FORMS

The forms listed below are in a portable document format (pdf), which is viewable with Adobe Acrobat Reader. Please select the appropriate form and print it from your local printer or save it. Completed forms can then be mailed to our office or emailed to placerag@placer.ca.gov to complete the review and processing steps

COMPLAINT FORMS




Download the California System for Pesticide Incident Reporting App for easy, real-time reporting of
pesticide incidents:


 English version                 En Español
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  • Please contact (530) 889-5375 (Sheriff Dispatch) if a Pesticide incident occurs after business hours or on weekends.
  • Si se produce un incidente de pesticida después del horario comercial o los fines de semana, por favor comuníquese con al (530) 889-5375 (Despacho del Sheriff).

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Mas Información Sobre Reconocer Y Reportar Problemas con Pesticidas
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https://www.cdpr.ca.gov/docs/dept/comguide/spanish/index_sp.htm