Get Pesticide Registration Form

Filling out the pesticide registration form online can seem daunting, but this guide will simplify the process for you. Follow these instructions step-by-step to ensure accurate and complete submissions.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the pesticide registration form and open it in your editor.
2. In Block A, check the appropriate action you are submitting the form for, indicating whether it's a new registration or an amendment.
3. Number all pages consecutively. On each page, enter the total number of pages submitted, such as ‘1 of 2’, ‘2 of 2’, etc.
4. Provide the name and address of the applicant or registrant in the designated field.
5. Specify the name and address of the producer responsible for creating the product.
6. If known, enter the EPA registration number or file symbol for this product in the corresponding section.
7. Input the name and team number of the EPA product manager assigned to this product, if available.
8. Indicate the country where this product is formulated.
9. For liquid products, specify the pounds per gallon of the formulated product, or enter the bulk density for powders or granules.
10. Enter the pH of aqueous formulations and related products, using ‘N/A’ if not applicable.
11. Specify the flash point and flame extension results for products that are pressurized or suspected to burn.
12. List all components in the formulation, including the product name, commonly accepted chemical, trade name, and the CAS number for each identifiable ingredient.
13. Provide the name and address of the supplier for each formulation component and note any alternate sources.
14. Specify the EPA registration number for each active ingredient; submit chemical specifications for any unregistered ingredients.
15. Indicate the amount and percent by weight of each component in the formulation, checking your calculations for accuracy.
16. Set certified limits for the maximum and minimum percentages of each active and inert ingredient.
17. Clarify the purpose of each ingredient within the formulation.
18. Complete the typed name of the approving official for contact purposes.
19. Input the total weight of the batch in the designated section.
20. Provide the complete name of the pesticide product as it will appear on the label.
21. Finally, review all information provided for accuracy and completeness before submission.

Complete your pesticide registration form online to ensure compliance and expedite your application process.