Get the free PROPOSITION 65 REPORT FORM - County of Ventura - ventura

Print Form Ventura County Environmental Health Division 800 S. Victoria Ave., Ventura CA 930091730 TELEPHONE: 805/6542813 or FAX: 805/6542480 Internet: www.ventura.org/rma/envhealth PROPOSITION 65

How to fill out proposition 65 report form

How to fill out a Proposition 65 report form:

1. Start by obtaining the appropriate form: The Proposition 65 report form can be obtained from the California Office of Environmental Health Hazard Assessment (OEHHA) website. Download the form and make sure you have the latest version.
2. Fill in your contact information: Begin filling out the form by including your name, address, phone number, and email address. This information will help the OEHHA contact you if they have any questions or need additional information.
3. Identify the chemical(s) of concern: The next step is to identify the chemical or chemicals that are the subject of the Proposition 65 report. Provide the chemical's name, as well as any relevant identifying information or identification numbers.
4. Describe the exposure scenario: Clearly explain the circumstances under which individuals may be exposed to the chemical(s) of concern. This could include information about the product, its manufacturing process, distribution channels, or any other relevant details.
5. Assess the level of exposure: Provide information on the level of exposure to the chemical(s) in question. This may require conducting research or testing to determine the potential amount of exposure, whether it is through ingestion, inhalation, or skin contact.
6. Include scientific evidence or supporting documentation: If available, attach any scientific studies, reports, or other evidence that supports your claim about the potential risks associated with the chemical(s) of concern. This evidence will help strengthen your case and provide more credibility to your report.
7. Submit the form: Once you have completed all the necessary sections of the Proposition 65 report form, make sure to review it for accuracy and completeness. Sign and date the form, and then submit it to the OEHHA either electronically or by mail, following their specific submission instructions.

Who needs the Proposition 65 report form?

1. Businesses and organizations: Proposition 65 report forms typically need to be completed by businesses and organizations that manufacture, distribute, or sell products that may contain chemicals known to the state of California to cause cancer, birth defects, or other reproductive harm.
2. Retailers: Retailers who sell products in California are also required to fill out Proposition 65 report forms if the products they sell contain any of the listed chemicals.
3. Suppliers and manufacturers: Suppliers and manufacturers of components or raw materials used in products that are sold in California may need to provide Proposition 65 report forms to their customers, disclosing any chemicals of concern.

Remember, it is important to consult legal professionals or OEHHA guidelines for specific information on who may need to fill out Proposition 65 report forms, as the requirements may vary based on individual circumstances and the nature of the business or product involved.

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What is proposition 65 report form?

Proposition 65 report form is a form used to report exposures to chemicals known to cause cancer, birth defects, or other reproductive harm in California.

Who is required to file proposition 65 report form?

Businesses with 10 or more employees that expose individuals in California to chemicals listed under Proposition 65 are required to file the report form.

How to fill out proposition 65 report form?

The proposition 65 report form can be filled out by providing information on the chemicals involved, the exposures that occur, and any necessary warnings and precautions.

What is the purpose of proposition 65 report form?

The purpose of the proposition 65 report form is to inform the public about potential exposures to harmful chemicals and to enable individuals to make informed decisions about their health and safety.

What information must be reported on proposition 65 report form?

Information on the chemicals involved, the exposures that occur, and any necessary warnings and precautions must be reported on the proposition 65 report form.