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United States Environmental Protection Agency

Instructions for Completing EPA Form 

3540-8 Application for Registration of

a Pesticide-Producing and DeviceProducing Establishment

Purpose of Form

This form is used to register establishments that produce pesticides, devices and active ingredients within 

the United States and that import into the United States.

Information submitted by respondents is used to issue establishment registration numbers. EPA also 

uses this information to identify producing establishments and ensure that pesticides or devices 

produced in the United States or imported into the United States are in compliance with the Federal 

Insecticide, Fungicide and Rodenticide Act (FIFRA).

Authority to Request Information

FIFRA section 7 (7 USC section 136e) requires any person producing any pesticide, device or active 

ingredient used in producing a pesticide in the United States or imported into the United States to be 

registered with the Agency. (Hereinafter “producing establishment.”) The owner of a producing 

establishment must register as required by 40 CFR Part 167. The information must be submitted on the 

Application for Registering a Pesticide-Producing and Device-Producing Establishments (EPA Form 3540-

8).

EPA requires information contained in this application to identify the person(s) legally responsible for 

pesticides, devices or substances to be used as an active ingredient of a pesticide. EPA must ensure that 

pesticides, devices and active ingredients are manufactured in a way that protects human health and the 

environment as required by FIFRA.

The public reporting and recordkeeping burden for this collection of information is estimated to average 

18 minutes per response. Send comments on the Agency's need for this information, the accuracy of the 

provided burden estimates, and any suggested methods for minimizing respondent burden, including 

through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. 

Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, DC 20460. Include 

the OMB control number in any correspondence. Do not send the completed 3540-8 form to the above 

address.
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Who Must Submit this Form

• Any establishment must register if it produces, packages, repackages, labels or relabels a 

pesticide, device or substances used as an active ingredient of a pesticide. Registration must 

occur before production or distribution takes place.

• Any establishment where a substance is produced, packaged, repackaged, labeled or relabeled 

must register with EPA if the producer intends that substance to be used as an active ingredient 

of a pesticide. If the producer has actual or constructive knowledge that the substance will be 

used by any person as an active ingredient of a pesticide, it must register with EPA before 

production or distribution takes place.

• Any domestic establishment producing a pesticide, device, active ingredient or any unregistered 

pesticide for export must register before production or distribution takes place.

• Any foreign establishment producing a pesticide, device or active ingredient for import into 

the United States must register before production or distribution takes place.

• Any establishment, either foreign or domestic, that produces a pesticide or device for use under 

a section 5 of FIFRA—Experimental Use Permit, section 18 of FIFRA— Emergency Exemption or 

section 24(c) of FIFRA—Special Local Need registrations must register before production or 

distribution takes place.

NOTE

Custom blenders are exempt from the establishment registration requirement. Please see the 

Pesticide Establishment Registration and Reporting Questions for more information. 

http://compliance.supportportal.com/link/portal/23002/23009/ArticleFolder/1654/PesticideProducers

General Instructions

• Read all instructions before completing this form.

• Registering an establishment is only required once.

• Print in ink or type when completing the form. If you would like to complete this form 

electronically, an interactive PDF version is available at: 

http://www.epa.gov/compliance/monitoring/programs/fifra/establishments.html.

• You must obtain an EPA Company Number from EPA’s Office of Pesticides Programs (OPP) 

before submitting this application. Please see 

http://www.epa.gov/pesticides/registrationkit/company-num_addr-chg.pdf for information 

on obtaining an EPA Company Number.

• Once you have obtained the EPA company number, then you must submit an EPA Form 3540-8 

(Application for Registration of Pesticide-Producing and Device-Producing Establishment) to 

the applicable EPA office where your company Headquarters office is located to obtain the EPA 
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establishment registration number. For assistance in completing the Form, please contact the 

pesticide establishment coordinator in your area. (See Page 7).

http://www.epa.gov/compliance/contact/monitoring-establish.html

• If you need additional information about your responsibilities as a pesticide or device producing 

establishment, please see Pesticide Establishment—Registration and Reporting Questions at: 

http://compliance.supportportal.com/link/portal/23002/23009/ArticleFolder/1654/PesticideProducers

• Regulations regarding books and records of pesticide and device production and distribution can 

found at 40 CFR Part 169.

How to Complete the Application Form

Company Information

• Item 1—Company Name: Provide the legal name of your company as given to the Office of 

Pesticide Programs (OPP).

• Item 2—EPA Company Number: Provide your EPA FIFRA Company Number as assigned by OPP.

• Item 3—Company Name (doing business as): If you operate your company under a different 

name than that listed in Item 1 (i.e., doing business as), please list it here. For foreign 

establishments, the phrase “trading as” is equivalent to “doing business as.”

