The Maryland Pesticide Network is collecting information from people that have been impacted by their exposure to pesticides in the State of Maryland. This data is critical to our assessing how widespread pesticide injuries are in the state and also in working with state agencies and legislators on public health issues related to pesticides. Your input is very important and we appreciate you taking the time to fill out this report.
Please click here to fill out a Pesticide Incident Report and mail it to Beyond Pesticides/NCAMP, their address is provided on the form. The PIR form is in pdf format, click here to download a free copy of Adobe Reader. Beyond Pesticides will pass on your information to the Maryland Pesticide Network.