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The California DPR 035 form is an essential tool for pesticide manufacturers and registrants looking to amend their pesticide product registrations. This form facilitates the application process for changes to existing pesticide products, ensuring that all modifications are compliant with state regulations. Key aspects of the DPR 035 include the requirement for accurate applicant information, such as the firm name and contact details of an authorized representative. Additionally, the form necessitates a clear description of the amendment action being requested, whether that involves adding new crops, sites, or uses, or even modifying precautionary statements on the product label. Each application must be accompanied by supporting scientific data, a cover letter detailing the requested changes, and the appropriate amendment fee. By adhering to these guidelines, applicants can streamline the amendment process, ultimately contributing to the safe and effective use of pesticides in California.

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APPLICATION TO

AMEND PESTICIDE PRODUCT

DPR-035 (05/06)

Page 1 of 2

DPR USE ONLY:

Tr. ID#________________________________

Reg. No._______________________________

R.S. Assigned __________________________

Applicant Information

 

Important: Read all instructions before completing this form.

1.

Firm Name

 

 

 

 

 

 

 

 

 

 

 

2.

Mailing Address of Firm

Check box if updated address

City

State

Zip Code

 

 

 

 

 

3.

Street Address (if different from above) or Agent Address

City

State

Zip Code

 

 

 

 

 

 

4.

Name of Authorized Representative

 

 

 

 

 

 

 

 

 

 

5.

Telephone Number of Representative

6. Fax Number

 

7. E-mail Address

 

 

( )

 

( )

 

 

 

 

 

 

 

 

 

 

Product Information

8.Product Brand Name (exactly as shown on label)

9.U.S. EPA Registration Number (or California Registration Number for Spray Adjuvants)

10.Type of California amendment action requested that must be supported by scientific data.

Addition of a crop. Addition of sites or uses. Addition of indoor use.

Adding the first agricultural use for the active ingredient. Adding pests or types of pests not already on the label. Reducing the signal word or the precautionary statements. Other (explain in cover letter).

NOTE: Minor amendments not requiring scientific data are not subject to the fee and do not require an application form.

I certify, under penalty of perjury, that all information submitted on this application to amend pesticide product is accurate and complete.

X_____________________________________ / _____________________________________________/ ____________________

Signature of Authorized Representative

Type or Print Name/Title

Date Signed

Mail completed application to:

For correspondence only: Department of Pesticide Regulation Pesticide Registration Branch P.O. Box 4015

Sacramento, California 95812-4015

For package deliveries, Fed Ex, etc: Department of Pesticide Regulation Pesticide Registration Branch

1001 I Street

Sacramento, California 95814-2828

DPR USE ONLY:

RC# _______________________________

_______________________________

Fee$ ______________________________

_______________________________

RC Date ___________________________

_______________________________

Date Received ______________________

_______________________________

OK by _____________________________

Date Licensed____________________

Returned __________________________

________________________________

Instructions for

APPLICATION TO

AMEND PESTICIDE PRODUCT

DEPARTMENT OF PESTICIDE REGULATION

PESTICIDE REGISTRATION BRANCH (916) 445-4400

DPR-035 (05/06)

Page 2 of 2

INCOMPLETE FORMS WILL NOT BE PROCESSED.

If any section does not apply to your product, please mark it N/A. A separate application form must be completed for each amendment for each product brand name. If you need further assistance, contact the Pesticide Registration Branch at (916) 445-4400.

PRODUCT INFORMATION

1.Firm Name: This must be the same as on file with U.S. EPA.

2.Firm Mailing Address: Correspondence, licenses, notices, etc. will be sent to this address.

4.Name of Authorized Representative: The person who is authorized to answer any questions about your application for registration. Generally, this is the person who prepares the application. If the person is an agent, a letter from the firm authorizing

the agent to act on their behalf is required.

7.E-mail address: In accordance with California Notice to Registrants 2005-4, supplying DPR with this information will automatically enroll the applicant (firm or agent) into the automatic notification program. Applicants that do not wish to receive these automatic email updates must specify this in their cover letter or on the application form.

8.Product Brand Name: This must be EXACTLY the same as the brand name registered (or, if applicable, received) by U.S. EPA and the same as on the product labeling. The product brand name cannot be the same as another product, within the same company, with a different formulation. Do not include symbols used in place of words that are part of the brand name (e.g. @, TM, *, (R), etc.).

9.U.S. EPA Registration Number: Required unless product is exempt from, or does not require, registration under the Federal Insecticide Fungicide and Rodenticide Act (FIFRA) such as spray adjuvant. For a spray adjuvant, the California Registration

Number is required.

