Application for certification - Soil Association



-16510-22415500Application for certificationFarming & growingYou can email this form to goorganic@. For help please call 0117 914 2406Main holding under your managementYour name (and title) FORMTEXT ?????Fax FORMTEXT ?????Trading name FORMTEXT ?????Mobile FORMTEXT ?????Farm name FORMTEXT ?????Email FORMTEXT ?????Road/lane FORMTEXT ?????Holding number FORMTEXT ?????Town FORMTEXT ?????Conversion start date* FORMTEXT ?????County FORMTEXT ?????Land for conversion FORMTEXT ?????hectaresPostcode FORMTEXT ?????Total farm size FORMTEXT ?????hectaresTelephone FORMTEXT ?????LFA/SDA (Less Favoured Area/Severely Disadvantaged Area)? FORMCHECKBOX *Your conversion date starts the date we receive your application - if you wish to start later, please record your preferred start date above.My invoicing and/or correspondence address is different from above and I have enclosed/ attached details FORMCHECKBOX I enclose an RPA/OS map of the holding/s with fields for conversion marked FORMCHECKBOX I am transferring my licence from another certification body and enclose my current certificate and field schedule FORMCHECKBOX Additional holdings under your managementIf not applicable move to next sectionFarm name FORMTEXT ?????Land for conversion FORMTEXT ?????hectaresHolding number FORMTEXT ?????Total farm size FORMTEXT ?????hectaresDistance from your main holding: FORMTEXT ?????LFA/SDA? FORMTEXT ?????I am applying for organic certification in:Farming and growing (in the UK) FORMCHECKBOX Farming and growing (outside the UK) for sale in EU FORMCHECKBOX Farming and growing (outside the EU) not sold in the EU FORMCHECKBOX Wild harvesting (UK & outside EU not for sale in EU) FORMCHECKBOX Soil Association organic standards farming and growing Revision 18IACB Standards v18Soil Association organic standards farming and growing Revision 18Soil Association organic standards farming and growing Revision 18Wild harvesting (outside the EU) FORMCHECKBOX Local Abattoir scheme FORMCHECKBOX On farm processing/packing FORMCHECKBOX Vegetative propagating material/ seeds for cultivation FORMCHECKBOX IACB Standards v18Soil Association organic standards abattoirs and slaughtering Revision 18Soil Association organic standards food and drink Revision 18Soil Association organic standards farming and growing Revision 18Other FORMCHECKBOX Please provide a brief description of your operation and include details of the enterprises that you wish to be certified, below: FORMTEXT ?????Do you intend to have organic and non-organic enterprises on the same holding once organic conversion is complete or at another time in the future? If yes, we need to discuss the requirements with a member of the producer team as this could have implications for your organic licence.Yes FORMCHECKBOX No FORMCHECKBOX Red Tractor Assurance & Farm Assured Welsh Livestock inspection servicesWe offer various farm assurance inspection services in the UK. Please tick the services you are interested in and we will contact you with details. RTA Cattle FORMCHECKBOX RTA Sheep FORMCHECKBOX RTA Cereals FORMCHECKBOX FAWL FORMCHECKBOX Details of any organic certification held previouslyDo you currently or have you previously held organic certification?Yes FORMCHECKBOX No FORMCHECKBOX If yes, with which certification body? If you are no longer certified when did certification cease? FORMTEXT ?????Have you ever had organic certification denied or revoked?Yes FORMCHECKBOX No FORMCHECKBOX If yes, with which certification body and when? FORMTEXT ?????Are there any prosecutions, previous or pending, relating to your business or holding which may have a bearing on your application for organic certification?Yes FORMCHECKBOX No FORMCHECKBOX If yes, please provide details FORMTEXT ?????Supplier ListsFrom time to time, we are asked by other licensees and consumers to help source particular Soil Association Certification licensed products or enterprises. We search our database for the products or type of businesses they are looking for and provide them with a company name, postal address and email address. As well as helping with the sourcing of licensed products or enterprises, we hope that this supports your business, too. If you would prefer your business not to be on any Supplier Lists, then please tick this box. FORMCHECKBOX Payment, contract and your declarationOur fees are based on the licence you are applying for and are payable on application and annuallyWe will normally charge for any additional inspections we have to carry out when organic production rules have not been met. Your certificate will have a renewal date one year from the date of your applicationAll fees are subject to VAT. For more information please refer to the relevant fee sheets attachedIf you would like to arrange to pay in installments by credit agreement, please contact us on 0117 914 2456 VAT registration number (if applicable) FORMTEXT ?????Purchase order number (if applicable) FORMTEXT ?????Your contractA signed certification contract is required for us to process your application.? The template contract is enclosed with your application pack. Contracts must be signed by hand and can be returned to us as a scanned copy or paper copy. We will countersign the contract and return a scanned copy to you.I have enclosed a signed certification contract FORMCHECKBOX Your declarationTo the best of my/our knowledge, all the information supplied in this application is accurateI/we have full management control of all land and enterprises detailed in this applicationI/we have read and agree to comply with the qualifying standards and any applicable updatesI/we understand that SA Certification is obliged by law to publish a full list of its licenseesI have completed this form electronically and confirm I am in agreement with the declaration above FORMCHECKBOX Signature FORMTEXT ?????Date FORMTEXT ?????Before you post your application, have you remembered:To enclose your RPA/OS maps FORMCHECKBOX To enclose a completed copy of the field details and crop codes form FORMCHECKBOX To enclose your current certificate and field schedule - if transferring your licence? FORMCHECKBOX ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download