Certified User's Licence - Farm Applicator
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All fields marked with asterisk (*) are required
Application Type *
Select One
New Application
Renewal
Name of Applicant *
Current Licence & Expiration *
Sex *
Select One
Male
Female
Date of Birth *
Month
January
February
March
April
May
June
July
August
September
October
November
December
Town/Village
Select District
Corozal
Orange Walk
Cayo
Belize
Stann Creek
Toledo
Phone *
Email
Document Type / Number *
Select One
Drivers Licence
Passport
Social Security
BAIMS ID
Other
None
Company Name
If applicable
Engaged in use as
Farm Applicator
Training Session *
Select From Available Session
For Trade Applicants Only
Type of Pesticide Use(s)
Crops and Vegetation
Livestock
Food and Grain
Non-Agricultural
Other Use
Specify
Methods of Application
Select Method
Aerial
Air Blaster
Boom Sprayer
Mist Blower
Knapsack
Tractor
Book Appointment
