Attachment_E_Application___Renewal_Packets_Forms_List.pdf
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- Solicitation number
- 0000038843
- Issued by
- California
About this file
This attachment is a forms list document prepared by the California Department of Pesticide Regulation (DPR) in support of RFI 25-IC0054, which seeks to understand marketplace options for online payment and licensing application systems. The document catalogs all forms required for pest control licensing and renewal across multiple categories, including business application packets, individual trade license packets, business and individual renewal packets, continuing education approvals, and miscellaneous administrative forms. Forms cover diverse licensing types such as Qualified Applicator Certificates, Pest Control Dealer Licenses, Pesticide Broker Licenses, Agricultural Pest Control Adviser Licenses, and Maintenance Gardener Pest Control Business Licenses, along with associated renewal applications. The list includes forms available in both English and Spanish, continuing education documentation, financial responsibility certifications, and worker's compensation verification forms. All forms are currently accessible through the DPR website at www.cdpr.ca.gov and the online licensing portal at apps.cdpr.ca.gov/docs/license/currlic.cfm.
The document serves as a foundational reference for understanding the current licensing form ecosystem that would need to be integrated into or replaced by a new online payment and application system. By cataloging the complete range of forms and their purposes—from initial applications to renewals to continuing education tracking—this attachment provides bidders with visibility into the scope and complexity of licensing administration that the state seeks to digitize. The inclusion of multiple form types and variations indicates that any proposed solution must accommodate diverse applicant categories, renewal cycles, and regulatory requirements specific to pesticide licensing operations in California.
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Text version
RFI - 25-IC0054 ATTACHMENT E APPLICATION RENEWAL PACKETS FORMS LIST
Packet & Form Types Form ID Form Title Business Application Packets LIC-004 Maintenance Gardener Pest Control Business License Application Business Application Packets LIC-042 Pest Control Business License Application Business Application Packets DPR-PML-006 Fee Exempt Pest Control Business Business Application Packets LIC-041 Pest Control Dealer License Application Business Application Packets LIC-217 Pesticide Broker License Application, Individual Trade License Packets LIC-001A Qualified Applicator Certificate Application (Spanish) Business Renewal Packet LIC-186 Maintenance Gardener Pest Control Business Renewal Business Renewal Packet LIC-191 Pest Control Dealer Renewal Application Business Renewal Packet LIC-192 Pest Control Business Renewal Application Business Renewal Packet LIC-190 Pest Control Broker License Renewal Application Individual Renewal Packet LIC-141 Continuing Education Record Renewal Summary Business Renewal Packet PR-PML-134B Pest Control Broker Business License Renewal Information Business Renewal Packet PR-PML-137 Maintenance Gardener Pest Control Business License Renewal Information, Individual Trade License Packets LIC-084 Agricultural Pest Control Adviser License Application Individual Trade License Packets PR-PML-085 Agricultural Pest Control Adviser Core Course and/or Work Experience Requirements for New License Applicants Individual Trade License Packets LIC-005 Pest Control Aircraft Pilot Certificate Application Individual Trade License Packets LIC-043 Pest Control Dealer Designated Agent License Application Individual Trade License Packets LIC-001A Qualified Applicator Certificate Application Individual Trade License Packets LIC-001 Qualified Applicator License Application Individual Renewal Packet LIC-141 Individual License/Certificate Renewal Application Continuing Education LIC-131A In-Person Continuing Education Approval Request Application Packet Continuing Education LIC-131B Interactive Online and Webinar Continuing Education Approval Request Application Continuing Education LIC-132 Continuing Education Additional Course Date Request Miscellaneous Forms DPR-105-A Licensing VISA/MasterCard Transaction Form Miscellaneous Forms DPR-PML-002 Address and/or Name Change/Replacement Card Form, For Individuals Only Miscellaneous Forms DPR-PML-002B Address and/or Name Change/Replacement License Form, For Businesses Only Miscellaneous Forms LIC-083 Reexamination or Adding Categories Application Miscellaneous Forms DPR-PML-006 Fee Exempt Pest Control Business Miscellaneous Forms PR-LIC-120 Worker's Compensation Insurance Verification Miscellaneous Forms LIC-045 Private Applicator Certificate Application (English) Miscellaneous Forms LIC-045 Private Applicator Certificate Application (Spanish) Miscellaneous Forms PR-PML-143 Supplemental Application Information for Maintenance Gardener Pest Control Business License Miscellaneous Forms DPR-105-B Continuing Education Sponsor Visa / Mastercard Transaction Form Financial Responsibility Forms Accord 25 FInancial Responsibility Options for Pest Control Business Financial Responsibility Forms DPR-PML-052 Certificate of Insurance Financial Responsibility Forms DPR-PML-053 Pest Control Business Licensees Bond Financial Responsibility Forms PR-PML-170 Liability Certification Statement Maintenance Gardener Pest Control Business License
Apply Renew Continuing Education Licensees apps.cdpr.ca.gov/docs/license/currlic.cfm
All forms can be found at the below websites:
www.cdpr.ca.gov/apply-for-a-license/ www.cdpr.ca.gov/renew-a-license/ www.cdpr.ca.gov/continuing-education/
File details come from the government source that posted it. Updated .