MIP-0033-E

Application for mutual recognition of a plant protection product

According to article 40 in Regulation (EC) No 1107/2009

Application for mutual recognition of a plant protection product

Please consult our national guidance document on mutual recognition, which can be found on the Swedish Chemical Agency’s website, kemi.se, before submitting your application.

The first page of this application form shall be submitted as a signed original. All other documents, including the remainder of this application form may be submitted in digital form, preferably through any cloud service.

Signature

If the signature is done by someone other than the applying company, a power of attorney confirming the right to sign the application on behalf of the applicant, shall be submitted.

Product name	Product code
Applying company	Date
Signature
Name

Postal address

Swedish Chemicals Agency
Box 2
SE-172 13 Sundbyberg
Sweden
Delivery address

Swedish Chemicals Agency
Löfströms Allé 5
SE-172 66 Sundbyberg
Sweden

Submission of documentation

Please use a safe file share service to submit the remainder of the documentation. If you wish to use our file share service, please contact kemi@kemi.se. You may also submit the documentation on, for example, CD. In that case, please use the above address. The first two pages of this application form shall be submitted as a signed original. All other documents, including the remainder of this application form, may be submitted in digital form, preferably through any cloud service.

Application overview

Product name in Sweden	Product code
Type of product (more than one option may be applicable) Chemical Microorganism Low-risk product	Authorisation granted by Reference Member State in same zone (northern or inter zonal) Reference Member State in another zone
Note: The Swedish Chemicals Agency does no longer accept applications for mutual recognition of plant protection products containing a candidate for substitution. Active substance approved as ☐ Candidate for substitution Low risk substance
Total cultivated area available for the product in Sweden < 3000 ha? If yes, a justification of the statement should be submitted Yes No
Are you an official or scientific body involved in agricultural activities or a professional agricultural organisation? If yes, a justification regarding general interest should be submitted. Yes No

Reference authorisation

Product name in reference Member State	Authorisation no. in the reference MS
Reference Member State
Authorisation holder in reference Member State
Date of authorisation (dd month yyyy) Click or tap to enter a date.	Date of expiry (dd month yyyy) Click or tap to enter a date.

Applicant

Current or future authorisation holder, i.e. the party responsible for initial placing of the plant protection product on the market

Name	Company´s registration no. (see below)
Address	Telephone no. (incl. country code)
Postal code and town	Contact person
Country	E-mail address
A company/corporation certificate shall be submitted by applicants that have not previously submitted an application to the Swedish Chemicals Agency. A company/corporation certificate is also required, if there has been changes since the previous certificate was submitted. Company´s/corporation´s certificate is attached

Temporary representative (if applicable)

Representing the authorisation holder (i.e. the applicant above) only during the application procedure. The authorisation holder is fully responsible for placing the plant protection product on the market.

Company name	Company´s registration no. (see below)
Address	Telephone no. (incl. country code)
Postal code and town	Contact person
Country	E-mail address
A representative shall prove the appointed level of representation by the applicant in original. Power of attorney as temporary representative is attached

Permanent representative (if applicable)

Representing the authorisation holder (i.e. the applicant above) during the authorisation period (“ombud” in Swedish)

Company name	Company´s registration no. (see below)
Address	Telephone no. (incl. country code)
Postal code and town	Contact person
Country	E-mail address
A company/corporation certificate shall be submitted by applicants that have not previously submitted an application to the Swedish Chemicals Agency. A company/corporation certificate is also required, if there has been changes since the previous certificate was submitted. Representing company’s/corporation’s certificate is attached
A representative shall prove the appointed level of representation by the applicant in original. Power of attorney as permanent representative is attached

Invoicing information for application fee

On our website, there is a tool and a list that can give you an estimate of the application fee.

Company name	VAT no.
Invoicing address	Contact person (name/e-mail/tel)
Postal code and town	Country
Peppol-invoice	Peppol-invoice no.
Invoice reference (purchase order no./your reference)

Product information

Function	Additional function (if applicable)
Active substance/organism 1	CAS no./Strain and culture collection 1	Concentration (in g/kg, g/L or %)
Active substance/organism 2	CAS no./Strain and culture collection 2	Concentration (in g/kg, g/L or %)
Active substance/organism 3	CAS no./Strain and culture collection 3	Concentration (in g/kg, g/L or %)

Information to be submitted in support of the application

Information	Attached
Copy of the authorisation in the reference Member State, as well as a translation into English or Swedish
The reference MS registration report, in English
The complete dossier referred to in Article 42.1 c
Part A for Sweden
National addenda for Sweden including relevant studies and study reports, if applicable
Swedish GAP
Swedish label in Swedish
Reference MS Label

Data access

Is data submitted in supported of the application protected in Sweden and not owned by you? Yes No If yes A Letter of Access shall be submitted

Request that certain information should be treated confidential

You may request that certain parts of the information submitted with the application should be treated as confidential. The form to be used is available in the Guidance document on zonal evaluation and mutual recognition, withdrawal and amendment of authorisations under Regulation (EC) No 1107/2009, SANCO/13169/2010 Rev. 11.

A form requesting that certain parts of the information submitted with the application should be treated as confidential is submitted. Yes No

According to Ordinance (2013:63) on Pesticide Fees