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In the heart of Tennessee's agricultural management and safety regulations, the Application for the Registration of Pesticides stands as a crucial document for companies aiming to distribute or sell pesticide products within the state. Submitted to the Commissioner of Agriculture, this form incorporates a detailed listing of products coupled with any pertinent fees and documentation, ensuring compliance with state requirements. Registration, valid through June 30 each year, carries a base fee of $100 per product, with a notable increment for late submissions post-July 31, emphasizing the significance of timeliness in the regulatory process. The meticulous structure of the application also dictates that registrants provide comprehensive company details, ensuring accountability and ease in communication. Furthermore, an affirmation of the application's accuracy underlines the importance of integrity in the registration process. Equally, the document facilitates a systematic procedure for the Tennessee Department of Agriculture, marking the path from submission to approval with designated sections for departmental use, thereby ensuring a seamless regulatory oversight. This form not only underscores the financial aspects of pesticide registration but also serves as a testament to the state's commitment to agricultural safety and environmental stewardship.

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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")

Document Data

Fact Name Description
Application Purpose This application is used to register pesticides for sale or distribution within Tennessee.
Authority Filed with the Commissioner of Agriculture.
Registration Validity Registration is effective until June 30 of each year.
Annual Fee The annual registration fee is $100.00 for each product.
Late Fee A $50.00 late fee per product is applied for renewals or discontinuations submitted after July 31.
Payment Information Checks should be made payable to the TENNESSEE DEPARTMENT OF AGRICULTURE.
Mailing Address Submissions should be sent to the Tennessee Department of Agriculture, Division of Consumer and Industry Services.
Governing Law The Tennessee Pesticide Application is governed by the laws and regulations enforced by the Tennessee Department of Agriculture.

Detailed Guide for Using Tennessee Pesticides

Filling out the Tennessee Pesticides registration form is a straightforward process that requires attention to detail to ensure the application is completed correctly. This document is essential for getting pesticides registered and approved for sale or distribution within Tennessee. A crucial part of this process involves indicating the products that need registration, providing the registrant's details, and ensuring all applicable fees are included. The registration remains valid until June 30 of each year, necessitating annual renewal. A timely submission before July 31 helps avoid a late fee. Following the steps below will guide individuals or entities through filling out the application efficiently.

  1. Prepare a check for the registration fee of $100.00 per product. Include an additional $50.00 late fee per product if submitting the application after July 31. The total amount should be calculated based on the number of products being registered.
  2. Make the check payable to: TENNESSEE DEPARTMENT OF AGRICULTURE.
  3. Fill in the total registration fee being paid in the space provided at the top of the form next to "Enclosed is the annual registration fee of $_______________ for _______________ products."
  4. Complete the "REGISTRANT" section with the name and address of the company on the pesticide label. This section must match the information printed on the pesticide product’s label. Include the firm's name, complete address, phone number, and contact person.
  5. In the "SEND CORRESPONDANCE TO" section, indicate the contact details of the company responsible for handling the pesticide registration. If this information is the same as the "REGISTRANT" section, re-enter the details here. This should include the firm's name, address, phone number, and the name of the contact person.
  6. Sign and date the application at the bottom where it reads "I certify to the best of my knowledge that this application is true and accurate: Signature and Date:_______________________________________________".
  7. On a separate sheet, list all pesticides to be registered in Tennessee. Include the EPA Registration Number and the Brand Name of each product. Indicate if the product is a Restricted Use Pesticide (RUP) by noting "RUP" next to the applicable products.
  8. If a duplicate is needed for verification of registration, submit a copy of the completed form alongside the original submission. Attach additional sheets if more space is needed for listing the pesticides.
  9. Send the completed form, along with your payment and the list of pesticides to be registered, to: TENNESSEE DEPARTMENT OF AGRICULTURE, Division of Consumer and Industry Services, P.O. Box 40627, Nashville, TN 37204, Attention: Pesticide Registration.

Once the form, along with any accompanying documentation and the correct fee, is submitted, the Tennessee Department of Agriculture will process the application. Approval times can vary, so it is recommended to submit the application well in advance of the intended sale or distribution date to avoid any delays. The State Registrant Number and the date of approval will be issued by the department upon successful registration, and this information will be crucial for the legal sale and distribution of the pesticide products within the state of Tennessee.

Important Questions on This Form

What is the purpose of the Application for the Registration of Pesticides in Tennessee?

The Application for the Registration of Pesticides in Tennessee is designed to facilitate the legal process for companies wishing to sell or distribute pesticide products within the state. By filing this application with the Commissioner of Agriculture, companies are seeking formal approval to ensure their products meet Tennessee's regulatory standards for pesticides. This registration confirms that all products listed meet the necessary guidelines for sale or distribution and establishes a formal record of the products with the state authorities.

What are the fees associated with this application?

The application requires a fee of $100.00 for each product that a company wishes to register. An additional fee of $50.00 per product is applied for late renewals or if a product is discontinued and the application is submitted after the July 31 deadline. These fees support the administrative process of registration, including the review and maintenance of records.

Where should the fee and application be sent?

The completed application, along with the appropriate fees, should be sent to the Tennessee Department of Agriculture, specifically to the Division of Consumer and Industry Services. The mailing address is P.O. Box 40627, Nashville, TN 37204, with an attention note to Pesticide Registration.

What information is required for the registrant section?

In the registrant section of the application, the company must provide its name, address, phone number, and contact information. Importantly, the name and address should match those on the pesticide label. This is critical for identifying the legal entity responsible for the product and ensuring that any correspondence or regulatory actions can be accurately directed.

Who should be listed under the "SEND CORRESPONDANCE TO" section?

The "SEND CORRESPONDANCE TO" section is intended for the entity handling the registration process, which could be the parent firm, the manufacturer, or another responsible party. If it is the same entity as the registrant, this should be noted by listing the information again. This ensures that the Tennessee Department of Agriculture knows whom to contact regarding the application.

How does certification of the application work?

Certification of the application involves the applicant signing and dating the form, attesting to the truth and accuracy of all information provided within the application. This is a formal declaration that the applicant has ensured all details are correct and comply with relevant regulations, and it holds the applicant accountable for any discrepancies or inaccuracies.

What information is required for registering pesticides?

To register pesticides, the application must include the Environmental Protection Agency (EPA) registration number and the brand name of the product. Additionally, if the product is classified as a Restricted Use Pesticide (RUP), this designation should be noted. Attaching additional sheets is advised if the company needs to register multiple products, ensuring comprehensive documentation for each product seeking approval for sale or distribution in Tennessee.

Common mistakes

When filling out the Tennessee Pesticides form, it's crucial to pay close attention to detail to ensure that the application process is smooth and free from delays. However, mistakes can happen, which could lead to complications or even the rejection of the application. Here are five common mistakes applicants make:

  1. Not including the correct annual registration fee: Each product registration requires a fee of $100.00. However, a common oversight is not calculating the total sum correctly when registering multiple products. Furthermore, if the application is submitted after July 31, a late fee of $50.00 per product must also be included. This mistake can delay the processing of the application.
  2. Incorrect or incomplete address and contact information: The form requires the registrant to provide the name and address of the company listed on the pesticide label, and any incorrect or incomplete information can lead to miscommunication. Additionally, if correspondence should be sent to a different address, it is crucial to list that information accurately to ensure proper communication.
  3. Failing to provide the accurate number of products being registered: The enclosed registration fee should match the number of products the applicant wishes to register. Miscounting products or failing to pay the correct fee for each can result in processing delays or partial registrations.
  4. Omitting the EPA Registration Number: Each pesticide product must have an EPA Registration Number, which is essential for the product’s identity and legal sale. An omission of this number can make it impossible for officials to approve the application as they cannot verify the product’s regulatory compliance.
  5. Incorrect signature and dating: The application must be signed and dated by the registrant to certify that the information provided is true and accurate. Neglecting to sign or incorrectly dating the form can invalidate the application, as it demonstrates a lack of verification on the part of the applicant.

