Get Voluntary Small Business Certification Form For Pesticide Registration Fee Waiverreduction

Filling out the Voluntary Small Business Certification Form for pesticide registration fee waiver or reduction is a crucial step for small businesses seeking financial relief. This guide provides a clear, step-by-step approach to completing the form online, ensuring that users can navigate each section with confidence.

Follow the steps to accurately complete the certification form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section 1, Submission Identification, input the EPA Registration number or file symbol, OPP Decision Number, and product name as applicable. Leave blank any fields you do not know.
3. In Section 2, Business Identification, fill out the legal name of the applicant firm, address, contact name, phone number, fax number, email address, and EPA company number if known. Ensure that all information is accurate to facilitate communication with the regulatory authorities.
4. In Section 3, Small Business Structure, Financial, and Employee Information, answer the questions regarding business entities, parent companies, average annual global gross revenue, fiscal year end date, availability of audited financial statements, and employee count. Provide truthful answers, as this information is considered confidential.
5. In Section 4, Documentation, prepare to attach relevant documents to support your financial claims. This includes a business structure chart, revenue statements for the past three years, and employee documentation. Make sure the documents correspond to the requests indicated in this section.
6. In Section 5, Certification Statement, the authorized representative must sign and date the form. The representative should include their name and title, affirming that the information provided is true and accurate.
7. After completing all sections of the form, review the information for accuracy. Once confirmed, save changes to the document. You can then download, print, or share the form as needed for submission.

Complete your Voluntary Small Business Certification Form online today to take the first step toward your pesticide registration fee waiver or reduction.