|Classification / Identification:|
| ||Form Number:||012-2037||Edition date: ||2009/04 |
| ||Title:||Farmer Self Declaration to Enable Purchase of a Class 4 Pesticide|
| ||Ministry:||Environment, Conservation and Parks|| || |
| ||Branch/ABC:||Standards Development Branch|| || |
| ||Program:||Pesticides Management Section|| || |
| ||Purpose of Form:||A farmer who is not qualified under S. 43(1)(c) and (d) 2 of the regulation but operates or owns an agricultural operation must present this form to a licensed vendor in order to purchase a Class 4 pesticide for use on the agricultural operation.|| || |
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