• Items 4 to 7—Site Address: Please provide the physical address of the company headquarters 

office of the producing establishment. For foreign establishments, zip code is equivalent to 

postal code, post code or postcode.

• Items 8 to 11—Mailing Address: Please provide the mailing address where EPA can contact you 

about your registered establishments. For foreign establishments, zip code is equivalent to 

postal code, post code or postcode. Note: This address may be different than the address you 

used to obtain your company number.

NOTE

Country Codes for Foreign Pesticide Establishments are available at:

http://www.epa.gov/compliance/resources/publications/monitoring/fifra/fgnestablishments.html 

• Item 12—Phone Number: Please enter the telephone number, including country code, EPA 

should use to contact you about your pesticide establishments.

• Item 13—Ownership Code: Please enter the appropriate ownership code:

1—Individual 

2—Partnership 

3—Cooperative Association
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4—Corporation 

5—Other

• Item 14—eMail: Please enter your eMail address (optional).

• Item 15—State or Country of Incorporation (if incorporated): Please enter the appropriate twoletter state abbreviation or three-letter foreign country abbreviation where the company is 

incorporated. 

Authorized Agent (if applicable)

• Item 16—Authorized Agent Name: If you are the designated authorized agent and you are 

submitting an application on behalf of the company (including foreign) indicated in Item 1, 

provide your name, address, etc. [See 40 CFR Part 152.50(3)]

NOTE

If a foreign company official changes or elects an Authorized Agent to represent their company, they 

must specify the designation on their company letterhead (translated into English). Provide the 

authorized agent’s company name, mailing address and telephone number details in the letter. 

Attach the letter to the application request (EPA Form 3540-8).

In addition, all companies should send a copy of the letter to the Office of Pesticides Programs. It 

may be fax to 703-305-7670.

• Items 17— Authorized Agent Organization: As the designated authorized agent, provide your 

company name.

• Items 18 to 21—Mailing Address: Please provide the mailing address where EPA can contact you 

on behalf of the company and/or establishment. 

• Item 22—Phone Number: Please enter the telephone number EPA should use to contact you 

about the pesticide company and/or establishments.

• Item 23—eMail: Please enter your eMail address (optional).

Signature Certification

• Items 24 and 25—Name and Title of Company Official or Authorized Agent: Please enter the 

name and title of the person who is responsible for the establishment to the requirements of 

FIFRA section 7. Note: If you are the authorized agent submitting this application, please enter 

your name and title.

• Items 26 and 27—Signature of Company Official or Authorized Agent: The company official

and/or authorized agent listed in Item 24 must sign and date the application in order for it to be 

processed. Note: If you are the authorized agent listed in Item 16—23, you must sign and date 

the application in order for it to be processed.
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Establishment Information

NOTE Please complete Items 28 through 34 for each producing establishment you wish to register with EPA. 

You may register establishments in multiple states on this form. 

• Item 28—Establishment Name: Please enter the name of the establishment being registered 

with EPA. 

NOTE Each establishment requesting to be registered must be operated by the company identified in Item 1.

• Items 29 to 32—Site Address: Please provide the physical address, not a post office box or 

route number, where your establishment is located. For foreign establishments, zip code is 

equivalent to postal code, post code or postcode.

• Items 33 to 36—Mailing Address: Please provide the mailing address for the establishment if 

different from the site address (if identical to above, write SAME).

• Item 37—Phone Number: Please enter the phone number for the establishment. For foreign 

establishments, please provide the country code.

• Item 38—eMail: Please enter an eMail address EPA can use to contact the establishment

(optional).

Before You Submit Your Application:

• Did you enter your company number received from the Office of Pesticides Programs? (Item 2)

• Did you remember to sign your application? (Item 26)

• Did you include your company Ownership Code? (Item 13)

• If you are designating an Authorized Agent, is the letter attached? (See note at Item 16)

• Did you include all the Authorized Agent information? (Item 16—23)

• Are you sending your establishment applications to the correct Regional or Headquarters 

contact? (See Page 7)

• If you are changing or electing an Authorized Agent for your Company and/or Establishment, 

did you also notify the Office of Pesticide Programs? (See note at Item 16)

• If more than one page is used to list establishments, please complete the statement, "This is 

page ___ of ___."

• Please proofread your application before submittal. Errors in your application will delay the 

process.
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Where Should I Send my Completed Application?

• Domestic producers should submit the application to the EPA Regional Office where your 

company headquarters is located. (See Page 7)

• Foreign producers should submit the application to the EPA office in Washington, DC. If the 

authorized agent is listed, EPA will send the notification to the authorized agent. (See Page 7)

What Happens after I File this Application?

• Upon receipt of the completed application, EPA will assign a unique number to each establishment 

registered and notify the company or authorized agent of the registration(s). 

• You must submit an initial report on EPA Form 3540-16 (Pesticide Report for Pesticide-Producing and 

Device-Producing Establishments) 

(http://www.epa.gov/compliance/monitoring/programs/fifra/establishments.html) to EPA within 30 

days after receipt of notification of establishment registration. Failure to file the initial report is an 

unlawful act and may result in termination of the establishment’s registration or a civil penalty 

assessment. In addition to the initial report, an annual report is due to EPA by March 1 of every 

year.

• Each producing establishment must place its assigned EPA establishment number on the immediate 

container or label of each pesticide, device or active ingredient produced.

• Your registration will remain effective as long as you file an annual production report (EPA Form 

3540-16) with the Agency. If you wish to terminate your establishment registration, please send a 

letter to EPA using your company letterhead with the request. Failure to report annually as required

may result in termination of your establishment’s registration or a civil penalty assessment (40 CFR 

Part 167).

When Should my Company or Establishment Information be Revised?

• If any information changes after you file your application, you must report to EPA those 

changes in writing on company letterhead or on EPA Form 3540-8 within 30 days. If you 

inform us using 3540-8, please specify what information has changed. 

(http://www.epa.gov/compliance/monitoring/programs/fifra/establishments.html).
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Where to Submit Applications

DOMESTIC PRODUCERS: Submit applications to the following EPA Regional Office where your 

company headquarters is located.

FOREIGN PRODUCERS: Submit applications to the following EPA Washington, DC address:

U.S. Postal Service Mail Address

Michelle Stevenson 

U.S. Environmental Protection Agency 

Pesticides, Waste & Toxics Branch (2225A) 

1200 Pennsylvania Avenue, NW 

Washington, DC 20460-0001 USA 

Telephone: 202-564-4203

Courier Delivery Address 

Michelle Stevenson 

U.S. Environmental Protection Agency 

Pesticides, Waste & Toxics Branch

Ariel Rios Building -- South 

1200 Pennsylvania Avenue, NW, Room 6102 

Washington, DC 20004 USA

EPA Regional Offices

States/Terr. 

Covered EPA Regional Offices

States/Terr. 

Covered

U.S. EPA Region 1 

Kan Tham

Toxics and Pesticides Unit (OES 05-4) 

5 Post Office Square, Suite 100

Boston, MA 02109-3912

Telephone: 617-918-1872

CT, MA

ME, NH

RI, VT

U.S. EPA Region 6

Chuck Ruple 

Pesticides Section (6PD-P)

1445 Ross Avenue

Dallas, TX 75202-2733

Telephone: 214-665-6534

AR, LA

NM, OK

TX

U.S. EPA Region 2

Michael Kramer

Pesticides Team (MS-500) 

2890 Woodbridge Avenue

Edison, NJ 08837-3679

Telephone: 732-321-6610

NJ, NY

PR, VI

U.S. EPA Region 7

Delbert Kelley

Pesticides Section (WWPD/TOPE/PEST)

901 N. 5th Street 

Kansas City, KS 66101-2798

Telephone: 913-551-7371

IA, KS

MO, NE

U.S. EPA Region 3

Kyla Townsend-McIntyre

Pesticides and Asbestos Programs Branch (3LC62)

1650 Arch Street

Philadelphia, PA 19103-2029

Telephone: 215-814-2045

DC, DE 

MD, PA

VA, WV

U.S. EPA Region 8

Kathleen Craig

Enforcement Division (8ENF-PJ)

1595 Wynkoop

Denver, CO 80202

Telephone: 303-312-6049

CO, MT

ND, SD

UT, WY

U.S. EPA Region 4

Mary Summers

Chemical Products & Asbestos Section 

61 Forsyth Street, SW 12th Floor

Atlanta, GA 30303

Telephone: 404-562-8997

AL, FL

GA, KY

MS, NC

SC, TN

U.S. EPA Region 9

Glenda Dugan

Pesticides Office (CED-5)

75 Hawthorne Street

San Francisco, CA 94105-3901

Telephone: 415-947-4204 

AZ, CA

GU, HI

MP, NV

U.S. EPA Region 5

Gail Muffitt

PTCS (LC-8J)

77 W. Jackson Blvd.

Chicago, IL 60604-3507

Telephone: 312-886-6008

IL, IN

MI, MN

OH, WI

U.S. EPA Region 10

Erin Williams

Pesticides and Toxics Unit (OCE-084)

1200 Sixth Avenue, Suite 900

Seattle, WA 98101-1128

Telephone: 206-553-4627

AK, ID

OR, WA