US Environmental Protection Agency Office of Pesticide Programs EPA/OPP DfE Accepted Formulations Certification Statement Updated January 2015 ------- EPA/OPP DfE Accepted Formulations Certification Statement Company agrees to the following terms and conditions for this product (product name, EPA Reg. No. XXXXXX-XXXXX) to participate in the EPA's Office of Pesticide Programs (EPA/OPP) Design for the Environment (DfE) labeling logo program: I certify that the Confidential Statement(s) of Formula (CSF) submitted with this action is/are identical to the formulation(s) submitted to the DfE labeling logo program for review with the application submitted on MM 1)1) YYYY, for evaluation by the EPA/OPP DfE program. The formulation(s) submitted and approved are: • Basic/Alternate CSF, dated MM 1)1) YYYY, which is identical to the formulation referred to as product name in the DfE Partnership Agreement, dated MM/DD/YYYY. • Basic/Alternate CSF, dated MM 1)1) YYYY, which is identical to the formulation referred to as product name in the DfE Partnership Agreement, dated MM/DD/YYYY. Company Representative: Date: Representative Name Representative Title ------- |