Notes:

• If you can't see the form below, please use this link to submit a report.
• At the product details step, if you don't know the product name, or you cannot find it using the search button, please just tick the 'Unknown or unregistered product?' box and enter any identifying details.
• If you experience issues entering the treatment dates within the Chemical use details step please leave the date fields blank and include the dates in the ‘Reason for use' field or alternatively send in a paper form OR email to us at aerpcoordinator@apvma.gov.au.