Sample initial notification to persons in parental relation and staff pursuant to

Follow-up notification to persons in parental relation and staff pursuant to

Section 409-h of the State Education Law.*

Dear Parent, Guardian, and School Staff: ______________________________ _date

New York State Education Law Section 409-H, effective July 1, 2001, requires all public and nonpublic elementary and secondary schools to provide written notification to all persons in parental relation, faculty, and staff regarding the potential use of pesticides periodically throughout the school year.

The following pesticide applications took place in the _____________________________________________ School during the 200____ / 200____ school year:

Date of Application	Location of Application	Product Used
1)
2)
3)
4)

As a reminder, the ___________________________________________________________________ School District (or nonpublic school) is required to maintain a list of persons in parental relation, faculty, and staff who wish to receive 48-hour prior written notification of certain pesticide applications. The following pesticide applications are not subject to prior notification requirements:

a school remains unoccupied for a continuous 72-hours following an application;
anti-microbial products;
nonvolatile rodenticides in tamper resistant bait stations in areas inaccessible to children;
nonvolatile insecticidal baits in tamper resistant bait stations in areas inaccessible to children;
silica gels and other nonvolatile ready-to-use pastes, foams, or gels in areas inaccessible to children;
boric acid and disodium octaborate tetrahydrate;
the application of EPA designated biopesticides;
the application of EPA designated exempt materials under 40CFR152.25;
the use of aerosol products with a directed spray in containers of 18 fluid ounces or less when used to protect individuals from an imminent threat from stinging and biting insects including venomous spiders, bees, wasps, and hornets.

In the event of an emergency application necessary to protect against an imminent threat to human health, a good faith effort will be made to supply written notification to those on the 48-hour prior notification list.

If you have not yet registered to receive 48-hour prior notification of pesticide applications that are scheduled to occur in your school, please complete the form below and return it to the School. For further information on theses requirements the School pesticide representative is ______________________________________ _

(name)

and may be reached at: ____________________________________________________________________

(insert address, telephone, e-mail address, and FAX)

_______________________________________________________School District (or nonpublic school) Request for Pesticide Application Notification
_________________________________________________________________________School Building
Name:		Address:
Day Phone:	Evening Phone:	E-Mail Address: