Adverse Effects Reporting System
Note: Fields marked with * are required
First Name* 
Last Name* 
Email Address* 
Phone Number* 
City   State 
Zipcode/Postal Code  

When you submit this form, you will receive an email with a link to a questionnaire to be filled out. It is possible that spam filters may keep you from receiving this email, so you may wish to add '' to your contact list.

Monsanto is a world-wide company with offices in many countries. Consequently, it is possible that the information which you provide to us through this web site will be transferred outside the country in which you reside to another of Monsanto’s locations. For more details see the Privacy Policy for this site. To comply with current laws in various jurisdictions regarding transfer of personal information across country borders, Monsanto must obtain your consent to such transfer. Please indicate your consent by checking the box below.


Without your consent, we will be unable to process your request. If you are not willing to consent, do not complete this form.