Complete this form for all organic products you wish to certify. Your certificate will list the brand names, common names, and format per product as listed below under the corresponding organic claim.
OPERATION NAME / DATE
OPERATION LOCATION / NAME OF PERSON COMLETING FORM
List all products, whether single ingredient or multi-ingredient, repackaged (no-preparation), labelled-only (no-preparation or repackaging), or distributed-only.
1 List one brand name product per line.
2 Identify the common name of the product.
3 Complete RECORD-PB PRODUCT FORMULATION SHEET for each distinct multi-ingredient product formulation. If numerous brand names use the same formulation only one PFS is required. / 4 Feel free to add 'Notes' for clarity.
5 For brand name products you do not own: submit the organic certificate listing the brand and product, or submit a signed Private Label Agreement (Appendix PD - PLA)
Product profile / Organic claim / Format / Activities related to organic product / Target market(s) / labelling requirements
Brand name /
Label (Trademark)1, 5 / Product
(common name)2, 3 / Single ingredient / Multi-ingredient / Organic (95%) / x% organic ingredients (70-95%) / Ingredient Only (<70%) / retail package / non-retail / Preparing / Packaging / Labelling / Distributing / Trading / Bokering / Within BC only / Canada including Quebec / