed on your invoice. To be eligible to file a report online, your report must contain a pin number. When paying a licensing or other fee to MDA with your checking account ("e-check"), it is critical to keep track of your Payment ID in order to finalize your ... Pesticide Applicator Search. Search by Applicator Name or License Number. Company Name: (Optional) If you're not sure how a name begins, type a percent sign (%) in front of it. If you're not sure how a name ends, only type the beginning of it. Do not include a percent sign.

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Minnesota Department of Health (MDH) and Minnesota Department of Agriculture (MDA) officials are warning Minnesota consumers not to eat Infinite Herbs brand organic basil in 2.5-ounce clamshell-style containers purchased at Trader Joe’s, due to a multi-state Salmonella outbreak announced. April 18, 2024.Minnesota Pesticide Information and Education (MN PIE) is an educational cooperative of individuals, businesses, and organizations whose mission is to maintain safe and reliable utility/transmission corridors; manage forests and natural areas; while promoting the protection of human health, wildlife and the environmentMinnesota Licenses and ID Cards. Minnesota has a few identification options for residents to choose from. Standard driver's license or ID card. Enhanced driver's license or ID card (EDL/EID). REAL ID-compliant driver's license or ID card. Determining which type of license or ID card works best depends on what a person needs to use the card for.d) 1000 mg/kg. a) 50 mg/kg. What does the 75 stand for in the name Lorsban 75WG? a) 75 lbs container. b) 75% active ingredient. c) 75% inactive ingredient. d) EPA registration number of the pesticide being used. b) 75% active ingredient. You are applying a pesticide to a rectangular area that is 20 ft by 4 ft.Send a written request, including identifying information (your name, your Minnesota license/registration/permit number and, the address where you would like the verification mailed), and enclose a $25.00 check or money order to: Minnesota Board of Medical Practice. 335 Randolph Avenue Suite 140. St. Paul , MN 55102.Under the Pesticide Control law ( MINN. STAT. § 18B.26 Subd.5 (e) ): The commissioner may exempt pesticides that have been deregulated or classified as minimum risk by the United States Environmental Protection Agency from the requirement of registration. Currently, the MDA does not register 25b products due to the commissioner’s decision to ...Under state law, and working within the Pesticide & Fertilizer Management Division (PFMD) the inspectors are authorized to visit farms, operations and facilities that use, store, handle, distribute and dispose of agricultural chemicals. ACIs check for compliance and safety. They may specify and document corrections or changes that need to be made.To apply for a Certified Noncommercial Applicator license in any category the applicant must submit to the Missouri Department of Agriculture or upload the required documents through the MOPlants online submission process: A $35.00 license fee; and. A completed Certified Applicator and Pesticide Dealer Application.Yes. Minnesota Statutes 18B.31 states, in part, “A pesticide dealer license is required for an individual not located in Minnesota who offers for sale or sells a restricted use or bulk pesticide to a pesticide end user located in Minnesota.”. Anyone offering restricted use or bulk pesticides for sale into Minnesota must obtain a Minnesota ...Minnesota Department of Health (MDH) and Minnesota Department of Agriculture (MDA) officials are warning Minnesota consumers not to eat Infinite Herbs brand organic basil in 2.5-ounce clamshell-style containers purchased at Trader Joe’s, due to a multi-state Salmonella outbreak announced. April 18, 2024.Another round of funding for the Soil Health Financial Assistance Program is expected in late summer 2024. Quick facts. One of the first and only programs to reimburse for equipment. Covers purchase of new equipment, used equipment, and parts to retrofit existing equipment. Awards range from $500-$50,000 (up to 50% cost share)The MDA licenses Agricultural Pesticide Dealers who offer for sale or sell agricultural pesticides in or into the state of Minnesota. A sale of an agricultural pesticide by a dealer without a valid Dealer License is a violation of the Minnesota Pesticide Control Law (Chapter 18B.316) and may be subject to enforcement action.Agricultural … ….

