Toxic substance control act form 2025

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The document is a certification form related to the Toxic Substance Control Act (TSCA), requiring companies to certify whether all chemical substances in a shipment comply with TSCA regulations. It includes options for positive or negative certification, company details, and instructions for contacting the Environmental Protection Agency if there is uncertainty about compliance.

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Click ‘Get Form’ to open the Toxic Substance Control Act (TSCA) Certification form in the editor.
Select either the Positive Certification or Negative Certification section. Ensure you check only one box, indicating your compliance status regarding TSCA.
Fill in your Company Name and Company Address, including Street, City, State/Province, Country, and Zip/Postal Code. This information is crucial for identification.
Enter the Authorized Name of the individual certifying the shipment. This should be someone with authority within your organization.
Provide an Authorized Signature and Title to validate the certification. Make sure this is completed before submission.
If unsure about TSCA compliance, refer to the Environmental Protection Agency's contact information provided on the form for assistance.
Once all fields are filled out correctly, print the completed form and fax it to the designated number as instructed.

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What is a TSCA document?

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).

Who regulates TSCA?

The Toxic Substance Control Act (TSCA) authorizes the EPA to regulate and screen all chemicals produced or imported into the United States to prevent unreasonable risks to health and the environment.

What is a TSCA form?

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.

How do I fill out a FedEx TSCA form?

The following is a 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.

What agency administers TSCA?

The Environmental Protection Agency (EPA) administers the Toxic Substances Control Act to protect the public from unreasonable risk of injury to health or the environment by regulating the manufacture and sale of chemicals.