2024 Vermont Golf Course Permit Renewal Form
For the 2024 Calendar Year

Complete this online form and submit it to the Agency of Agriculture to renew your Golf Course's Permit for the coming calendar year.  You may still do the paper version if you prefer, which you should have already received.  Please complete all required questions for your permit to be renewed.  Incomplete forms will not be processed.  

Remember, pesticide use (including storage) on a golf course in Vermont without a current Pesticide Use Permit from the Vermont Agency of Agriculture is a violation of the Vermont Rule for Control of Pesticides in accordance with 6 V.S.A. Chapter 87.  

The permitted pesticide ACTIVE INGREDIENTS for your golf course are not listed as part of this renewal form, but the actives and amounts (of non-prescreened actives) on your permit will remain the same as your golf course's most recently issued permit.  If you would like to make changes, please make that request BEFORE renewing.

PREPARE AHEAD OF TIME:
1. Tally your pesticide and fertilizer use for the season and complete the two forms first.  They can be found attached to the original email.  ***THESE TWO FORMS MUST BE EMAILED TO ME TO COMPLETE YOUR RENEWAL!***
2. Have a golf course officer or board member nearby while completing this form since they will need to sign and date at the end.  Or, you can click submit without their signature, share the link with them via email, and they can sign and submit it when complete.

Once the renewal form is processed and i have received both of your reports, I will email a copy of your 2024 permit to the email address supplied below.  If you have any questions, please contact the Golf Course Permit Specialist before submitting this renewal form.

Matthew Wood, Golf Course Permit Specialist
matthew.wood@vermont.gov
cell 802-318-1383
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Golf Course Name *
Name of person submitting renewal form *
Submitter's email *
Submitter's phone *
Superintendent (if different than above)
Golf Course MAILING address *
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