Pesticide Related Complaint – Agricultural Commissioner / Weights and Measures

Pesticide Related Incident

The Pesticide Regulation Division plays a critical role in protecting public health, the environment, worker health and safety, and ensuring that pesticides are used in compliance with California’s laws and regulations. Pest control businesses are required to register in the county, in addition to obtaining a state license, each pesticide handler must be licensed and/or trained in methods that ensure safe and effective pesticide applications. If you are concerned about a pesticide-related incident, please complete the complaint form below. All complaints are investigated.

This complaint will be reviewed and assigned to an inspector in your area. If the complaint is received after hours or over the weekend, it will be assigned on the next regular business day. The inspector will contact you in 1-3 business days after the complaint is assigned.

If this is an emergency, please contact 9-1-1. If you believe this incident was done intentionally to cause personal harm, you are encouraged to contact local enforcement.

Date of Occurrence(Required)

Date of Occurrence

Is the incident ongoing?

No

Yes

Incident Location (within LA County)(Required)

Street Address Address Line 2 City State ZIP Code

Incident Description(Required)

Do you know the name of the pesticide(s) used?

Please list the pesticide(s)

Was a pest company involved?

No

Yes

Pest Control Company Name

Pest Control Company Address

Street Address Address Line 2 City State ZIP Code

Work Incident

Did this incident occur at work?

No

Yes

Company Name

Company Address

Street Address Address Line 2 City State ZIP Code

Company Phone

Company Email

Doctor Visit?

Did you see a doctor?

No

Yes

Doctor Name

First Last

Doctor Address

Street Address Address Line 2 City State ZIP Code

Doctor Phone

Doctor Email

Your Information - to follow up the incident

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email

CAPTCHA

Hidden

Submission Date

Confirmation Number