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State Government of Victoria, Australia, Department of Health
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Pest Control

Forms

Page content: Licence applications | Trainee skills declaration | Other

Application

PDF File Application for a pest control licence - Trainee (PDF File - 151.1 KB)
PDF File Application for a pest control licence - Interstate Operator (PDF File - 150.2 KB)
PDF File Application for a pest control licence - Technician (PDF File - 148.5 KB)

Trainee skills declaration

PDF File Trainee skills declaration for pest control work, excluding fumigation (PDF File - 37.7 KB)
PDF File Trainee skills declaration for fumigation (PDF File - 39.9 KB)
PDF File Trainee Skills Declaration - Completed example (PDF File - 136.3 KB)

Other

PDF File Change of contact details (PDF File - 49.1 KB)
PDF File Pesticide Application Record - template (PDF File - 61.6 KB)
PDF File Pesticide Application Record - example (PDF File - 72.8 KB)
PDF File Statutory Declaration (PDF File - 82.9 KB)
MS Word file Pesticide Application Record - template (MS Word - 8.5 MB)

Risk Assessment

MS Word file Pesticide health risk assessment template - blank (MS Word - 95.0 KB)
PDF File Pesticide health risk assessment template - blank (PDF - 58.2 KB)
PDF File Health risk assessment case study - Ficam D (PDF - 83.9 KB)
MS Word file Job site analysis checklist (MS Word - 70.5 KB)
PDF File Job site analysis checklist (PDF - 34.6 KB)