Fertilizer Companies with Commercial Pesticide Applicators Search. Company Name: (Optional) If you're not sure how a name begins, type a percent sign (%) in front of it. If you're not sure how a name ends, only type the beginning of … The MDA is the authority regulating pesticide use in Minnesota. Persons applying pesticides in Minnesota may need to obtain a license from MDA to do so. By taking and passing a certification exam a person demonstrates they are qualified to hold a license. The MDA issues different license types with specific categories depending on the intended ... Schedules, Calendars, and Legislative Business. House House Schedules Order of Business Calendar for the Day Supplemental Calendar for the DayA Certification course for learning information need to pass the MN Department of Agriculture (MDA) pesticide license exam is provided in person and online every March and April for studying for the MDA pesticide license in category A (general) and category E (turf and ornamnetals) Go to MNLA , MN Nursery and landscape Association, to register ...Tonnage Reporting. Each registrant under section and each company licensed under section must file an annual tonnage report for the previous year ending June 30 with the MDA on forms provided or approved by the MDA. The form must state the number of net tons of each raw fertilizer material or net tons of each brand or grade of fertilizer, soil amendment, or plant amendment product sold or ... d) a harborage. c) a catch-basin. Harborage areas are important because? a) that is where mosquitoes rest during the day. b) that is the best place to find mosquitoes that spread disease. c) that is where you will find man-made structures. d) that is where disease carrying mosquitoes breed. a) that is where mosquitoes rest during the day. The Minnesota Soybean Research & Promotion Council (MSR&PC) is dedicating checkoff funds to reimburse younger farmers who complete the Minnesota Private Pesticide Applicators certification. Reimbursement is available to the first 200 Minnesota farmers between the ages of 18-35 who apply for the $75 through MSR&PC. The certification lasts for three years. The form to apply … Continue reading ...License Application and Renewal. New Application. License Type MDA Licensing Regulations and Policies ©2013 MDA v.1.3.0-v.10.27g-PROD ...Pesticide Applicator Exams - For proctoring guidelines, or interest in becoming a new county proctor, please contact the licensing unit directly at 651-201-6615 Laws and Rules Pesticide Control Law: Minnesota Statutes, Section 18B.01-18B.39 Mn pesticide license, Ask the pesticide applicator for a current Minnesota license to apply pesticides, and ask questions about the pesticide product (name of product, active ingredient) and method of application. Ask where the applications may be made, and what steps you can take to reduce unnecessary exposures (e.g., remove toys, objects from the room when the ..., Pesticide & Fertilizer Management Division Ph. 651-201-6615 Fax 651-201-6105 New License Number: 20___NEW PESTICIDE APPLICATOR LICENSE APPLICATION Minn Stat. Sec. 18B.33 & 18B.34 The data on this form will be used to process your application. You must provide your social security number (MS Sec 270C.72)., Everything you need to know to obtain and maintain an Minnesota Pesticide Applicator license. Courses are in HD video and available 24/7 for your convenience! We're Here To Help Monday-Friday 8am-8pm EST 800-727-7104. Login Cart (0) Initial Certification. Exam Prep For All States;, MN Pesticide Application License #: * Please select the program you're registering for: February 27, 2024 Webinar. March 5, 2024 Webinar. October 24, 2024 Webinar. November 13, 2024 Webinar ... Minnesota Pesticide Information and Education (MN PIE) is an educational cooperative of individuals,, The On-Call Team assists farmers, ag coops, manufacturers, truckers, residents, and other state agencies to respond to and cleanup spilled agricultural chemicals. Call to REPORT a pesticide or fertilizer spill day or night. 1-800-422-0798. For information on spill reporting, see MDA's Guidance Document 1., SPCA may not commercially apply any pesticide UNTIL they have a valid license, either the electronic facsimile from our webpage or the plastic wallets-sized card . ... [email protected]. Follow us. Like Us. Email Updates. View Videos. Contact the MDA. 625 Robert Street North Saint Paul, MN 55155-2538. Phone: 651-201-6000 Toll Free ..., MDA St. Paul Office (Orville Freeman Building 625 Robert Street North, St Paul, Minnesota) offers computerized testing. To schedule an appointment email [email protected]. or calling 651-201-6633. MDA does not offer walk-in testing. Testing appointments are available Monday - Thursdays at 8:30 am and 1:30 pm, excluding holidays., Commercial Driver - Class A. A Class A License is required to drive any vehicle towing a unit of more than 10,000 pounds Gross Vehicle Weight Rating with a gross combination weight rating (truck plus trailer) over 26,000 pounds. New Resident. Renew License. Apply for Class A Commercial Driver's License (New Driver), This is a stand-alone exam. The successful completion of this exam is required as part of the requirements to obtain an aerial pesticide applicators license. An Aerial Pesticide Applicator's license is required of any individual making pesticide applications by aircraft. Study Material: Exam outline; Aerial Applicator's Manual Order Online. Use ..., On this page are 11 chapters from the National Pesticide Applicator Certification manual, Category A, General. The manual, slides shows, and pdf files are free online. It is easier to purchase the manual at the University of Minnesota bookstores online or call 612.625.6000., Its responsibilities include registering pesticide products for use in Minnesota, licensing and certifying pesticide applicators, enforcing pesticide regulations through inspections and investigations, and monitoring Minnesota's waters for pesticide contamination. MDA has made efforts to improve its pesticide regulation program since 2006., Pesticide Applicator Search. Search by Applicator Name or License Number. Company Name: (Optional) If