To ensure a successful application process, it's important to review the form meticulously before submission. Making sure that all fees are correctly calculated, that the information provided is accurate and complete, and that the form is correctly signed and dated, can significantly improve the chances of a smooth and efficient registration process. By avoiding these common pitfalls, applicants can help facilitate a smoother interaction with the Tennessee Department of Agriculture and ensure that their pesticide products are registered without unnecessary delays.

Documents used along the form

When handling the application for the registration of pesticides in Tennessee, various accompanying forms and documents are often required to ensure compliance and facilitate the process. These documents, ranging from company registration forms to detailed product information, play a crucial role in the application's review and approval by the Tennessee Department of Agriculture. Below is an overview of often-used forms and documents alongside the Tennessee Pesticides form.

  • Environmental Protection Agency (EPA) Label Approval: Shows that the pesticide label has been reviewed and approved by the EPA, ensuring it meets federal standards for safety and efficacy.
  • Product Label: Detailed label that goes on the pesticide product, including usage instructions, safety precautions, and active ingredients. This document is crucial for review to ensure state compliance.
  • Material Safety Data Sheet (MSDS): Provides detailed information on the chemical properties of the pesticide, including hazards, handling, storage, and emergency measures.
  • Company Registration Certificate: A document indicating that the company applying for pesticide registration is legally recognized and allowed to operate within the state.
  • Power of Attorney (if applicable): If the application is being submitted by a representative of the company, a power of attorney may be required to legally authorize the representative to act on the company’s behalf.
  • Product Analysis Report: Presents detailed chemical analysis of the pesticide product, ensuring that it matches the composition claimed by the manufacturer.
  • Endangered Species Act Compliance Documentation: Demonstrates that the use of the pesticide will not harm endangered species or their habitat, a requirement under federal law.
  • Certificate of Liability Insurance: Provides proof that the company has sufficient insurance coverage for potential damages or injuries caused by their product.

Together, these documents support the Tennessee Pesticides form, ensuring that all pesticide products sold or distributed within Tennessee meet both state and federal regulations. By providing comprehensive information on the product, manufacturer, and compliance with environmental and safety standards, these forms and documents facilitate a thorough and efficient review process by the Tennessee Department of Agriculture.

Similar forms

Similar to the Tennessee Pesticides form, the Environmental Protection Agency (EPA) Pesticide Product Registration Application also demands thorough documentation from companies wishing to distribute or sell pesticides. This federal-level application requires significant details about the product, including toxicity data and environmental impact studies, akin to the state-level requirement for product specifics. Both necessitate precise labeling information, ensuring that products meet safety standards to protect public health and the environment. Moreover, the fees associated with these applications fund the regulatory activities, including review and approval processes.

The Application for Fertilizer Product Registration in many states mirrors the Tennessee Pesticides form, primarily in its administrative function and purpose. Companies must provide detailed product information, including ingredients and intended use, to ensure compliance with state agricultural standards. There is also a focus on the labeling information and safety data sheets to align with regulatory requirements for environmental protection. These applications contribute to maintaining quality control in the agricultural sector and safeguarding consumer interests by ensuring products are accurately represented and safe for use.

The Hazardous Waste Permit Application shares similarities with the Tennessee Pesticides form, particularly in terms of regulatory compliance and environmental protection. Applicants must submit detailed information about the waste, including its composition and potential hazards, akin to the description of pesticides. Both documents serve to ensure the protection of public health and the environment by regulating potentially harmful substances. Fees associated with these permits support the monitoring and regulatory efforts designed to minimize environmental impact and ensure public safety.

The Food Facility Registration with the Food and Drug Administration (FDA) is another document that bears resemblance to the Tennessee Pesticides form, though it focuses on the food industry. This registration is required for any facility that manufactures, processes, packs, or holds food products intended for consumption in the United States, ensuring that these entities comply with safety and health regulations. Similar to pesticide registration, this process involves providing detailed information about the company and its operations to ensure all products are safe for public consumption.

An application for the Registration of Cosmetic Product Formulation submitted to the FDA shares common ground with the Tennessee Pesticides form by requiring detailed information on product composition and intended use. Both applications demand accuracy in labeling and full disclosure of ingredients to safeguard consumer health. Regulatory compliance is central to these applications, aiming to prevent harmful substances from reaching the market.

The Alcohol and Tobacco Tax and Trade Bureau (TTB) Product Registration Application illustrates another parallel to the Tennessee Pesticides form. Companies must provide detailed descriptions of their products, including content and labeling, to ensure compliance with federal laws. While the focus is on alcohol and tobacco products, the essence of ensuring public safety through regulated product distribution is a shared goal. Fees associated with these applications support the regulatory oversight functions of the TTB.

The Drug Establishment Registration with the FDA also aligns with the Tennessee Pesticides form through its requirement for detailed company and product information. This registration ensures that drug manufacturers comply with regulatory standards for safety and efficacy. Like pesticides, drugs undergo rigorous evaluation before they can be marketed to ensure they pose no harm to public health.

The Occupational Safety and Health Administration (OSHA) Hazard Communication Standard requires companies to report on hazardous chemicals in their workplaces, which correlates with the intentions behind the Tennessee Pesticides form. Both documents are designed to protect health and safety by ensuring that hazardous materials are appropriately labeled and that adequate information is provided to prevent accidental harm.

The application for the registration of a new pet food product with state agricultural departments bears similarity to the Tennessee Pechhes form. Companies must disclose detailed product information, including ingredients and nutritional content, to ensure that pet food meets established safety and health standards. This system helps in regulating the pet food market, ensuring that products are safe and correctly labeled, much like pesticides.

Lastly, the National Pollutant Discharge Elimination System (NPDES) Permit Application, required for any entity discharging pollutants into waters of the United States, shares a regulatory ethos with the Tennessee Pesticides form. Applicants must provide comprehensive details about their discharges, similar to how pesticide registrants detail their products. Both aim to minimize environmental impact and protect public health through stringent regulatory oversight.

Dos and Don'ts

When filling out the Tennessee Pesticides form, it's important to follow certain guidelines to ensure the process is completed correctly and efficiently. Below are some key dos and don'ts to consider:

Do:
  • Include all required documentation and fees with your application to avoid delays. The application must be accompanied by the appropriate fees and any necessary documentation for the product(s) being registered.
  • Ensure the product name and address on the application match those on the pesticide label exactly. Accurate information is crucial for a successful registration.
  • Write clearly and legibly to prevent any misunderstandings or processing errors. If the form is not legible, it may result in the application being delayed or rejected.
  • Double-check the EPA registration number and brand name for accuracy. Mistakes in these critical details can lead to significant issues with your registration.
  • Pay the correct fee amount based on the number of products you are registering. Remember, each product requires a $100.00 fee with additional late fees applicable for renewals or discontinuations after July 31.
  • Certify the application with a signature and date to attest to the accuracy and truthfulness of the information provided.
  • Send the application to the correct address, ensuring it reaches the Tennessee Department of Agriculture's Division of Consumer and Industry Services.
Don't:
  • Miss the deadline for application submission. Applications received after July 31 are subject to a $50.00 late fee per product.
  • Leave sections of the form blank. Incomplete applications can lead to processing delays or outright rejection.
  • Use a company name or address different from the one on the pesticide label in the registration section. Consistency is key to proper registration.
  • Forget to include the registration fee or write a check payable to the wrong entity. Fees must be made payable to the Tennessee Department of Agriculture.
  • Overlook the need for duplicate submissions if you desire a copy of the registration verification from the Department. Submitting a duplicate is essential for receiving a copy for your records.
  • Assume all information is correct without double-checking. Verify every detail, including company contact information and product details, to ensure completeness and accuracy.
  • Disregard the requirement for additional sheets if registering multiple products. Ensure each product is clearly listed, following the form's instructions for attaching additional sheets if necessary.

