V4 July 12

Application for Import of Conventional Stock onto an

AsureQuality Certified Organic Property

·  This form is to be completed each time you wish to buy in conventional stock as per section 5.4 of the AgriQuality Organic Standards or section 6.3 of the MAF Technical Rules or 205.236 of USDA NOP.

·  Once completed please return this form to AsureQuality for approval.

Email to or fax to (09) 573 8002 or post to Asurequality, Organic Certification, Private Bag 14949, Panmure, Auckland.

·  An assessment of your application will be made and the form will be faxed or emailed back to you stating whether the approval has been granted or denied, any reasons and any conditions of approval. Please maintain the completed form on file for reviewed at your annual audit.

·  Approval is required prior to buying in any conventional stock and must be in writing (excludes bulls if already approved as part of your management plan.

·  This form is intended for bringing on breeding stock &/or dairy stock. If you wish to convert the animals for organic meat production also use the application for conversion form – NB. Non-IFOAM unless 5.4.3 met

Company Name: / Date:
Registration No:
Contact Name: / Phone Number:
Email: / Fax Number:

Standard Certified to:

(tick applicable boxes) / AQ (IFOAM) AQ (Non-IFOAM) MAF Tech Rules
COR USDA NOP JAS

Specific Stock Description

(Type, breed, sex, ages) /

Time Period on Farm

(if only for temporary grazing) /
Current Numbers of Breeding Stock of this animal type / Number of proposed Incoming Stock

Address of Where Stock Coming From

/

Justification

(If this introduction is being made in relation to derogation 4 section 5.4 of the AsureQuality Standards please provide current numbers of female stock)
(additional points to cover: stock quarantine, treatments, segregation and identification) /

This section for AsureQuality use only

Approval Granted Approval Denied
MPI approval (if more than 10% bovine or 20% ovine) / Reasons/Conditions of approval if any:
Percentage of incoming animals%
Name:
Position:
Date:
Signature: