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Change of Information for Licensed Businesses

Please download and complete the form using the "Download" button to the right.

This form is for updating the Ownership, Company Name, or Address records with the Ohio Department of Agriculture for the following businesses:

  • Licensed Pesticide Business & Registered Location
  • Licensed Pesticide Dealer
  • Licensed Pesticide Solicitor
  • Commercial Fertilizer Manufacturer or Distributor
  • Liming Material Manufacturer, Seller or Distributor
  • Non-Agricultural Custom Mixed Fertilizer Blender