Region 1: EPA New England

New England State Pesticide Agency Forms

The New England state’s pesticide regulation agencies have Cooperative Agreements or Performance Partnership Grants with EPA. These grant dollars help fund the regulation of pesticides in each of the six New England states. Your New England State Lead Agencies (SLAs) for pesticide regulation can, for example, help you with the following issues:

• Determine if a pesticide is registered for use in your state
• Tell you about the specific rules and regulations governing pesticide use in your state
• Advise if your state requires notification or postings prior to pesticide applications
• Register a complaint concerning a pesticide misapplication
• Give you information about how to become a certified pesticide applicator.

At the end of each fiscal year, each state compiles a report on the various activities of their pesticide program-both enforcement and program support. To facilitate this reporting effort, the reports are available below.

• State/Tribal Reporting Form For Pesticide Worker Safety for FY 2008-2010 (PDF) (1 p., 31 KB, about PDF)
• EPA Form 5700-33H Pesticides Enforcement Cooperative Agreement Output Projections (PDF) (2 pp., 212 KB, about PDF)
• Pesticide Enforcement Outcome Measure Reporting Form (PDF) (1 p., 32 KB, about PDF)
• EPA WPS Form 5700-33H Pesticide Worker Protection Standard Inspection and Enforcement Accomplishment Report (PDF) (1 p., 88 KB, about PDF)

Please note: the reports above are in "fill and print" PDF format so they may be completed online and printed but cannot be saved. After you have completed the form and printed it you may fax it to Andrea Szylvian @ 617.918.0198 or send it via mail to the following address:

Andrea Szylvian
EPA New England
One Congress Street Suite 1100 (CPT)
Boston, MA  02114