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Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2025-5849

2. Registrant Information.

Registrant Reference Number: CTVAS036-2024

Registrant Name (Full Legal Name no abbreviations): Corteva Agriscience Canada Company

Address: 240, 115 Quarry Park Road S.E.

City: Calgary

Prov / State: Alberta

Country: Canada

Postal Code: T2C 5G9

3. Select the appropriate subform(s) for the incident.

Scientific Study

4. Date registrant was first informed of the incident.

5. Location of incident.

6. Date incident was first observed.

Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.

PMRA Registration No. 34559      PMRA Submission No.       EPA Registration No.

Product Name: Florasulam

• Active Ingredient(s)
  • FLORASULAM

PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name:

• Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?

Unknown

9. Application Rate.

10. Site pesticide was applied to (select all that apply).

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Unknown

Subform VII: Scientific Study

1. Study Reference

Title Florasulam: Toxicity to the Aquatic Plant Lemna gibba in a Growth Inhibition Test under Static Conditions

Date 17-DEC-24

2. a) Is an extension needed to translate the document?

No

3. Type of incident identified in the study

Increased health or environmental risk

4. Describe the incident identified in the study (e.g. study demonstrates an increased risk to non-Hodgkin's Lymphoma after exposure to pesticide X)

This study may fall under regulation related to "At levels 50 percent or more lower than previous acute toxicity studies with similar species, including determinations of the median lethal dose (LD50), median lethal concentration (LC50), or median effective concentration (EC50)"

5. a) Was the study discontinued before completion?

No

5. b) Provide the reason for discontinuation

6. If the study is ongoing, what is the expected completion date?

For Registrant use only

7. Provide supplemental information here