Washington State Department of Agriculture
Organic Food Program
PO Box 42560, 1111 Washington St. SE
Olympia, WA 98504-2560
(360) 902-1805,
http://agr.wa.gov/foodanimal/organic
Fee Code 4102
Organic Product Summary – Processors and Handlers
Business Name: / Certification Number:Name and Title of Individual Completing this Form: / Date:
Provide details about products you wish to have certified for the upcoming year, identify new products you want added to your certification, and note any discontinued products that should be removed from your certification.
Organic Product
Include products owned by your company as well as contracted or private label products that are custom handled, or labeled by your company.
Attach catalogs used to market organic products. / Active / New* / Discontinued / Also handled in a Non-organic form
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*Has all documentation to evaluate the new product(s) been submitted to our office? / Yes / No
Tip! To add a new handled product to your certificate submit a copy of the organic certificate and the labeled.
To add a new processed product or request approval of a revision to a currently certified product submit a complete product formulation, label, organic certificates for all organic ingredients, and information regarding any non-organic ingredients and/or processing aids. See http://agr.wa.gov/FoodAnimal/Organic/FoodHandlers.aspx for current forms.
Certified operations are welcome to submit new products for review to our office at any point throughout the year, products that are submitted outside of the annual renewal cycle will be charged an additional review fee of $40 per hour.
AGR 2720 (R/10/15) Organic Product Summary – Processors and Handlers Page 1 of 1