EPA Form 3540-01 PDF Details

Send Completed Form to Appropriate Regional Office Listed in the Instructions for this Form.

Part I: to be completed by Importer of Record or Licensed Customs Broker.

Registration number: if the pesticide does not have an EPA registration number, it is recommended that “OTHER” be written in block 4 and block 18 be completed.

Device: if the product is a device, write the word “DEVICE” in block 4.

CBI: blocks 4, 5, 6 and 7 are not entitled to CBI treatment; information provided in those blocks will be made public with no further notice.

Label: it is recommended that a copy of the label affixed to the product be submitted with the Notice of Arrival (NOA).

QuestionAnswer
Form NameEPA Form 3540-01
Form Length5 pages
Fillable?Yes
Fillable fields59
Avg. time to fill out10 min
EditionRev 4/26
Issuing agencyUnited States Environmental Protection Agency
Where to sendThe appropriate Regional Office listed in the Instructions for this form, addressed to Pesticide Imports Coordinator
Matches the agency's fileYes, checked October 2, 2026
Other namesEPA 3540-01, EPA 3540-1, 3540-1, 3540-01, EPA Form 3540-1, NOA form, EPA notice of arrival, Notice of Arrival of Pesticides and Devices
Official sourceEPA Form 3540-01 (Rev 4/26), United States Environmental Protection Agency