Misconceptions

Understanding the Tennessee Pesticides Form requires clarity on common misconceptions. Below are seven key points often misunderstood:

  • Every product requires a separate application: While it's true that a fee is required for each product, multiple products can be listed and applied for registration on a single application form, as long as all required documentation and fees for each product are included.
  • Registration is permanent: The registration is only effective until June 30 of each year, necessitating annual renewal. This is a critical detail for companies planning their product distribution schedule.
  • Late fees apply immediately after June 30: A grace period until July 31 exists before late fees are assessed, providing a window for applicants who might miss the June 30 deadline.
  • Any address can be listed for the registrant: The address listed must match the one on the pesticide label. This specificity ensures correspondence and legal documentation are accurately directed.
  • The registration fee is negotiable: The fee is fixed at $100.00 per product, with a $50.00 late fee for each product if the application is late. There is no provision for negotiation or adjustment of this fee.
  • All correspondence is sent to the registrant address: The form clearly provides a section for a separate correspondence address, allowing for a different location to be specified for receiving communication from the Department.
  • Approval is instant: Approval times can vary, and registration is not official until marked as approved by the Department, signified by the "DATE OF APPROVAL" and "APPROVED" sections filled out by the Department only.

These misconceptions can significantly impact the application process and compliance with the Tennessee Department of Agriculture's requirements. Understanding these key points ensures a smoother registration process for pesticides in Tennessee.

Key takeaways

When engaging with the process of registering pesticides in Tennessee, several key aspects demand attention to ensure compliance and successful registration. Here are the important takeaways:

  • The application must be filed with the Commissioner of Agriculture to offer a product for sale or distribution within Tennessee. It underscores the local regulatory oversight on such products.
  • Registration is on an annual basis, with the effective period lasting until June 30 of each year, highlighting the need for annual reassessment and reapplication to ensure continued compliance.
  • A specified fee of $100.00 per product is required, accompanied by a $50.00 late fee for each product renewal or discontinuation if the application is submitted after July 31. This indicates a financial commitment to the process and emphasizes the importance of timely submissions.
  • Payments are made payable to the TENNESSEE DEPARTMENT OF AGRICULTURE, indicating the centralized role this department plays in the process and its position as the recipient of fees associated with pesticide registration.
  • The registrant's information, including firm name, address, and contact details, should reflect what is printed on the pesticide label. This requirement ensures accountability and traceability of the products on the market.
  • There is a section for where correspondence should be sent, allowing for a different address to be listed if the registration is to be handled by another party, such as a parent firm or manufacturer. This flexibility acknowledges the diverse business structures that may be involved in the registration process.
  • A declaration certifying the truth and accuracy of the information provided in the application must be signed by the applicant. This attestation underlines the seriousness of the application process and the legal implications of the information provided.
  • The application must include the EPA Registration Number and the brand name of the product, which may also identify if it is a "Restricted Use Pesticide" (RUP). This requirement links the state process with federal pesticide regulation and emphasizes the need for compliance at both levels.
  • Applicants have the option to submit a duplicate application if they wish to receive a copy from the Department verifying their registration, illustrating the department's effort to ensure transparency and provide registrants with documented confirmation of their application's status.

These key takeaways underscore the structured and regulated process of pesticide registration in Tennessee, designed to verify the safety and compliance of products distributed within the state. Understanding and following these guidelines is essential for any entity looking to register pesticides in Tennessee.

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