10.Type of California Amendment Action Requested:

*Adding sites or uses:

*Adding a crop:

*Adding indoor use:

*Adding the first agricultural use for the active ingredient:

*Adding pests or types of pests not already on the label:

*Reducing the signal word or the precautionary statements:

*Other: Please attach a cover letter explaining the type of registration action requested.

An Amendment Application Package must include the following:

A cover letter describing the type of amendment action requested and what is being submitted to DPR.

A completed “Application to Amend Pesticide Product” form. Make sure your amendment form is complete and signed. Keep a photocopy for your records.

An amendment application fee of $100.00 is required. The fee applies to all amendment actions that must be supported by scientific data, regardless of whether DPR reviews the data. Make check or money order payable to “Department of Pesticide Regulation.” Six (6) copies of the product labeling. Typescript labeling may be submitted if printed labels are not yet available; printer's proofs or final printed labels are required prior to acceptance of the amendment. Copy of U.S. EPA - stamped accepted label, and one copy of the U.S. EPA Notice of Registration, if applicable.

One copy of the data required by California regulations (Title 3 CCR §6170).

If not submitting data, include in your cover letter a reference to specific data on file with DPR or identification of a pesticide product(s) previously approved by the Director that would be subject to some or all of the same data requirements as applicable to the applicant’s product. NOTE: Applicant’s that rely upon data owned by another

company may, pursuant to FAC §12811.5, have certain obligations to the data owner in specifically defined situations. For further information, please refer to <http://www.cdpr.ca.gov/docs/legbills/ab1011/ resource.htm>.

Information Available on the Internet

Information about the California laws and regulations governing pesticide registration, as well as Department notices, policies and procedures is available on the internet at <http://www.cdpr.ca.gov>. Information on currently registered products, registrants, telephone numbers for Department staff, and other information is also available at this site.

Persons interested in receiving notices specific to registration issues must subscribe to the e-mail list or access the “California Notices to Registrants” web page found on the Departments’ website.

To subscribe to “California Notices to Registrants” for e-mail delivery, visit the E-List page at <http://www.cdpr.ca.gov/docs/listserv/listdesc.htm>, and click on the subscribe link under the list name. An alternate method of subscribing is to send an e-mail to [email protected] and put the word “subscribe” in the subject line. You will receive an e-mail, welcoming you to the list. To access new and historical notices via the Internet, see <http://www.cdpr.ca.gov/docs/canot/camenu.htm>.

Form Specifications

Fact Name Description
Form Purpose The DPR-035 form is used to apply for amendments to pesticide product registrations in California.
Governing Law This form is governed by the California Food and Agricultural Code, specifically FAC §12811.5.
Submission Requirements Applicants must submit a completed form, a cover letter, and a $100 amendment application fee.
Contact Information The Department of Pesticide Regulation can be contacted at (916) 445-4400 for assistance.
Signature Requirement The form must be signed by an authorized representative of the firm, certifying the accuracy of the information provided.
Data Requirements Scientific data must support the amendment action requested, except for minor amendments that do not require a fee.
Email Notifications Providing an email address allows the applicant to receive automatic notifications from the Department of Pesticide Regulation.

California Dpr 035: Usage Guidelines

Completing the California DPR 035 form is essential for amending a pesticide product. Following the steps below ensures that the application is filled out correctly and submitted without delays.

  1. Firm Name: Enter the name of your firm as it appears on file with the U.S. EPA.
  2. Mailing Address: Provide the mailing address of your firm. Check the box if this address has been updated.
  3. Street Address: If different from the mailing address, include the street address or the agent's address.
  4. Authorized Representative: Fill in the name of the authorized representative who will handle inquiries about the application.
  5. Telephone Number: Include the representative's telephone number.
  6. Fax Number: Provide the representative's fax number.
  7. E-mail Address: Enter the representative's email address to enroll in the automatic notification program.
  8. Product Brand Name: List the product brand name exactly as it appears on the label.
  9. U.S. EPA Registration Number: Include the U.S. EPA registration number or California registration number for spray adjuvants.
  10. Type of Amendment Action: Indicate the type of amendment action requested and provide supporting scientific data if necessary.
  11. Certification: The authorized representative must sign and date the application, certifying that all information is accurate and complete.

After completing the form, gather the necessary documents and fees. Send the application to the appropriate address as specified in the instructions. Ensure all required materials are included to avoid processing delays.

Your Questions, Answered

What is the California DPR 035 form used for?

The California DPR 035 form is an application used to amend pesticide product registrations. It allows manufacturers or representatives to request changes to their pesticide products, such as adding new uses, crops, or pests. This form ensures that any amendments comply with state regulations and are supported by scientific data when necessary.

