Organic Food Federation

CERTIFICATION AGREEMENT FORM FOR NON AGRICULTURAL SUBSTANCE APPROVAL

THIS FORM MUST BE SIGNED AND DATED

Please email or post to the Organic Food Federation

31 Turbine Way, Eco Tech Business Park, Swaffham, Norfolk PE37 7XD

Tel: 01760 720444 Fax: 01760 720790

Email: info@orgfoodfed.com Web: www.orgfoodfed.com

Company details

Please fill in all sections of the form, if not relevant please fill in N/A

Name of company:Click or tap here to enter text.
Trading name (if different):Click or tap here to enter text.
Ultimate holding company (if any):Click or tap here to enter text.
Function within ultimate company (if any): Click or tap here to enter text.
Name and address of premises to be registered: Click or tap here to enter text.
Tel:Click or tap here to enter text. Email:Click or tap here to enter text.	Mobile:Click or tap here to enter text.
Address for correspondence (if different): Click or tap here to enter text.
Tel:Click or tap here to enter text.	Email:Click or tap here to enter text.
Name of person responsible for organic operations: Click or tap here to enter text.
Name of Chief Executive (if different):Click or tap here to enter text.
Annual turnover £Click or tap here to enter text.	Financial year: Click or tap here to enter text.
Number of staff involved with organic operations?
YES	NO
Have you been certified by another organic certification body?
If yes, what body?Click or tap here to enter text.
When did certification cease?Click or tap to enter a date.
Have you been refused certification by another certification body?
If yes, what body?Click or tap here to enter text.
Have there been any prosecutions within the last 12 months or pending which could affect organic certification?
If yes, provide a full explanation on a separate sheet.
If you are moving certification body have you contacted your present certifier to request that they forward your files to OFF

Note: The Federation reserves the right to contact DEFRA about any previous organic activities

2. PRODUCT DETAILS

Please provide the following information for each specific product

Enclosed (tick)
Product
1	2	3
Usage instructions
Product labels
Sales literature
Composition / technical specifications
Safety data hazard sheets
Declaration product does not contain or is not derived from genetically modified products.

3. PRODUCT SUMMARY

Please give details of the products you wish to be evaluated:

Product 1

Trade name
Product use
Application rate
Product composition

Product 2

Trade name
Product use
Application rate
Product composition

Product 3

Trade name
Product use
Application rate
Product composition

Certification Agreement

Should your product be accepted under our scheme you are required to undertake to comply with the following:

Prompt payment of all fees and charges including fees or costs for work undertaken for applications that do not proceed.

Resolve any non compliance raised against your operation within the agreed timescale.

Provide site access during normal working hours to inspectors authorised by us, with or without prior notice, for the purpose of carrying out surveillance inspections or collection of samples from operations, which are subject to a certificate of conformity.

Agree, if accepted into our certification scheme, to give three months notice in the event of wishing to withdraw from the scheme, unless due to circumstances beyond your control.

Inform the Federation of all intended changes to the process and the processing environment. This includes legal and commercial; organisational status of ownership; key management changes; modifications to product or production method; contact address and production sites and major changes to the quality management system.

Provide true and correct statements on the certification agreement form.

Signed:
Print Name:
Company:
Position:
Date:

(This section must be completed in order to proceed with the assessment inspection.)

NOTE: We are asked from time to time to provide lists of organic operators to third parties seeking suppliers or potential customers. Please indicate if you do NOT wish your company to be included on any such lists by ticking the box.