Rule 5. (1) The department shall maintain a voluntary registry of persons who,
due to a verifiable medically documented condition, require notification before the
application of pesticides on a property that is adjacent to their primary residences.
Upon request, the department shall annually register a person who requires
notification before the use of pesticides. Each year, the person shall submit avalid
certificate from a physician who is licensed to practice medicine. The certificate shall
be on forms provided by the department and shall indicate the following information:
(a) The current diagnosed condition or ailment of the person that specifies the
need for notification.
(b) Any recommended additional distance notification deemed necessary and
substantiated by the physician. The physician's information shall include the
recommended additional distance in feet.
(2) The certificate that is provided to the department pursuant to the provisions of
subrule (1) of this rule shall be subject to review and approval by the department.
(3) Registration shall also include all of the following information on forms provided
by the department:
(a) Name, address, other than a post office box number, and telephone number of a
person who requires notification.
(b) Name, address, other than a post office box number, and telephone number of a
designated contact person.
(c) A list of addresses of properties that are adjacent to the primary residence of the
person requiring notification. Information shall be provided as follows:
(i) Street address and occupant name, or designation as vacant lot, direction (N, S,
E, W), and estimated street address from notification person's address.
(ii) Designation of multiple dwelling units such as apartments or condominiums,
if applicable.
(iii) Designation as multiple use area or commercial property, if applicable.
(d) A list of names and addresses of additional property owners as provided for in
subrule (1)(b) of this rule. Information shall be provided as follows:
(i) Street address and occupant name, or designation as vacant lot, direction (N, S,
E, W), and estimated street address from notification person's address.
(ii) Designation of multiple dwelling units such as apartments or condominiums,
if applicable.
(iii) Designation as multiple use area or commercial property, is applicable.
(4) The printed registry list shall remain confidential, to the extent permitted by law,
except for the following information:
(a) Name, address, and telephone number of the designated contact person.
(b) Addresses of the adjacent properties or other properties as identified in
subrule (1) (c) and (1) (d) of this rule.
(c) The address of a person who requires notification.
(5) The individual requiring prior notification, or his or her designated contact person,
shall obtain a copy of the annual list and ensure that the specific information provided
to the department is accurate and a component of the list.
(6) Initial applications may be submitted to the department at any time. Renewal
registration forms supplied by the department shall be submitted annually on or before
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