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APPLICATION FORM FOR ECOCERT ORGANIC CERTIFICATION
Please fill out the form with as much details as possible: the provisional quote for the certification of your products will be based on the information you provide. Incomplete information will cause a delay in issuing you with a quote. Please fill in the “additional information” section at the end of the document to provide any other relevant information.
I. Information about the applicant and involved sites. 1. Certification applicant (Project Holder) This section concerns information about the legal entity applying to the certification.
Legal entity name: Complete address:
Country:
Representative: Last name: First name: Email: Tel: Fax:
Type of Operation: Farming Wild collection Beekeeping Livestock Processing Storage Export Import Trading
The above entity does not carry out any of the organic operations listed above. Please confirm Yes No
Have you been or are you currently helped for this certification project? (Consultancy, training, mock audit/ pre-audit, financial support, sales promotion, commercial operations, product design,...) Yes No Description of the supporting mission(s) :
By which company /organization /person?
2. Sites Please list all sites involved in the organic operations and to include in the certification
Site 1: Name: Complete address:
Country: Responsible: Last name: First name: Email: Tel: Fax: Type of Operation: Farming Wild collection Beekeeping Livestock Processing Storage Export Import Trading F01(EC-NOP)v14en
Site 2: Name: Complete address:
Country: Responsible: Last name: First name: Email: Tel: Fax: Type of Operation: Farming Wild collection Beekeeping Livestock Processing Storage Export Import Trading
Site 3: Name: Complete address:
Country: Responsible: Last name: First name: Email: Tel: Fax: Type of Operation: Farming Wild collection Beekeeping Livestock Processing Storage Export Import Trading
Site 4: Name: Complete address:
Country: Responsible: Last name: First name: Email: Tel: Fax: Type of Operation: Farming Wild collection Beekeeping Livestock Processing Storage Export Import Trading
II. Short description of your project. Please give a short description of your project: global organization, links between all sites, global organization flowchart, etc...
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III. Required certification Please select the required certification you are applying for:
EU Regulation for organic products (834/2007 & 889/2008) / or Ecocert Organic Standard (EOS) equivalent to EU organic regulation. (For European market)
NOP (for US market) JAS (for Japanese market) Korean organic regulation
other national organic standards – please specify the organic regulation / standard and country: We will confirm whether ECOCERT is able to provide certification services as per the requested national organic standard.
Bio Suisse (Ecocert only performs the inspection. Certification is done by Bio Suisse at reception of reports of inspection sent by Ecocert)
Depending on the certification(s) or standard(s) requested your application will be redirected to the relevant service.
IV. Project location and history Please specify the location of each processing units & warehouses used for the production to be certified. Location: Where are located the sites involved in organic production / processing? (name of the locations):
Nearest airport & travel time from the nearest airport?
How to get there?
Project History: Operating since? When did organic production /activity start? Have you been certified before? Yes No If yes, for which standards / regulations: Name of the certification body: Are you still certified for these standards/regulations: Yes No Do you have any experience/knowledge of organic product certification? Yes No
V. Agricultural production If your project includes agricultural production, please fill in the relevant section(s) according to your operations(s)
1. Plant production (farming): Are you applying for the certification of plant production? Yes No Size of the cultivated area to be certified: ha Number of fields/plots: Estimated quantities harvested/year: List the products/crops to be certified: (please list at least the main products or main types of products):
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Do you also have non-organic crops/fields? Yes No if yes, what is the size of the non-organic fields: ha List the non organic products:
Does a group of small holders exist? (Organic Grower Group) Yes No (If yes, please fill out the section intended for Grower Groups at the end of this document)
2. Collection of wild plants Are you applying for the certification of collection of wild plants? Yes No Total size of the collection area(s) to be certified: ha Estimated quantities collected/year: Number of collection areas : Total number of collectors*: Total number of collection centers* What is the location of the receipt/storage site used to stock the collected products: List the products/collected crops to be certified:
(*) For the definition of collectors or collection centers, see Ecocert « Guidelines for Collection of wild plants » or contact Ecocert 3. Beekeeping / apiculture Are you applying for the certification of beekeeping / apiculture products? Yes No How many hives do you operate?
Are the hives located in multiple separated areas? Yes No How many areas in total ? Estimated quantities of honey produced per year? Will you also operate conventional hives?
4. Animal production (livestock) Are you applying for the certification of animal products? Yes No List all animals and total number of heads : Type numbers Type numbers
5. Additional comments on your agricultural production:
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VI. Processing / Handling / Packaging / Storage If your project includes one of the above-listed operations, please fill in this section: 1. Units / sites: Number of production units (processing facilities, warehouses, …): Please list all facilities: Name activity location
2. Products Total number of products to be certified: Please list all products (or at least the main products or main types of processed products):
Do you also process or handle conventional products? Yes No Part of your total turnover estimated for organic products: % Estimated quantity of organic products per year: 3. Ingredients: Total number of ingredients used for all products: Do you have a valid organic certificate copy from suppliers for the ingredients you purchase? Yes No If yes, as per which standards / regulations the ingredients are certified? (EU/NOP, etc...)
