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Pesticide Registration Manual:
Appendix C - Pesticide Forms Overview Table

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Current as of February 2011

Regulatory Actions

EPA Form Title Registration Label
Amendment		 Formulation
Amendment		 Label
Notification		 Formulation
Notification		 Experimental
Use Permit		 24(c) Reg. Distributor
Products
EPA Form 8570-1 (PDF)
(2 pp, 1.1 MB)		 Application for Pesticide Registration/ Amendment X X X X X
EPA Form 8570-4 (PDF)
(2 pp, 1.1 MB)		 Confidential Statement of Formula X X X X
EPA Form 8570-5 (PDF)
(2 pp, 505k)		 Notice of Supplemental Distribution of a Registered Pesticide Product X
EPA Form 8570-17 (PDF)
(2 pp, 262k)		 Application for an Experimental Use Permit X
EPA Form 8570-25 (PDF)
(2 pp, 183k)		 Application for/Notification of State Registration of a Pesticide To Meet a Special Local Need X
EPA Form Title Registration Label
Amendment		 Formulation
Amendment		 Experimental
Use Permit
EPA Form 8570-27 (PDF)
(2 pp, 104k)		 Formulator's Exemption Statement When the active ingredient is supplied by a registered manufacturing-use or end-use product purchased from another person When the active ingredient is supplied by a registered manufacturing-use or end-use product purchased from another person
EPA Form 8570-34 (PDF)
(1 pg, 58k)		 Certification with Respect to Citations of Data Except if 100% repack of another EPA registered product When data submitted or cited to support Except if 100% repack of another EPA registered product
EPA Form 8570-35 (PDF)
(3 pp, 90k)		 Data Matrix Except when 100% repack of another EPA registered product When data submitted or cited to support Except when 100% repack of another EPA registered product X
EPA Form 8570-36 (PDF)
(2 pp, 1.5 MB)		 Summary of the Physical/Chemical Properties
(as referenced in PR Notice 98-1 (PDF) (9 pp, 2.3 MB))		 When the active ingredient is supplied by a registered manufacturing-use or end-use product purchased from another person When the active ingredient is supplied by a registered manufacturing-use or end-use product purchased from another person
EPA Form 8570-37 (PDF)
(1 pg, 66k)		 Self-Certification Statement for the Physical/Chemical Properties
(as referenced in PR Notice 98-1 (PDF) (9 pp, 2.3 MB))		 When the active ingredient is supplied by a registered manufacturing-use or end-use product purchased from another person When the active ingredient is supplied by a registered manufacturing-use or end-use product purchased from another person

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