What must I include with the registration form?

Include a copy of the QAL or QAC, a copy of the DPR Business License, a completed equipment list, and the listed fee. The form also asks for a qualified applicator license or certificate photocopy.

Do I need a notary for this registration form?

No. The form has a signature and date line but no notary block; the signer just signs and dates it.

How do I submit the registration form?

For mail registration, send it with the required materials to the San Mateo County Department of Agriculture at the address printed on the form. Checks are payable to San Mateo County.

San Mateo County, CA · San Mateo County

No notary required

Ag Pest Control Business/Maintenance Gardener Registration Form

Agricultural pest control businesses and maintenance gardeners use this form to register with San Mateo County and provide business and qualified applicator information.

At a glance

Issued by: City of San Mateo County · San Mateo County, San Mateo County, California
Notarization: Not required: file this form without a notary.
Official source: smcgov.org
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form registers an agricultural pest control business or maintenance gardener with San Mateo County. It asks for business contact details, a qualified applicator license or certificate holder’s information, and a signature. To have the registration processed, include copies of the applicable licenses and a completed equipment list, along with the fee listed for the registration type.

Who needs it

Agricultural pest control businesses and maintenance gardeners registering with San Mateo County should complete this form and provide the listed supporting documents.

How to submit it

For mail registration, send the form and required materials to the San Mateo County Department of Agriculture, PO Box 999, 728 Heller Street, Redwood City, CA 94064-0999. Checks are payable to San Mateo County; the form lists fees of $60 for Ag PCB and $25 for Maintenance Gardener.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the form.

How to submit this form

1
Download the Form
Download the Ag Pest Control Business/Maintenance Gardener Registration Form.
2
Complete the Form
Enter the business and qualified applicator details, then sign and date the form.
3
Gather Required Materials
Include copies of the QAL or QAC and DPR Business License, a completed equipment list, and the applicable fee.
4
Mail the Registration
Send the form and materials to the San Mateo County Department of Agriculture at the address printed on the form.

Frequently asked questions

What does the Ag Pest Control Business/Maintenance Gardener Registration Form do?: It registers an agricultural pest control business or maintenance gardener with San Mateo County and collects business and qualified applicator details.
What must I include with the registration form?: Include a copy of the QAL or QAC, a copy of the DPR Business License, a completed equipment list, and the listed fee. The form also asks for a qualified applicator license or certificate photocopy.
Do I need a notary for this registration form?: No. The form has a signature and date line but no notary block; the signer just signs and dates it.
How do I submit the registration form?: For mail registration, send it with the required materials to the San Mateo County Department of Agriculture at the address printed on the form. Checks are payable to San Mateo County.

Need something notarized?

This Ag Pest Control Business/Maintenance Gardener Registration Form doesn’t need a notary, but if you have another San Mateo County form that does, a commissioned online notary can help.