Pesticide Registration Manual: Appendix C - Pesticide Forms Overview Table

Regulatory Actions

Title/ EPA Form	Registration	Label Amendment	Formulation Amendment	Label Notification	Formulation Notification	Experimental Use Permit	24(c) Reg.	Distributor Products
Application for Pesticide Registration/ Amendment EPA Form 8570-1	X	X	X	X	X
Confidential Statement of Formula EPA Form 8570-4	X		X		X	X
Notice of Supplemental Distribution of a Registered Pesticide Product EPA Form 8570-5								X
Application for an Experimental Use Permit EPA Form 8570-17						X
Application for/Notification of State Registration of a Pesticide To Meet a Special Local Need EPA Form 8570-25							X

Title/EPA Form	Registration	Label Amendment	Formulation Amendment	Experimental Use Permit
Formulator's Exemption Statement EPA Form 8570-27	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
Certification with Respect to Citations of Data EPA Form 8570-34	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
Data Matrix EPA Form 8570-35	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
Summary of the Physical/Chemical Properties (as referenced in PR Notice 98-1) EPA Form 8570-36	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
Self-Certification Statement for the Physical/Chemical Properties (as referenced in PR Notice 98-1) EPA Form 8570-37	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