4. Subcontractors: Are any of your subcontractors involved in the organic operation? Yes No How many? Are they certified? Yes No If yes, as per which standards / regulations? (EU/NOP, etc...) Name of the subcontractor(s) and activity: Name activity location
5. Storage sites: Do you use warehouses to store ingredients or processed the products to be certified? Yes No number of warehouse(s): Do you subcontract the warehouse(s)?: Yes No Are they certified? Yes No If yes, as per which standards? (EU/NOP, etc...) 6. Additional comments about your processing / handling / packaging / storage operation:
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VII. Import / Export / Trading If your project includes one of the above-listed operations, please fill in this section:
1. Products How many organic products are you planning to import / export or trade: Please list all products (or at least the main products or main types of processed products): Name of the product Number of suppliers Number of clients
Are all the products already certified? Yes No Estimated quantities managed / year? Do you have a valid organic certificate copy for the suppliers of the above-listed products? Yes No
2. Storage sites: Do you use warehouses to store ingredients or the processed products you are applying to certification? Yes No Number of warehouse(s): Do you own the warehouse(s)?: Yes No Are they certified?: Yes No If yes, as per standards/ regulations? (EU/NOP, etc...) 3. Subcontractors: Are any of your subcontractors involved in the organic activity? Yes No How many? Are they certified? Yes No If yes, as per standards/ regulations? (EU/NOP, etc...) Name of the subcontractor(s) and activity:
4. Additional comments about your import / export / trading activity:
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Additional application form for Grower Groups
Number of Farmers / Farm size Number of production units (area, villages, communities): Total number of growers : 0-90 91-280 281-500 500 - 1200 > 1200 Exact number (if available) : Average number of plots per grower : Scope of cultivated area: ha or km² Maximum travel time between 2 growers (hours) : h Time dedicated for internal control of 10 growers : h or days Time dedicated for internal control of all growers during the year : days Type of transport used for internal control :
on foot motorcycle car/van other : Number of farmers according to farm size: Small growers(1) Major growers provide a document showing the localization of all production and processing sites included in the project
Production System / Marketing Is the group of growers homogenous (similar production systems, farming methods, and ecological conditions)? Yes No Are the purchase and distribution of inputs centralized? Yes No Do the growers also produce non-organic crops? Yes No Partly Is there a parallel production (i.e. same crop grown organically and non-organically)? Yes No Do all farmers market through the same channel (i.e. sell to the same buyer)? Yes No
Internal Control System (ICS) / Internal Quality System (IQS) : Is there an internal control system in place? Yes No If no, do you want Ecocert to inspect all growers (If yes ICS would become optional but an IQS must be in place)? Yes No
Information about your ICS Information about your IQS
Number of internal inspectors: Existing procedure (please tick relevant boxes): Use of inputs (fertilizers, pest and disease control) How often is each farmer inspected per year? Estimated harvest Procedure of the internal inspections (please tick relevant Verification of farm records (organic sales and crop boxes): records) Inspection of the organic field(s) Others (please specify): Inspection of the conventional areas (fields) of the farm Information applicable for both ICS and IQS Inspection of on-farm processing facilities and Is there a basic description of each farm available? storage facilities (Description of operations, field history, map, signed Use of inputs (fertilizers, pest and disease control) contracts)? Estimated harvest Yes No Partly Verification of farm records (organic sales and crop records) Is there an up-to-date list of farmers available? Interview with the grower Yes No Others (please specify): Are there systems in place to record purchases, sales Are all inspections and results recorded? Yes No and stocks? Yes No
1() For the definition of small grower or major grower, see Ecocert « Guidelines for Grower Groups » or contact Ecocert F01(EC-NOP)v14en
Additional Information Please use this section to provide relevant additional details about the project to be certified
By signing this document, you commit yourself to respect the program requested for certification including: a) to perform the operations in accordance with the organic production rules; b) to accept, in the event of infringement or irregularities, the enforcement of the measures of the organic production rules; c) to undertake to inform in writing the buyers of the product in order to ensure that the indications referring to the organic production method are removed from this production. d) to accept, in cases where you and/or your subcontractors are checked by different control authorities or control bodies, the exchange of information between those authorities or bodies; e) to accept, in cases where you and/or your subcontractors change of control authority or control body, the transmission of your control files to the subsequent control authority or control body; f) to accept, in cases where you withdraw from the control system, to inform without delay Ecocert; g) to accept, in cases where you withdraw from the control system, that the control file is kept for a period of at least five years; h) to accept to inform the relevant control authority or authorities or control body or bodies without delay of any irregularity or infringement affecting the organic status of your products or organic products received from other operators or subcontractors. Place and date
Name and Signature
Comments:
Conclusion: FOR ECOCERT USE ONLY
Date:
Signature: