Organization (Farm or Company name (if applicable))
Contact Person
Address:
City/State/Zip
Telephone
Fax:
E-mail:
Which Certification Service(s) are you seeking?
This certification is based on the requirements set forth by the USDA's National Organic Program (NOP);
This certification meets the requirements set forth by the USDA's National Organic Program and additional requirements of the international marketplace. The FVO Program is accredited by IFOAM and meets all requirements of ISO65;
This certification meets the criteria of the Canada Organic Production Systems General Principles and Management Standards and the Organic Production Systems Permitted Substance List;
Add-on approval for those in the FVO program to allow ease of access to the Swiss market;
subject to additional requirements; required by some importers
Where do you plan on marketing product?
United States
Canada
European Union
Japan
Are you currently certified? By whom? Which Years?
Have you ever applied for certification or been certified in the past? If so, by which certifier and when?
When was your first organic inspection?
Provide a general description of your operation and certification needs.
How did you hear about us?
Please answer the following if you're a Grower:
If you are not currently certified, when was the last application of a prohibited substance (i.e. herbicides, synthetic fertilizers, pesticides, etc) applied to the land that you are requesting organic certification for?
Excluding seasonal help, do you and/or your family provide at least 75% of the labor on this farming operation?
Complete the following for all land you farm (rented or owned):
Organic Acres:
Conversion Acres:
Conventional Acres:
Total Acres Farmed:
Totoal # of Fields:
List all crops for which you are seeking ICS certification (Inventory and/or new crop). If you have a greenhouse, indicate square feet rather than number of acres. For each crop - enter Crop Year/Name of Crop/Number of Acres/and whether or not the crop is a cash crop. (i.e. 2009/Corn/300 acres/Yes)
Do you have on farm processing? (Please briefly describe)
Will product be processed while it is under your ownership? If so, by whom? Are they certified? By whom?
Does this farm operation have livestock to be cerfied? If so, please provide how many head:
Beef:
Dairy (milking & dried):
Dairy (other) Please explain:
Swine:
Poultry:
Sheep:
Buffalo:
Other:
Please answer the following if you're a Non-Grower:
Category:
Processor/Manufacturer
Handler/Broker
Retail Operation
Restauant
Do you handle or process non-organic product?
Do you take ownership of the organic product you process and/or handle?
Do you repack product?
How many equipment lines will be used for organic product?
How many facilities (processing, storage, etc) need inspection? Please explain.
Do you provide private labeling for organic product? If so, to how many companies?
How many labels bearing the name and/or logo of an ICS program will need to be reviewed?
Bulk:
Packaged (retail-ready):
What quantity of organic product do you expect to produce/handle this year?
Volume of Bulk Product (pounds, liters, etc):
Number of Consumer Packages:
How many Product Specification Sheets (Ingredient Statements) will you need (i.e. how many different products do you produce)?
Single Ingredient:
Multi-Ingredient:
Restaurants Only: How many organic items will appear on the menu?
International Grower Groups Only: Number of growers in the International Project and distance between growers:
By clicking submit, you confirm that the information provided on this Certification Assessment is accurate and complete.
