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Form 6117 - Presubmission consultation request

Privacy notice statement

Health Canada

Collection and use of personal information in this application is in accordance with the federal Privacy Act.

The personal information you provide is collected under the authority of section 6(1)(a) of the Pest Control Product Regulations for the purpose of contacting the applicant in regard to the application and to communicate any decisions and outcomes of the application.

Why are we collecting your personal information?

We require your personal information for the purpose of contacting the applicant in regards to the application and to communicate any decisions or outcomes of the application.

Will we use or share your personal information for any other reason?

Company names are disclosed after the Pest Management Regulatory Agency (PMRA) makes a decision or outcome on an application.

What are your rights?

The Privacy Act gives you the rights of access to, correction of and protection of your personal information. You have a right complain to the Privacy Commissioner of Canada if you feel your personal information has been handled improperly. For more information about these rights, or about how we handle your personal information, please contact the PMRA Information Service.

Security notice: up to Protected B only

This site is not approved by Health Canada/Public Health Agency of Canada for storage above Protected B information. Only up to Protected B information may be stored on this site.


About this online form

Applicants should consult the appropriate guidance documents in preparing for their pre-submission consultation. Regulatory documents are located on the Health Canada - Pesticides and Pest Management Reports and Publications website under Policies and Guidelines. Forms and their associated documents are located on the Health Canada - Pesticides and Pest Management website under For registrants and applicants - General information - Forms.

For information on the required elements of a proposed text label refer to sections 22–32 (inclusive) of the Pest Control Products Regulations.

The PMRA may determine, based on the information provided, that certain requested expertise may not be required.

Please note that a written response in the form of guidance will be provided. Meetings with pre-submission consultation applicants will not be considered until the written guidance has been provided by the PMRA. If upon review of the guidance, further technical questions arise, a meeting can be considered. Please submit your Pre-submission Consultation Request form to the

How to work with this online form

When working with this online form, you can save it to your computer at any time by clicking the 'Save Draft' button at the bottom of the form. This will generate a draft XML file.

You can continue to work on the form in subsequent sessions by loading a draft XML file in the "Load a draft XML file" section, at the top of the form.

Once you have completed the form, click the 'Save Final' button at the bottom of the form to generate a Microsoft Word file.

Instructions for completing sections of this online form

To continue to work off an existing form, browse for the draft file (in XML format) here:

Contact Information
Product Information
Is this being proposed as a reduced risk product (e.g. microbial, semiochemical, invertebrate biological control product or other biopesticide - Refer to DIR2002-02)? (required) Instruction1
Is this being proposed as a non conventional product (refer to DIR2012-01)? (required) Instruction2
Does the product contain nanomaterials? (required) Instruction3
PMRA Expertise Requested
Area of expertise: Administrative process, data requirements, submission organization, formulants
Area of expertise: Efficacy, sustainability, value
Area of expertise: Environmental fate,and ecotoxicology
Area of expertise: Food residue, metabolism
Area of expertise: Occupational exposure
Area of expertise: Toxicology
Area of expertise: Chemistry/compliance
Area of expertise: Other (e.g. re-evaluation)
Joint Review/Work Share Instruction4
Is a Joint Review or Work-Share Review (with the United States Environmental Protection Agency [USEPA], European Union [EU] or other Organisation for Economic Co-operation and Development [OECD] country) being proposed? (required)
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