Forms & Publications

Industry Forms

  1. Affidavit of Lost License/Registration
  2. Application for Branch Office Registration
  3. Application for Continuing Education Activity
  4. Application for Structural Pest Control Applicator Examination
  5. Application for Structural Pest Control Applicator Re-Examination
  6. Application for Structural Pest Control Field Representative Examination
  7. Application for Structural Pest Control Field Representative Re-Examination
  8. Application for Structural Pest Control Operator Re-Examination
  9. Application for Structural Pest Control Operator's Examination
  10. Bond Form
  11. Certificate of Training/Experience For Operators Application
  12. Certificate of Training/Experience For Field Representative Application
  13. Complaint Form
  14. Continuing Education Activity Roster
  15. Continuing Education Certificate of Completion
  16. Continuing Education Provider Form
  17. Insurance Form
  18. Live Scan Form
  19. Notice of Dual Employment
  20. Notice of Transfer of Employment
  21. Re-Entry Notice
  22. Request for Approval of Registered Company
  23. Request for Change of Address (Individual)
  24. Request for Change of Address (Principal or Branch Office)
  25. Request for Change of Bond or Insurance
  26. Request for Change of Licensee's Name
    Name and Gender Change Notification and Request for Confidentiality (SB 372, 2023)
  27. Request for Change of Qualifying Manager
  28. Request for Change of Registered Company Officers
  29. Stamp Request Form (Pesticide Use)
  30. Standard Notice of Work Completed and Not Completed
  31. Statement of Exemption From Workman’s Compensation
  32. Termite Fact Sheet
  33. Wood Destroying Pests and Organisms Inspection Report
  34. WDO Account Deposit Form

NOTE: The forms listed below are legal size forms and are available in a fill-in PDF Format. Please note that you can not save the forms with your filled in information. In order to view these forms click on the "Get Acrobat" link in the footer below.

If you wish to print the forms below, change your computer/printer settings to print on legal size (8-1/2x14) paper.

  1. Occupants Fumigation Notice and Pesticide Disclosure
  2. Standard Structural Fumigation Log

Military Resources

Professional License Portability and State Registration for Servicemembers and their Spouses

The federal Servicemembers Civil Relief Act (SCRA) authorizes service members or their spouses who currently hold a valid license in good standing in another state, district, or territory to practice in California within the same profession or vocation, if they relocate to California because of military orders. For individuals who desire to practice in California under the terms of the SCRA, please visit: https://www.dca.ca.gov/military/federal.shtml.

Expedited Licensure and Initial Fee Waiver for Spouses or Domestic Partners of Active-Duty Military Personnel

Structural Pest Control Board (SPCB) will expedite the licensure/registration process for spouses and domestic partners of those on active duty in the Armed Forces. Beginning July 1, 2022, SPCB will waive the license fee for military spouses. Please note: Other applicable fees may be required and are not included in this waiver. (Business and Professions Code section 115.5)

For an applicant’s license/registration to be expedited and license fees waived, the applicant must:

  • Supply evidence that they are married to, or in a domestic partnership or other legal union with, an active-duty member of the Armed Forces of the United States who is assigned to a duty station in California under official orders.
  • Submit proof of a current pest control license/registration in another state, district, or territory of the United States.
Failure to provide the required documentation may result in application processing delays.
Please note that expediting the application review process does not mean a license/registration must be issued, but simply requires the process to be accelerated for spouses and domestic partners of active-duty military personnel.

Temporary Licensure/Registration for Spouses or Domestic Partners of Active-Duty Military Personnel Temporarily Assigned To a Duty Station In California

Structural Pest Control Board (SPCB) will issue a temporary 12-month license/registration for spouses and domestic partners of an active-duty member of the Armed Forces of the United States, who is assigned to a duty station in California under official orders, if the applicant currently holds a current, active, and unrestricted license that confers upon the applicant the authority to practice pest control, in another state, district, or territory of the United States. (Business and Professions Code section 115.6) Applicable licensing/registration fee(s) will be waived. (Business and Professions Code section 115.5)

For the issuance of a temporary license/registration, the applicant must:

  • Complete an application for temporary licensure/registration.
  • Complete the required live scan/fingerprint process.
  • Supply evidence of marriage, domestic partnership or other legal union to the active-duty member of the Armed Forces of the United States.
  • Submit a copy of the military orders establishing the applicant’s spouse or partner’s duty station in California.
  • Submit a copy of the applicant’s current pest control license/registration and a copy of the relevant laws and regulations under which the license was issued.
  • Supply written verification that the applicant’s license is in good standing.
Failure to provide the required documentation may result in application processing delays.
Please note that a temporary license/registration is nonrenewable and shall expire 12 months after issuance, upon issuance or denial of a standard license, or upon issuance or denial of an expedited license pursuant to Business and Professions Code section 115.5.

  1. Application for Temporary License (RA, FR, & OPR)
  2. Application for Temporary Company Registration