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Health and Safety

Executive

FEPA1 - Non-Agricultural Product Application Form

Requestor Details

Company Details

*Select relevant company type(s), enter details and select Add. The Approval Holder, Marketing Company and Invoice

Company are mandatory.

(eg building name)

(eg street)

(eg district)

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Health and Safety

Executive

FEPA1 - Non-Agricultural Product Application Form

Composition Details - Active and Non-Active Ingredients

Are the non-active ingredients Commercial in Confidence?

*Select whether details are for an active or non-active ingredients and enter the remaining details, select Add. Repeat to add details for more than one composition.

*Composition Type

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Health and Safety

Executive

FEPA1 - Non-Agricultural Product Application Form

Other classification information

Other formulation, packaging and application information

*Product type

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HSE Logo

Health and Safety

Executive

FEPA1 - Non-Agricultural Product Application Form

Packaging and application information

*Enter details below and select Add. Repeat to add more than one set of details.

*Who will use the product?

Use patterns and efficacy claims

If more space is required than is available in any section of this form, please use the additional information field below

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Health and Safety

Executive

FEPA1 - Non-Agricultural Product Application Form

Attachments

Please note, failure to complete this form fully or supply the information requested below will result in a delay in

processing this application.

Please indicate the documents you are attaching and provide details below. Select the Add Attachments button to

create the attachments. A limit of 5 documents is allowed with this application. If you have attachments which cannot be included, please send them to the address available in the ? button

Declaration

Please check your email address below. Ensure that you change if incorrect as this is the email address that your acknowledgement and a copy of the form will be sent to.

I mportant note : You may experience intermittent issues using the ' Add Attachments ' feature. Please bear with us, we are currently investigating and hope to implement a solution as soon as we can.

In the meantime, if you do experience issues, please send your attachment(s) seperately to the following email address

pa.copr@hse.gsi.gov.uk quoting the name of your company and the date you submitted this form.

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