Form fifra waiver 2026

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The document is a Voluntary Small Business Certification Form for requesting waivers or reductions of pesticide registration fees under FIFRA Section 33. It includes sections for submission identification, business identification, small business structure and financial information, required documentation, and a certification statement. The form aims to assist small businesses in complying with EPA guidelines for fee waivers as outlined in the Pesticide Registration Improvement Act of 2003.

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Click ‘Get Form’ to open the FIFRA Waiver in the editor.
Begin with Section 1: Submission Identification. Fill in the EPA Reg #, OPP Decision Number, and Product Name if known. If not, leave blank.
Move to Section 2: Business Identification. Enter your Legal Name, Street Address, Mailing Address, Regulatory Contact Person's Name, Phone Number, Fax Number, Email Address, and EPA Company Number(s).
In Section 3: Small Business Structure, answer questions regarding business affiliations and revenue. Indicate if your average annual global gross revenue from pesticides qualifies for a fee waiver.
Proceed to Section 4: Documentation. Attach necessary documents such as business structure charts and revenue statements as specified.
Finally, complete Section 5: Certification Statement by signing and dating the form to certify the accuracy of your information.

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