Voluntary small business certification form for pesticide registration fee waiverreduction 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section 1, provide your EPA Registration Number or file symbol, OPP Decision Number, and Product Name. If unknown, you may leave it blank.
3. Move to Section 2 and fill in your Business Identification details including Legal Name, Street Address, Mailing Address, Regulatory Contact Person's name, Phone Number, Fax Number, Email address, and EPA Company Number(s).
4. In Section 3, answer questions regarding your business structure and financial information. Indicate if you have affiliates or parent companies and provide revenue details for the last three years.
5. Section 4 requires documentation. Attach any necessary charts or statements about your business structure and include revenue statements for the past three years.
6. Finally, complete Section 5 by signing the Certification Statement with your title and date to confirm the accuracy of the information provided.

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