Voluntary small business certification form for pesticide registration fee waiverreduction: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
In Section 1, provide your EPA Registration Number or file symbol, OPP Decision Number, and Product Name. If unknown, you may leave it blank.
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).
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.
Section 4 requires documentation. Attach any necessary charts or statements about your business structure and include revenue statements for the past three years.
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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How do I register a pesticide EPA?

Registrants or others who plan to produce pesticides or devices must obtain the company number first and then submit EPA Form 3540-8 (Application for Registering a Pesticide, Device or Active Ingredient Establishment Number) to the EPA regional office where their company Headquarters office is located to obtain the

How much does it cost to take the EPA?

Exam Procedure Exam Rules You will be charged regardless of whether you finish your exam or not. The exam price is $26.95 for your first attempt and $7.95 for each additional attempt if needed. You will be prompted to print an order request form if you want to pay using a personal check or a money order.

What is the EPA pesticide maintenance fee?

PESTICIDE REGISTRATION MAINTENANCE FEES Checks, bank drafts and money orders are not acceptable forms of payment. The fee is $4,875 for each registration up to the maximum fees which can be assessed to a single registrant.

How much does it cost to register a product with EPA?

When completed, the filing submission should be e-mailed to maintfee@epa.gov. A paper copy should not be sent to EPA. The fee for 2024 is $4,875 for each registration, the same amount as for FY 2023, up to the maximum fees that can be assessed to a single registrant.