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TSCA Statement TOXIC SUBSTANCES CONTROL ACT (TSCA) CERTIFICATION DATE: 14 January 1999 (CHECK ONE SECTION ONLY) POSITIVE CERTIFICATION: X I CERTIFY THAT ALL CHEMICAL SUBSTANCES IN THIS SHIPMENT COMPLY.

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Individual Chemicals ChemView. Asbestos. Formaldehyde. Lead. Mercury. Per- and Polyfluoroalkyl Substances (PFAS) Polychlorinated Biphenyls (PCBs)

Consequently, for the purposes of TSCA compliance, the TSCA Master Inventory File maintained by EPA's Office of Pollution Prevention and Toxics is the only complete and accurate source that can provide authoritative and conclusive information about which chemical substances are currently included in the TSCA Inventory.

A TSCA certificate is a self-declaration document to show customs that all chemical substances imported into the United States either comply with the Toxic Substance Control Act (TCSA) at the time of import (positive certification) or not subject to TSCA requirements (negative certification).

You as the importer are responsible for this certification form. Prior to the shipment, you will fill out this form and send a copy to the shipper to include with the import documentation. Some suppliers or transporters have their own Import Certification Form they prefer to use.

Fill out the date and the tracking (waybill) number of your order. Include any relevant information such as certifier name (yourself), certifier phone number, email address, and signature. List any items that may contain chemicals.

Positive Certification Statement: "I certify that all chemical substances in this shipment comply with all applicable rules or orders under TSCA and that I am not offering a chemical substance for entry in violation of TSCA or any applicable rule or order thereunder."

The Principal Investigator, Lab Manager or Researcher must fill out the TSCA Import Certification Form which will accompany the purchase order that lists the chemical names. This form must be available to the carrier and customs officer at the time of import.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232