Application - Extension of authorisation for minor uses
(plant protection product)
According to Regulation (EC) No 1107/2009
Product information
The numbers in the drop down list refers to the numbers in the price list with application fees for plant protection products.
If the product contains GMO, please contact the Swedish Chemicals Agency for more information
If the product contains nematodes, insects or arachnids, please use the application form MIP-0007-E.
No. / Information /1 / Name of the product / Authorisation no.
2 / Type of product
<Choose alternative>Chemical (no. 27)Biological (no. 40) / Function
<Choose alternative>AC - AcaricideAT - AttractantBA - BactericideDE - DesiccantEL - ElicitorFU - FungicideHB - HerbicideIN - InsecticideMO - MolluscicideNE - NematicideOT - Other treatmentPA - Plant activatorPG - Plant growth regulatorPruningRE - RepellantRO - RodenticideST - Soil treatmentVI - Virus inoculation / Additional function (if applicable)
<Choose alternative>AC - AcaricideAT - AttractantBA - BactericideDE - DesiccantEL - ElicitorFU - FungicideHB - HerbicideIN - InsecticideMO - MolluscicideNE - NematicideOT - Other treatmentPA - Plant activatorPG - Plant growth regulatorPruningRE - RepellantRO - RodenticideST - Soil treatmentVI - Virus inoculation
3:1 / Active substance/organism 1 / CAS no./Strain and culture collection 1
3:2 / Active substance/organism 2 / CAS no./Strain and culture collection 2
3:3 / Active substance/organism 3 / CAS no./Strain and culture collection 3
Signature[1]
4 / Applying company / DateSignature / Printed name
Send the documentation[2] to:
Swedish Chemicals Agency
Box 2
SE-172 13 Sundbyberg, Sweden
or to: / Payment[3]:
The Swedish Chemicals Agency makes a decision on the application fee and sends the decision together with an invoice. The invoice states the amount to be paid and how to pay it.
A list of application fees is available at KemI’s website. There is also a tool that helps you estimate the fee.
Applicant
Application for extension for minor uses may be submitted by official or scientific bodies involved in agricultural activities, professional agricultural organisations and professional users. The application may also be submitted by the authorisation holder or their permanent representative.
No. / Information /5 / Name / Company´s registration no. (see no. 6 below)
Address / Telephone no. (incl. country code)
Postal code and town / Contact person
Country / E-mail address
6 / A company/corporation certificate should be submitted by all companies that have no previously authorised plant protection product in Sweden. Company/corporation certificates can also be required if there have been changes since the last product authorisation or if more than 6 months has elapsed since the last application was filed.
Applying company´s/corporation´s certificate is attached
Temporary representative (if applicable)
Representing the authorisation holder (i.e. the applicant in no. 5 above) only during the application procedure
No. / Information /7 / Company name / Company´s registration no.
Address / Telephone no. (incl. country code)
Postal code and town / Contact person
Country / E-mail address
8 / A representative should prove the appointed level of representation by the applicant in original.
Power of attorney as temporary representative is attached
Invoicing address for application fee
No. / Information /9 / Application fee will be paid by
Authorisation holder
Temporary representative
Permanent representative
Official or scientific bodies involved in agricultural activities/ professional agricultural organisations/ professional users
Invoicing address / Contact person (name/e-mail/tel)
Postal code and town / Country
Description of application
An application for label extension may require a new assessment where some or all of the data requirements for an application for authorisation/re-authorisation of a plant protection product have to be met.
No. / Information /10 / Extended crop(s) / Extended pest(s)
11 / Dose/ha / Dose active substance/ha / Number of applications / Time between applications (days)
12 / Growth stage at application (BBCH) / Post harvest interval (PHI) / Estimated cultivated area of the crop
13 / When submitting data required according to sections 3.1 – 3.8, Regulation (EU) No545/2011, please use a GAP-table in accordance with the guidance on draft Registration Reports.([4])
GAP-table is attached
14 / Instruction for use
Complete instruction for use, with both present and extended use areas (in national language)
is attached (if the applicant is the same as the holder)
Instruction for use with only the extended use areas (in national language)
is attached (if the applicant is another party than the holder)
Annexes
Please observe that all of the studies referred to in this application must be made available to the Swedish Chemicals Agency in full text, including those where access is provided through a Letter of Access. A Letter of Access should in relevant cases be attached to this application.
Data requirements according Regulation (EU) No545/2011 must be met either by new documentation or by a justification showing that the original assessment covers the intended amendment.
See No. / Issue / Comments / Attached? / Annex No /Yes / No /
6 / Applying company´s/corporation´s certificate
8 / Power of attorney – temporary representative
13 / GAP-table
14 / Complete instruction for use
14 / Instruction for use, extended use areas
4 (4)
[1] If the signature is done by someone other than the applying company, a power of attorney confirming the right to sign the application on behalf of the applicant should be submitted.
[2] The first page of this application form and Letter of Access should be submitted as signed originals. All other documents, including the remainder of the application form, can be delivered on CD or in another digital form.
[3] According to Ordinance (2013:63) on Pesticide Fees
[4]() Guidance document on the presentation and evaluation of dossiers according to annex III of Directive 91/414/EEC in the format of a (draft) Registration Report - Annexes (doc. SANCO/6895/2009)