Our Pesticide Regulation complaint form is here for you to register a complaint about a specific pesticide exposure or unsafe condition within Orange County.

The best way to use this form is as follows:

Download the PDF Form using the link below. Complete the form. Save & Print out a copy of the form on your printer. (note: depending on your version of Adobe Acrobat you may not be able to save the filled out form but you can still print it.) Sign & Date the form. Fax this completed form to us at (714) 567-6203, or mail it to: Agricultural Commissioner Pesticide Regulation 1750 S. Douglass Rd., Building D Anaheim, CA 92806-6031

We will call you as soon as possible to acknowledge our receipt of your complaint and ask for any additional information.