Form MJ21-1004 Pesticide / Solvent Failure Notification - Oregon

Form MJ21-1004 Pesticide / Solvent Failure Notification - Oregon

What Is Form MJ21-1004?

This is a legal form that was released by the Oregon Liquor and Cannabis Commission - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MJ21-1004?
A: Form MJ21-1004 is a Pesticide/Solvent Failure Notification form used in Oregon.

Q: What is the purpose of Form MJ21-1004?
A: The purpose of Form MJ21-1004 is to report the failure of a pesticide or solvent used in Oregon.

Q: Who needs to use Form MJ21-1004?
A: Any individual or entity that experiences a pesticide or solvent failure in Oregon needs to use Form MJ21-1004.

Q: When should Form MJ21-1004 be submitted?
A: Form MJ21-1004 should be submitted within 48 hours of discovering the failure of a pesticide or solvent.

Q: Is there a fee for submitting Form MJ21-1004?
A: No, there is no fee for submitting Form MJ21-1004.

Q: What information is required on Form MJ21-1004?
A: Form MJ21-1004 requires information such as the name of the pesticide or solvent, the manufacturer, the date of failure, and a description of the failure.

Q: Are there any penalties for not submitting Form MJ21-1004?
A: Yes, failure to submit Form MJ21-1004 can result in penalties or enforcement actions by the Oregon Department of Agriculture.

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Form Details:

  • Released on September 23, 2021;
  • The latest edition provided by the Oregon Liquor and Cannabis Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MJ21-1004 by clicking the link below or browse more documents and templates provided by the Oregon Liquor and Cannabis Commission.

Download Form MJ21-1004 Pesticide / Solvent Failure Notification - Oregon

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