Administrative Changes in Contact Information for Registered Pest Control Products

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

To request an administrative change in registrant information on the product Register, attach a list containing the affected pest control product registrations, and any open applications (to register or amend a registration) submitted under the name of the current registrant. Please refer to the change options presented below, and ensure the accompanying legal documentation is provided.

To change registrant's name and/or address Sections 1a & b
To change regulatory mailing address or Canadian Representation Sections 1a & 2
To change registration ownership Sections 1a & b & 2

1. REGISTRANT NAME AND ADDRESS

a) CURRENT name and address on record with the PMRA

  (appears on all labels)

b) NEW name and address / NEW registrant

 (transfer of ownership)

Principal contact at this address
2. Regulatory mailing address for registrant following completion of admin. change
Principal contact at this address
Signing Officer
In requesting this change, the registrant identified in 1b above (or 1a in the event of a regulatory mail change), 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 1b above (or 1a in the event of a regulatory mail change), 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.
Privacy Notice Statement