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.
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.
Form Details:
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.