Adverse Effects Reporting
IN THE CASE OF A TRANSPORT EMERGENCY ONLY DIAL 000 FOR POLICE OR FIRE BRIGADE
EMERGENCY RESPONSE (ALL HOURS) RING FROM ANYWHERE IN AUSTRALIA 1800-033-882 (LOCAL CALL FEE ONLY)
Pesticide product registrants or their agents are required to submit information about alleged adverse effects on human health or the environment of pesticide products to government agencies in some countries.
To notify Dow AgroSciences about an alleged adverse effect of a product of Dow AgroSciences, please complete and submit the following online form.
Use this form to report any alleged or actual product complaint, incident, issue or concern involving exposure or injury to humans, animals or the environment related to the use of a Dow AgroSciences product in countries where it conducts business. The form must be completed within 72 hours of the employee or DAS agent being made aware of such information or incident. Exception: An incident or information involving a human death allegation must be reported immediately!
If you receive additional information or incident details after submitting the initial form, please complete a separate Global Adverse Effects Reporting Form and forward within 72 hours of receipt of the new information.
- This form must be submitted in English.
- You do not need to submit this form unless you have, at a minimum:
- information about the location where the incident occurred,
- the name of the pesticide(s) or product(s) involved, and
- the name and phone number of the person to contact regarding the incident.
- Fill out the online form as completely as possible.
- Submit the form once finished.
Adverse Effects Reporting Coordinator
Product Stewardship and Sustainability
Telephone: 1800 700 096
Data Privacy and Protection
The information collected in this form will only be used to ensure that we provide you with an appropriate response based upon the information you provide in the form above. We will contact you only if we need additional information to appropriately answer your question or in order to address your need. The contact information you provide, including e-mail address, may be used to respond to your request. We will not use the contact information you provide in this form for product or promotional advertising unless you specifically request to receive product news or information.