CHAPTER 17 - FORMS, AND HOW TO OBTAIN THEM


     The various forms required to be submitted with various
types of applications for registration, experimental use permits
and distributors are listed below.  

     Copies of the following forms may be obtained, FREE OF CHARGE,
from:
      Registration Support Branch
      Registration Division (H7505C)
      Office of Pesticide Programs
      Washington,  DC  20460.

Telephone: 1-703-305-7700.

EPA FORM          TITLE

8570-1            Application for Pesticide
                  Registration/Amendment (Revised 12-90,
                  previous editions are obsolete)

8570-4            Confidential Statement of Formula (Revised 
                  12-90, previous editions are obsolete)

8570-5            Notice of Supplemental Registration of
                  Distributor (Revised 8-91, previous editions
                  are obsolete)

8570-17           Application for an Experimental Use Permit to
                  Ship and Use a Pesticide for Experimental
                  Purposes Only (Revised 2-91, Previous
                  editions may be used until supply is
                  exhausted)

8570-20           Data Reference Sheet (1-91)

8570-25           Application for/Notification of State
                  Registration of a Pesticide to Meet a Special
                  Local Need (12-87)

8570-27           Formulator's Exemption Statement (7-91)

8570-28           Certification of Compliance with Data Gap
                  Procedures (1-91)

8570-29           Certification with Respect to Citation of
                  Data (7-91)

8570-31           Certification With Respect to Data
                  Compensation Requirements (4-90)              
                       
8570-32           Certification of Offer to Cost Share in the
                  Development of Data with Other Registrants    
                  (05-91)

8580-1            FIFRA Section 3(c)(2)(B) Summary Sheet

8580-4            Product Specific Data Report



     The following forms may be obtained, FREE OF CHARGE, from:

     Office of Compliance Monitoring (EN-342)
     401 M Street, SW
     Washington DC, 20460

or your EPA regional office.  See Chapter 18 for a listing of the
Regional Offices.

EPA FORM          TITLE

3540-1            Notice of Arrival of Pesticides or Devices

3540-8            Application for Registration of Pesticide-
                  Producing Establishments


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|| CERIS-Net Users NOTE:                                           ||
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|| The following text appears in the original EPA document:        ||
||                                                                 ||
||    "Graphic representation copies of the above forms are        ||
|| presented below in Figures 17-1 through 17-15.  You should note ||
|| that the forms represented below are for ILLUSTRATION PURPOSES  ||
|| ONLY and should not be used when submitting an application to   ||
|| the Agency."                                                    ||
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||                                                                 ||
|| The nature of the original documents in graphics format makes   ||
|| display on a terminal inappropriate.  The documents included in ||
|| the original EPA document are not included in this version. A   ||
|| list of those documents appears below.  As indicated at the     ||
|| beginning of this Chapter, all these documents may be ordered   ||
|| at no cost from the Environmental Protection Agency addresses   ||
|| specified.                                                      ||
||                                                                 ||
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FIGURE 17-1   EPA Form 8570-1  (Rev. 12-90)
FIGURE 17-2   EPA Form 8570-4  (Rev. 12-90)
FIGURE 17-3   EPA Form 8570-5  (Rev. 2-92)
FIGURE 17-4   EPA Form 8570-17 (Rev. 2-91)
FIGURE 17-5   EPA Form 8570-20 (Rev. 1-91)
FIGURE 17-6   EPA Form 8570-25 (Rev. 12-87)
FIGURE 17-7   EPA Form 8570-27 (Rev. 7-91)
FIGURE 17-8   EPA Form 8570-28 (Rev. 1-91)
FIGURE 17-9   EPA Form 8570-29 (Rev. 7-91)
FIGURE 17-10  EPA Form 8570-31 (Rev. 4-90)
FIGURE 17-11  EPA Form 8570-32 (Rev. 5-91)  (Replaces EPA Form 8580-6)
FIGURE 17-12  EPA Form 8580-1  (Rev. 10-82)
FIGURE 17-13  EPA Form 8580-4  (Rev. 5-88)
FIGURE 17-14  EPA Form 3540-1  (Rev. 5-77)
FIGURE 17-15  EPA FORM 3540-8  (Rev. 10-81)