Who needs to fill out the DPR 035 form?

Any firm that wishes to amend a registered pesticide product in California must complete this form. This includes manufacturers, distributors, or agents authorized to act on behalf of the firm. It is essential that the information provided is accurate and complete to avoid delays in processing.

What information is required on the form?

The form requires several key pieces of information, including the firm name, mailing address, product brand name, and the U.S. EPA registration number. Additionally, the applicant must specify the type of amendment action being requested and provide the name and contact information of an authorized representative.

What types of amendments can be requested?

Applicants can request various types of amendments, such as adding new crops or uses, including indoor applications, or reducing precautionary statements on the label. Each request must be supported by scientific data, except for minor amendments that do not require such data.

Is there a fee associated with submitting the DPR 035 form?

Yes, there is a fee of $100.00 for submitting the DPR 035 form. This fee applies to all amendment actions that require scientific data. Payment should be made via check or money order, payable to the Department of Pesticide Regulation.

How should the completed form be submitted?

The completed form should be mailed to the Department of Pesticide Regulation at the address specified for package deliveries. It's important to ensure that all required documents, including a cover letter and product labeling, are included with the submission to avoid processing delays.

What happens if the form is incomplete?

If the form is incomplete, it will not be processed. Applicants should carefully review all sections of the form before submission. If a section does not apply, marking it as N/A is necessary to indicate that it has been considered.

Where can I find more information about pesticide registration in California?

Additional information regarding California pesticide registration can be found on the Department of Pesticide Regulation's website. This includes details about laws, regulations, and notices related to pesticide products. You can also subscribe to email notifications for updates on registration issues.

Common mistakes

  1. Incomplete Information: One of the most common mistakes is failing to provide complete information in the required sections. Each section must be filled out accurately, and if a section does not apply, it should be marked as N/A. Incomplete forms will not be processed.

  2. Incorrect Product Brand Name: Applicants often misstate the product brand name. It must match exactly with what is registered with the U.S. EPA. Omitting symbols or using different formulations can lead to rejection of the application.

  3. Missing Authorized Representative Details: Some applicants neglect to include the name of the authorized representative. This person should be able to answer questions about the application. If the representative is an agent, a letter of authorization is necessary.

  4. Failure to Include Required Fees: The application requires a fee of $100 for amendments that need scientific data. Not including this fee can delay processing or result in rejection of the application.

Documents used along the form

When submitting the California DPR 035 form to amend a pesticide product, several other documents may be required to ensure a complete application. Below is a list of forms and documents that are often used in conjunction with the DPR 035 form.

  • Cover Letter: This letter outlines the specific amendment action requested and provides additional context for the application. It should detail what changes are being made and why they are necessary.
  • Product Labeling: Six copies of the product labeling must be submitted. If final printed labels are not available, typescript labeling can be provided initially, but final labels will be required before acceptance.
  • U.S. EPA Stamped Accepted Label: A copy of the label that has been accepted by the U.S. EPA is necessary for reference and validation of the product's registration status.
  • U.S. EPA Notice of Registration: This document provides proof of the product's registration with the U.S. EPA, confirming compliance with federal regulations.
  • Data Submission: Any scientific data required by California regulations (Title 3 CCR §6170) must be included. If no new data is submitted, the cover letter should reference existing data on file with DPR.
  • Application Fee: A fee of $100.00 is required for amendment actions that need scientific data. This fee must accompany the application and can be paid by check or money order.
  • Agent Authorization Letter: If an agent is submitting the application on behalf of the firm, a letter must be included to authorize their representation.
  • Proof of Prior Approvals: If applicable, documentation showing previous approvals for similar products may be submitted to support the amendment request.
  • Contact Information: Ensure that the contact details for the authorized representative are accurate and up to date, as this person will be the point of contact for any inquiries regarding the application.

Having these documents ready can streamline the amendment process and help avoid delays. Always check the specific requirements for your application to ensure compliance with California regulations.

Similar forms

The California DPR 035 form is used to apply for amendments to pesticide product registrations. Several other documents serve similar purposes in the realm of pesticide regulation and product registration. Here are ten documents that share similarities with the DPR 035 form:

  • Application for Pesticide Registration (DPR-001): This form is used to register a new pesticide product. Like the DPR 035, it requires detailed product information and compliance with regulatory standards.
  • Application for Pesticide Label Amendment (DPR-002): This document is specifically for making changes to existing pesticide labels. It focuses on label content, similar to how the DPR 035 addresses product amendments.
  • Notice of Intent to Use Pesticides (DPR-003): This form notifies the regulatory body of planned pesticide applications. It shares the need for transparency and compliance with regulations, akin to the DPR 035.
  • Application for Experimental Use Permit (DPR-004): This document is for requesting permission to conduct tests on new pesticide products. Both forms require scientific data to support the application.
  • Pesticide Product Registration Renewal Application (DPR-005): This form is used to renew pesticide registrations. It involves updating product information, similar to the amendment process in the DPR 035.
  • Application for Special Local Need Registration (DPR-006): This document allows for pesticide use under specific local conditions. It requires justification and data, reflecting the amendment requirements of the DPR 035.
  • Application for Pesticide Registration Exemption (DPR-007): This form is for products that may not require full registration. It shares the goal of ensuring compliance with pesticide regulations.
  • Application for Pesticide Product Cancellation (DPR-008): This document is used to request the cancellation of a pesticide product registration. Both forms involve regulatory oversight and require formal submissions.
  • Application for Emergency Exemption (DPR-009): This form is for requesting temporary use of a pesticide under emergency conditions. It also necessitates supporting data, similar to the DPR 035.
  • Application for Pesticide Labeling Change (DPR-010): This document focuses on changes to pesticide labeling requirements. Like the DPR 035, it aims to ensure that products meet current regulatory standards.

Each of these documents serves a specific purpose within the regulatory framework for pesticides, yet they share common elements such as the need for accurate information and adherence to established guidelines.

Dos and Don'ts

When filling out the California DPR 035 form, it is crucial to follow specific guidelines to ensure your application is processed smoothly. Here are four essential dos and don’ts to keep in mind:

  • Do read all instructions carefully. Understanding the requirements will help you avoid mistakes that could delay your application.
  • Do provide accurate and complete information. Each section must be filled out correctly to prevent your application from being deemed incomplete.
  • Don’t forget to include a cover letter. This letter should explain the type of amendment action you are requesting and what documents you are submitting.
  • Don’t use symbols or abbreviations in the product brand name. Ensure that the name matches exactly as it appears on the label, without any modifications.

By adhering to these guidelines, you can enhance the likelihood of a successful application process. Proper preparation and attention to detail are key elements in navigating the complexities of pesticide product amendments.

Misconceptions

Misconceptions about the California DPR 035 form can lead to confusion and delays in the amendment process. Here are six common misunderstandings:

  • The form is only for new pesticide products. Many believe that the DPR 035 form is solely for new registrations. In reality, it is specifically designed for amending existing pesticide products.
  • Minor changes do not require this form. Some think that small updates, like changing a phone number, can be made without submitting the form. However, any amendment that alters the product's label or usage requires the DPR 035 form.
  • Scientific data is always necessary. There is a misconception that all amendments require scientific data. In fact, minor amendments that do not require such data are exempt from both the fee and the application form.
  • Only the applicant needs to sign the form. Many assume that only the applicant's signature is sufficient. The form must be signed by an authorized representative, ensuring accountability for the information provided.
  • The application fee is optional. Some individuals believe that the $100 application fee can be waived. This fee is mandatory for all amendments that require scientific data, regardless of the outcome of the review.
  • All correspondence will be sent to the applicant's address. It is often thought that only the applicant will receive important notifications. However, correspondence will be sent to the mailing address provided, which may not always be the applicant's.

Key takeaways

When completing the California DPR 035 form for amending a pesticide product, there are several important points to keep in mind. Here are key takeaways that can help streamline the process:

  • Read Instructions Carefully: Before filling out the form, ensure you understand all instructions provided. This will help avoid mistakes that could delay processing.
  • Complete All Sections: Fill out every applicable section. If a section does not apply, mark it as N/A. Incomplete forms will not be processed.
  • One Form per Amendment: A separate form is required for each amendment action related to each product brand name.
  • Accurate Firm Name: The firm name must match the name on file with the U.S. EPA. Any discrepancies can lead to issues.
  • Mailing Address Importance: The mailing address provided will be used for all correspondence, licenses, and notices. Make sure it is current.
  • Authorized Representative: Identify the person authorized to answer questions regarding the application. This is typically the individual who prepares the application.
  • Email Enrollment: Providing an email address enrolls the applicant in the automatic notification program. If you prefer not to receive updates, specify this in your cover letter.
  • Product Brand Name: Ensure the product brand name is exactly as registered with the U.S. EPA. Avoid using symbols in place of words.
  • Amendment Action Types: Clearly specify the type of amendment action requested, as this determines the required supporting data.
  • Application Fee: A fee of $100 is required for amendments needing scientific data. This fee applies regardless of whether DPR reviews the data.

By following these takeaways, applicants can facilitate a smoother experience when submitting the DPR 035 form for pesticide product amendments.