Corteva Agriscience China Safety Certificate Request

Complete all required fields (marked with red asterisk). PLEASE NOTE: If form does not submit, please scroll to top to check for errors and submit again. If errors persist, please email your agreement to safetycert@corteva.com. If you have any questions, email safetycert@corteva.com.

Upload Signed Agreement:*

Complete and attach signed agreement, which is required before request can be processed. Corteva reserves the right to request Power of Attorney documentation for the Applicant.

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Company Name (exactly as it is to appear on certificate)*

Email to which communications should be sent:*

Check box if CANOLA is to be exported:

Event DP-073496-4 (expires January 4, 2028)

Check box if CORN is to be exported:

Event TC1507 (expires December 16, 2026)

Event DAS-59122-7 (expires December 16, 2026)

Event DP4114 (expires December 16, 2026)

Event DAS-40278-9 (expires June 11, 2025)

Event DP202216 (expires January 1, 2029)

Check box if COTTON is to be exported:

Event DAS-21023-5 (expires December 16, 2026)

Event DAS-24236-5 (expires December 16, 2026)

Event DAS-81910-7 (expires January 4, 2028)

Check box if SOYBEAN is to be exported:

Are soybeans being exported from Argentina?*

Yes

No

Event DAS-44406-6 (expires December 16, 2026)

Event DAS-81419-2 (expires April 21, 2027)

Event DP-305423-1 (expires April 21, 2027)

Event DP-305423-1 X MON-04032-6 (expires April 21, 2027)

Requestor: First Name

Requestor: Surname/ Last Name

Job title

Street Address

City

State/Province

Country

Postal Code

Telephone Number (include country and area codes)

Send me a copy of my responses

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