APPLICANT(requested for drawing up the contract between the Applicant and AfOR-Vinçotte

Invoice address[1]
Company name:
AddressStreet,
ZIP Code, City
Country:
Contact person
Phone:
Fax:
E-mail:
Status of the applicant : /  Manufacturer
 Importer / Representative
Number of different production sites:
Manufacturer(s) / production site(s):

Type of application for ‘AfOR Home Compostable’ including ‘OK compost HOME’

Certification and licensing of: /  A finished product
 A family of finished products / Application status: /  Initial
 Renewal
 Change
Confirmed true and complete by: / APPLICANT:

Name :
Position in the company :

Signature: Date:

COMPANY INFORMATION Information to be published when a valid certificate is issued.

On Certificate
and website / Company name:
Address:Building name/#
Street
Post / ZIP Code
Country
Product description: / See table «product family» here after
Trade mark:
On website only / “Public” Contact Person:
Phone:
Fax:
E-mail:
Web site:

TYPE AND FORM OF FINISHED PRODUCT(S) – Please tick as applicable:

Finished product(s) / 3.1. / Bags / Sack trade / 3.1.1. / Bags for collection of biodegr. refuse / 

3.1.2. / Shopping bags
3.2. / Catering / 3.2.1. / Trays & Plates / 

3.2.2. / Cup
3.2.3. / Cutlery / 
3.3. / Packaging / 3.3.1. / Food packaging – Rigid / 
3.3.2. / Food Packaging – Flex / 
3.3.6. / Non-Food Packaging – Rigid / 
3.3.7. / Non-Food Packaging – Flex / 
3.4. / Garden, horticultural & / 3.4.1. / Clippers / 
agricultural products / 3.4.2. / Films (mulching ) / 
3.4.3. / Plants pots / 
3.9. / Other : / 3.9.1. / Description : / 

Technical DATA

Please, fill in the form carefully! The more accurate the form, the easier and faster the assessment!

  1. Used materials (including additives, inks, masterbatches, fillers, …)

Type / Type designation / Percentage by dry mass (%) / Safety Data Sheet Attachment No.
Are any of the used materials based on recycled resources?  Yes No
B. DIMENSIONS
Maximum thickness of the film / foil (if relevant): / ……………. µm
If a family of products, please write dimensions of each product in the family.
Maximum thickness of the reinforcement part (if any): / ……………. µm
Description of other relevant dimensions (length, width, … ) / Value
C. General description of the product and it’s relevant production processes
(e.g. welding of the seam, tunnel gluing of a label, use of a reinforcement path, colours, …)
…………………………………………………………………………………………………………...
…………………………………………………………………………………………………………...
…………………………………………………………………………………………………………...
…………………………………………………………………………………………………………...
…………………………………………………………………………………………………………...
…………………………………………………………………………………………………………...
D. Content
 Food None Other: ………………………………………………………………..

PLEASE ATTACH

 Test report regarding EN 13432 (if available)

 Test report regarding ‘OK compost HOME’ (if available)

Material Safety Data Sheet for all raw materials, constituents / components (intermediates and/or additives) used in the finished product(s)

 Samples representative of the finished product(s)

Drawing, description (and photo if available) of the finished product(s)

applicant to Complete THIS section only if he/she has A finished product / family of finished products with a valid ‘OK compost home’ certificate

For applicants who already hold a valid Vinçotte ‘OK compost HOME’ certificate, please provide a copy of the following documentation.

 Copy of a valid ‘OK compost HOME’ certificate

Infra Red analysis will normally be required and shall be carried out by Vinçotte on samples of an applicant’s finished product(s). Spectra results will be used for confirmation of composition now compared with composition when ‘OK compost HOME’ certification was last awarded.

Please tick the box to confirm AfOR-Vinçotte use of IR results for comparison analysis .

nExt steps

Next, AfOR-Vinçotte will provide a quote covering sample testing and certification assessment fees based on the information you have supplied. The quote is provided in form of a contract for you to check and accept. By signing it, you will confirm your agreement to comply with the rules of AfOR’s Home Compostable Certification and Licensing Scheme and to pay the fees quoted.

After AfOR-Vinçotte has received the signed contract, the registration and certification process will be started.

When your certificate is issued by Vinçotte and your registration is accepted by AfOR your company information supplied on this form will be added to AfOR’s online register/website section, subject to the rules of AfOR’s Home Compostable Certification and Licensing Scheme.

Please find enclosed the confidentiality agreement allowing AfOR and Vinçotte to mutually share relevant information regarding the certification of your finished product(s).

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ISSUE: I1RO ISSUE DATE: 09/02/11 ISSUED BY: D.T APPROVED BY: E.N

[1] Only fill in when the invoice address differs from the contract address.