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The document explains the $25 exam fee, acceptable payment methods, submission requirements to the Tennessee Department of Agriculture, and key eligibility rules including age requirement. It collects personal and contact details, residence county, birth date, Social Security number, test category selection, and credit card information. It also covers deadlines for submission, photo ID needs, prohibited devices, inclement weather delays, and cancellation/change rules within 48 hours.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/commercial-certification-special-event-exam-application-fillable-form/394328/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/commercial-certification-special-event-exam-application-fillable-form/394328.png","ImageObject",300,407,{"name":92,"@type":93},"BigDaveOnline","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-26",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Who is eligible to use this Special Event exam application?","Question",{"text":112,"@type":113},"It is for individuals planning to attend special training events conducted by the University of Tennessee’s Pesticide Safety Education Program. It is not for use at PSI contracted testing locations.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How much is the exam fee and how can it be paid?",{"text":117,"@type":113},"The exam fee is $25.00 per exam, payable by check, money order, or credit cards (Discover, Visa, MasterCard, American Express).",{"name":119,"@type":110,"acceptedAnswer":120},"What are the rules for cancellations or changes to a scheduled exam?",{"text":121,"@type":113},"All exam cancellations or changes must be done within 48 hours of the scheduled date, or the exam fee is waived. To change the test session, contact the listed phone numbers, fax, or email.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},394328,1791452183,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},962090896214,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Commercial Certification “Special Event” Exam Application  \nThis application is only to be used by individuals planning to attend special training events conducted by the University of Tennessee’s Pesticide Safety Education Program, not for use for PSI contracted testing locations. Exams are $25.00 per exam , payable by check, money order, or credit cards listed below. Complete one form per person and fax to (615)837-5012 or mail with payment to:  \nThe Tennessee Department of Agriculture  \nAttn: Pesticide Section  \nP O Box 40627  \nNashville TN 37204  \n• TDA does NOT accept exam applications by email for security purposes  \n• Please either type or write legibly – if the application cannot be read it will be returned to the sender  \n• You must be 16 years of age to take the certification exam.  \n\n| Name (PRINT LEGIBLY!) |\n| --- |\n| Email Address |\n| Home Address (required) |\n| Home City/State/Zip |\n\nCompany Name & Address  \n\n| Date of Birth |\n| --- |\n| Social Security Number (required) |\n| COUNTY of residence |\n| Daytime area code & Phone |\n\nCompany Area code & Phone \\#  \nCompany Area code & Fax \\#  \nThe University of Tennessee’s Pesticide Safety Education Program (PSEP) offers training and testing in various categories and locations. Visit [http://psep.utk.edu](http://psep.utk.edu) or call (865)974-1286 for regular and special training dates, locations, and fees. This exam application and $25 must be submitted to TDA prior to the Friday before UT’s training session.  \nTraining Date:    \nLocation (please check):  \n□ Knoxville  \n□ Chattanooga  \n□ Jackson  \nTest Category (please check):  \n□ Category 3  \n□ Category 6  \n□ Category 7  \n□ Nashville  \n□ Murfreesboro  \n□ Johnson City  \n□ Category 10  \n□ LHA- * Must have insurance, see page 2  \nPayment Method (please check and complete relevant information) :  \n□ Check or money order \\#   \n□ Discover □ Visa  \n□ MasterCard □ American Express  \nCredit card \\#   Card verification \\#  Expiration date  Cardholder’s name  Receipt needed?    \nYes  \nCategory codes (CORE is included as a part of all exams) :  \nIndicate on the form above which exam you are taking.  \nC03 – Ornamental/Turf  \nC06 – Right of Way  \nC07 – Industrial, Institutional, Structural & Health Related Pest Control  \nC10 – Demonstration, Research and Regulatory Pest Control  \nLHA – Limited Herbicide Applicator  \nFor those taking the LHA (Limited Herbicide Applicator)  \nYou must provide proof of $300,000 insurance with application for LHA. The applicant’s name must be listed on the insurance with the statement “for herbicide application.”  \nWhen you arrive at the testing site, you will need to provide a photo ID prior to receiving exam results.  \nNo phones or other electronic devices are allowed during the testing session. Anyone exhibiting unethical behavior during the examination will fail the test and be ineligible to take the exam for (1) year.  \nInclement Weather  \nIn case of inclement weather, training and testing may be delayed or rescheduled.  \nCancellations or Changes  \nALL exam cancellations or changes must be done within 48 hours of scheduled date or exam fee is waived.  \nTo change your scheduled test session, call (615) 837-5148 or (615) 837-5404 , fax (615) 837-5012 , or e-mail [pesticide.exam@tn.gov](pesticide.exam@tn.gov).  \nUniversity of Tennessee Training Fees  \nUniversity of TN PSEP training fees are separate from the TDA exam fee. Please contact UT PSEP at  \n(865)974-1286 to ensure you pay the correct training fee and are aware of special training dates and locations.","cbCaitOO962mkCSI","https://ap.wps.com/l/cbCaitOO962mkCSI","pdf",73751,"English","# Application purpose and fee\n## Submission instructions and eligibility rules\n## Personal information required\n# Training dates, locations, and test categories\n## Category codes and LHA insurance requirement\n# Payment methods and credit card details\n# Testing-day requirements and policies\n## Photo ID, prohibited devices, unethical behavior\n## Inclement weather, cancellations, and changes\n# Training fees and contact information","[{\"question\":\"Who is eligible to use this Special Event exam application?\",\"answer\":\"It is for individuals planning to attend special training events conducted by the University of Tennessee’s Pesticide Safety Education Program. It is not for use at PSI contracted testing locations.\"},{\"question\":\"How much is the exam fee and how can it be paid?\",\"answer\":\"The exam fee is $25.00 per exam, payable by check, money order, or credit cards (Discover, Visa, MasterCard, American Express).\"},{\"question\":\"What are the rules for cancellations or changes to a scheduled exam?\",\"answer\":\"All exam cancellations or changes must be done within 48 hours of the scheduled date, or the exam fee is waived. To change the test session, contact the listed phone numbers, fax, or email.\"}]","Commercial Certification “Special Event” Exam Application - Fillable Form | PDF",1790402210]