Tennessee Pesticides Form PDF Details

If you're a farmer or agricultural professional in Tennessee, you're likely familiar with the need to obtain and maintain proper pesticides form. It’s essential for farmers or anyone who uses chemicals as a form of pest control to understand the forms associated with it. Specifically, what must be included on those forms, how they are correctly filled out, and submitted - all within State Guidance regulations. In this blog post we'll discuss everything you need to know about the Tennessee Pesticides Form (Form 1244) and important information that needs to be incorporated before submission.

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")

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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)

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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.

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