you're not sure how a name begins, type a percent sign (%) in front of it. If you're not sure how a name ends, only type the beginning of it. Do not include a percent sign. , The program is supported by North Carolina Cooperative Extension Service Specialists and Agents. Training covers a broad range of human safety and environmental issues for a state-wide target audience of approximately 15,500 private applicators, 20,500 commercial applicators, and 575 pesticide dealers. Cooperating State and Federal Agencies ..., In times of loss and grief, finding ways to honor and remember our loved ones becomes an important part of the healing process. One way to pay tribute to those who have passed away..., A state or territory, contact the certifying agency for the requirements: Most states have a Pesticide Safety Education Program. Contact the Pesticide Safety Education Program in your state or territory for information on training and study materials. Indian country, get information about how to get certified at Federal Certification to Apply ..., Please send your license, certificate, or permit number to [email protected] and let us know you need your PIN. MDA Licensing Regulations and Policies ©2013 MDA v.1.3.-v.10.27g-PROD, An application record with the following information must be provided to the customer: 1) The net weight of fertilizer applied, which may be listed as the total net weight applied or the net weight applied per unit treated; 2) the guaranteed analysis; 3) your name and address; 4) the number of units treated in square feet, acres, or another unit of measure; and 5) a …, Pesticide Licensing. Employees applying any Restricted Use Pesticide must hold a valid non-commercial pesticide license issued by the MDA that includes Categories A and J. Additional categories may be required based on the pesticide applied. See Minnesota Statutes §18B.30and MDA Pesticide Applicator License Types for more information., The study manuals are sold separately and can be purchased through the UMN Bookstore. Remember, you will need study manuals for all of the categories you are adding to your license. Choose a section (course) from the right to begin registration. 2024 Pre-certification: Category A will be open for enrollment from December 1, 2023 until December ..., Please send your license, certificate, or permit number to [email protected] and let us know you need your PIN. MDA Licensing Regulations and Policies ©2013 MDA v.1.3.-v.10.27g-PROD, Commercial pesticide applicator licenses are for anyone who applies any pesticide for hire. For hire means you charge or invoice for the service. Noncommercial licenses are for all pesticide applicators that apply Restricted Use Pesticides (RUPs) as part of their job on property owned or controlled by their employer, or for two or more governmental units sharing resources through a joint ..., Pesticide Applicator Licensing Procedure (PDF) Drainage Documents. Petition for Ditch Maintenance (PDF) Polk County Ditch Map (PDF) ... GENERAL NOTICE TO CONTROL OR ERADICATE NOXIOUS WEEDS POLK COUNTY, MN. Notice is hereby given this 15th day of May 2023, pursuant to Minnesota Statutes, Section 18.83, Subdivision 1 (2009) that all persons in ..., Minnesota Private Pesticide Applicator license look up. External Links. USDA Agricultural Marketing Service. ... Pesticide & Fertilizer Management. 651-201-6633. [email protected]. Follow us. Like Us. Email Updates. View Videos. Contact the MDA. 625 Robert Street North Saint Paul, MN 55155-2538. Phone: 651-201-6000 Toll Free: 800 ..., Applying general use pesticides to property owned or leased by your or your employer, except on a school campus as defined in ORS 634.700.; As a public employee, applying general use pesticides using application equipment that is not power-driven (e.g., hand-pump backpack sprayer), except when applying on a school campus as defined in ORS 634.700. ..., Browse for licenses by topic. Please select a topic below. Business. Environment., March 2016. Commercial, noncommercial pesticide applicator study materials.----- PESTICIDE MANUALS ARE NON-RETURNABLE ... The University of Minnesota is an equal opportunity educator and employer. Coffman Memorial Union 300 Washington Ave S.E. Minneapolis, MN 55455. 612-625-6000. Contact., 18B.26 PESTICIDE REGISTRATION. Subdivision 1. Requirement. (a) Except as provided in paragraphs (b) to (e), a person may not use or distribute a pesticide in this state unless it is registered with the commissioner. Pesticide registrations expire on December 31 of each year and may be renewed on or before that date for the following calendar year., 50 of 50. Quiz yourself with questions and answers for Minnesota Pesticide Applicator Practice Test, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material., Noncommercial Pesticide Applicator License Find information on the Noncommercial Pesticide Applicator License. Follow us. Like Us. Email Updates. View Videos. Contact the MDA. 625 Robert Street North Saint Paul, MN 55155-2538. Phone: 651-201-6000 Toll Free: 800-967-2474 711 TTY. Resources. Ag in the Classroom; Accessibility/Web Policies ..., Pesticide Applicator Search. Search by Applicator Name or License Number. Company Name: (Optional) If you're not sure how a name begins, type a percent sign (%) in front of it. If you're not sure how a name ends, only type the beginning of it. Do not include a …, A pesticide license is available on our webpage as soon as the license is issued. An identification card is printed and mailed to the applicator's company address. ... [email protected]. Follow us. Like Us. Email Updates. View Videos. Contact the MDA. 625 Robert Street North Saint Paul, MN 55155-2538. Phone: 651-201-6000 Toll Free ..., Pesticide Applicator License Master Gardener Program Instructor 4-H Shooting Sports Instructor MN DNR Certified Bow Hunter Education Course Instructor, Pesticide & Fertilizer Management Division Ph. 651-201-6615 Fax 651-201-6105 New License Number: 20___NEW PESTICIDE APPLICATOR LICENSE APPLICATION Minn Stat. Sec. 18B.33 & 18B.34 The data on this form will be used to process your application. You must provide your social security number (MS Sec 270C.72).