Change in or Request for Registrant Information

Table of contents

Privacy Notice Statement

Health Canada
Collection and use of personal information in this application is in accordance with the federal Privacy Act.

The personal information you provide is collected under the authority of section 6(1)(a) of the Pest Control Product Regulations for the purpose of contacting the applicant in regards to the application and to communicate any decisions and outcomes of the application.

The Privacy Act gives you the rights of access to, correction of and protection of your personal information. For further information about this Privacy statement please contact Health Canada’s Access to Information and Privacy Coordinator by email at atip-aiprp@hc-sc.gc.ca.

Form

In accordance with the accompanying legal documentation, please update administratively the Register to reflect the registrant’s new name / new registrant for the attached list of pest control product registrations and open applications to register a new product or to amend a registration submitted under the name of the current registrant. If requesting only the company code, and not making any administrative updates, simply complete sections 1. and 4.

1. FROM: (current registrant name and address on record with the PMRA)
2. TO: (registrant's new name/ proposed new registrant's name and contact information)
Principal contact at this address
3. Regulatory mailing address for registrant following completion of admin. change
Principal contact at this address
4. Signing Officer
In requesting this change, the registrant identified in 2 above, assumes full responsibility for the registrations (and any open applications) and undertakes to comply with the conditions of registration and any outstanding data requirements. The registrant identified in B above, also confirms that the marketplace label of affected marketed products will be reprinted to reflect the new registrant name and contact information within one year of the date the PMRA acknowledges completion of the change request. NOTE: This attestation must be signed by an officer of the registrant company that has changed its name, or by an officer of the proposed new registrant in the case of a change in registrant.
Privacy Notice Statement