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INSTRUCTIONS
Mercury-added Product Notification Form
Version for Use by a Single Manufacturer, Distributor/Wholesaler,
or Importer
Updated November 2006
There are multiple versions of this Mercury-added
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How to fill out mercury-added product notification form

How to fill out a mercury-added product notification form:
01
Start by downloading the mercury-added product notification form from the relevant government agency's website. The form is usually available in a PDF format.
02
Fill in the basic information section of the form, including your name, contact details, and the name of your company or organization. Make sure to provide accurate and up-to-date information.
03
Identify the specific product for which you are submitting the notification. Include details such as the product name, manufacturer, model number, and any other relevant information.
04
Indicate the purpose or use of the product, whether it is for commercial or personal use. This information helps authorities understand the potential risks associated with mercury-containing products.
05
Specify the quantity of mercury used in the product. This can typically be found on the product's documentation or by contacting the manufacturer directly. Provide the unit of measurement (e.g., grams, milligrams) and the total amount of mercury used.
06
Describe the mercury-containing components or parts of the product. This could include specific components such as batteries, switches, or other electronic elements. Provide as much detail as possible to ensure accurate identification.
07
In case your product qualifies for an exemption or uses an alternative to mercury, provide the necessary supporting documentation or evidence. This could be in the form of test reports, certification, or other relevant documents.
08
Finally, review the completed form for any errors or missing information. Ensure that all necessary fields are filled out accurately and completely. Sign and date the form as required.
Who needs a mercury-added product notification form?
01
Manufacturers: Companies that manufacture products that contain mercury or mercury-added components may need to submit a mercury-added product notification form. This allows government agencies to track and regulate the use of mercury in various industries.
02
Importers: Importers who bring mercury-containing products into a country may also need to submit a notification form. This helps authorities monitor and control the importation of mercury-added products to ensure compliance with regulations.
03
Distributors and Retailers: In some cases, distributors and retailers may be required to submit a notification form if they handle or sell products that contain mercury. This helps track the distribution and sale of such products and ensures proper handling and disposal.
Note: The specific requirements for submitting a mercury-added product notification form may vary between countries or regions. It is important to consult the relevant government agency or regulatory body to understand the specific guidelines and procedures applicable in your jurisdiction.
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What is mercury-added product notification form?
The mercury-added product notification form is a document that must be submitted to the relevant authority to notify them about the presence of mercury in a specific product.
Who is required to file mercury-added product notification form?
Any organization or individual that manufactures, imports, distributes, or sells products containing mercury is required to file the mercury-added product notification form.
How to fill out mercury-added product notification form?
To fill out the mercury-added product notification form, you need to provide information about the product, such as its name, purpose, mercury content, and the contact details of the responsible party.
What is the purpose of mercury-added product notification form?
The purpose of the mercury-added product notification form is to ensure that authorities are aware of the presence of mercury in certain products and can take necessary measures to minimize its harmful effects on human health and the environment.
What information must be reported on mercury-added product notification form?
The mercury-added product notification form typically requires information about the product's name, purpose, mercury content, manufacturing or import details, and the contact information of the responsible party.
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