Tennessee Pesticides Form PDF Details

Within the realm of agricultural and commercial practices, the regulation and management of pesticides stand as a cornerstone for ensuring public safety and environmental health. The state of Tennessee takes this matter seriously, as evidenced by the robust procedure outlined in its Application for the Registration of Pesticides. Aimed at companies seeking to distribute or sell pesticide products within the state, this application mandates the provision of comprehensive product details to the Commissioner of Agriculture. A crucial part of this process involves the annual renewal of registration by June 30 each year, accompanied by a non-negotiable fee of $100.00 per product. The stakes are raised with a late fee of $50.00 for each product whose registration is either renewed or discontinued post-July 31. The application underscores the importance of accuracy and accountability, requiring registrants to affirm the veracity of their submissions under their signature. Moreover, the form facilitates a clear channel of communication between the registrant and the Tennessee Department of Agriculture, emphasizing the need for a designated contact for correspondences. This system not only serves to regulate the influx of pesticides within Tennessee borders but also ensures that such products adhere to stringent safety standards, reflecting a broader commitment to safeguarding both human and environmental health.

QuestionAnswer
Form NameTennessee Pesticides Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestennessee department of agriculture pesticide registration, tn registered pesticides, tennessee pesticide product registration, tennessee application pesticides

Form Preview Example

APPLICATION FOR THE REGISTRATION OF PESTICIDES IN TENNESSEE

This application is hereby filed with the Commissioner of Agriculture. The product(s) listed on the back are offered for sale or distribution within Tennessee and all fees and any required doucmentation are included. This registration shall be effective until June 30 of each year.

This fee is $100.00 for each product with a $50.00 late fee per renewed or discontinued product for applications received after July 31.

Enclosed is the annual registration fee of $_______________ for _______________ products.

Make your check payable to: TENNESSEE DEPARTMENT OF AGRICULTURE and send it to:TENNESSEE DEPARTMENT OF AGRICULTURE, Division of Consumer and Industry Services, P.O. Box 40627, Nashville, TN 37204, Attention: Pesticide Registration

REGISTRANT:

Firm: ___________________________________________

Address:___________________________________________

___________________________________________

Phone: ___________________________________________

Contact:___________________________________________

This should be the name and address of the company on the pesticide label.

Do not list by any other name on this section.

SEND CORRESPONDANCE TO:

Firm: _________________________________________

Address: _________________________________________

__________________________________________

Phone: __________________________________________

Contact:__________________________________________

This should be the company that will handle the registration for the above (e.g. parent firm, manufacturer, etc.).

If it is the same as the above, please list again.

I certify to the best of my knowledge that this application is true and accurate:

Signature and Date:_______________________________________________

DEPARTMENT USE ONLY

DATE OF APPROVAL:_________________________ STATE REGISTRANT NUMBER: _________________________

APPROVED:____________________________________________________

PESTICIDES TO BE REGISTERED IN TENNESSEE

Submit a duplicate if you wish to receive a copy from the Department verifying your registration. Please refer to the

cover sheet for instructions. Attach additional sheets if necessary.

EPA Registration Number:

Brand Name of Product (Please note if it is "RUP")

How to Edit Tennessee Pesticides Form Online for Free

Whenever you need to fill out tennessee department of agriculture pesticide registration, it's not necessary to download any kind of software - simply try our online PDF editor. The editor is continually updated by our team, getting additional features and growing to be a lot more convenient. Here is what you'd have to do to begin:

Step 1: First of all, access the pdf editor by clicking the "Get Form Button" at the top of this site.

Step 2: With this online PDF editor, it's possible to do more than just fill out blank fields. Edit away and make your documents seem great with customized text added in, or optimize the file's original input to perfection - all that comes with the capability to insert stunning images and sign the file off.

Be mindful when completing this form. Make sure each and every field is done properly.

1. When filling out the tennessee department of agriculture pesticide registration, ensure to complete all important blanks in their associated part. It will help speed up the work, which allows your information to be handled without delay and appropriately.

tennessee department of agriculture pesticide conclusion process outlined (step 1)

2. When the previous part is finished, you're ready to include the needed particulars in Firm Address Phone Contact, I certify to the best of my, DEPARTMENT USE ONLY, and DATE OF APPROVAL STATE REGISTRANT so that you can move on further.

tennessee department of agriculture pesticide conclusion process described (portion 2)

You can easily make errors while filling out the DEPARTMENT USE ONLY, therefore be sure to take a second look before you submit it.

3. This next step is considered relatively easy, Submit a duplicate if you wish to, and Brand Name of Product Please note - all these form fields will need to be completed here.

Submit a duplicate if you wish to, Submit a duplicate if you wish to, and Submit a duplicate if you wish to in tennessee department of agriculture pesticide

Step 3: After you've glanced through the details provided, simply click "Done" to conclude your FormsPal process. Sign up with FormsPal today and immediately obtain tennessee department of agriculture pesticide registration, set for download. All adjustments you make are kept , which means you can customize the file later when required. FormsPal is focused on the confidentiality of our users; we make certain that all information handled by our tool is confidential.

Tennessee Pesticides Form isn’t the one you’re looking for?

Related Documents