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Ecological Pesticide Incident Reporting

Overview:

Welcome to NPIC's Ecological Pesticide Incident Reporting portal.

This portal provides a method for reporting ecological incidents that are suspected or known to be related to pesticide exposures. Ecological incidents are when adverse field effects involve non-target entities such as: wildlife, birds, fish, shell fish, bees, and plants.

Information from this portal may be directly sent in its entirety to the U.S. Environmental Protection Agency. Data from this portal may be used to inform decision-making in the federal regulation of pesticides. Note that NPIC cannot ensure that personally identifiable information included in these reports will be kept confidential. Also note that the information submitted through this portal will not be used for targeted enforcement. If you wish to speak with someone about a potential investigation, please contact your state's pesticide regulatory agency for pesticide enforcement, or contact the U.S. Environmental Protection Agency at Report.Pesticide.Incident@epa.gov.

An overview of required and optional information needed to submit a report is available here.

If you have questions or would prefer to report any adverse effect of a pesticide through the NPIC hotline, you may do so by calling NPIC at 1-800-858-7378

Click the Yes button below if you would like to submit a report:

Event Description

Please provide a general description of the adverse effect event. More detailed information will be requested in subsequent screens based on entries made here.

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(historical weather information may be found here)


Be brief and as specific as possible in providing details about the event. Additional optional information for the event, including the ability to upload a lab report or other supporting documentation, may be entered on a subsequent screen.

(Fill in required fields to continue)

Pesticide Product Information

Please provide the EPA Registration Number if possible. The Registration Number is located on the pesticide product labeling. This number is extremely important for reviewers to accurately record and assess an incident.

If you do not know the EPA Registration Number, click the "I don't know the number" button and you can provide the pesticide product name and the active ingredient(s) instead. Many products have similar names. Providing the name and the active ingredient will allow reviewers of this report to better assess the incident.


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Aerial or Ground Application?   
Optional details:

Please describe the incident in as much detail as possible and provide evidence as available. An attachment may be added later in the report submission process as well.

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(Fill in required fields to continue)

Details for Each Type Of Organism

Initially you selected as the incident type. Please provide details about each organism or group of organisms affected during this event below.

Please enter one of the following two fields (Number or Magnitude):
Optional details:
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(Fill in required fields to continue)

Additional Information (optional):

Additional Information (Optional)

Optional: Please enter any additional information about this exposure as you need. If you have a lab report or other supporting documentation, you may upload a copy of that file here. Please do not upload any file larger than 10MB.

Items you may wish to provide here might include:

  • Results of pesticide residue analysis of tissue samples. (Please include species, sample description, name of the pesticide or degredation product, measured value, and units.)
  • Results of pesticide residue analysis of environmental samples. (Please include sample description, date, location, name of the pesticide or degradation product, measured value, and units.)
  • Results of acetylchoninesterase activity. (Please express as percent of normal or give the normal reference level when available.)
  • Other environmental measurements taken at the incident site, such as dissolved oxygen or pH levels.
  • etc...

Information from this portal may be directly sent in its entirety to the U.S. Environmental Protection Agency. Data from this portal may be used to inform decision-making in the federal regulation of pesticides. Please note that the information submitted through this portal will not be used for targeted enforcement. If you wish to speak with someone about a potential investigation, please contact your state's pesticide regulatory agency for pesticide enforcement. Also note that NPIC cannot ensure that personally identifiable information included in these reports will be kept confidential.

You may also use this screen to provide feedback or general comments to us about this reporting system.

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Review Summary

The following is a summary of the report you are submitting. Please review this summary and click the appropriate buttons to make changes if necessary. Click the "Submit Report Now" button at the bottom of the screen when done.

You may want to print this page for your records.

Event Description
Type of Incident:
State:
County:
Starting Date:
Ending Date:
Weather:
Details:
Product Information
EPA Registration Number:
Product Name:
Active Ingredient:  
Active Ingredient 2:  
Active Ingredient 3:  
Active Ingredient 4:  
Active Ingredient 5:  %
Active Ingredient 6:  %
Active Ingredient 7:  %
Active Ingredient 8:  %
Active Ingredient 9:  %
Active Ingredient 10:  %
Air/Ground Application:
Use/Misuse:
Evidence of use/misuse:
Use Site:
Formulation:
Application Method:
Application Rate:
Organism Details
Type of Organism::
Number of organisms affected:
Magnitude of effect to this organism:
Species:
Response:
Habitat:
Age of organism:
Route of exposure:
Distance from treatment site:
Additional Information (optional)
Lab report? Yes
Additional notes/details/comments:
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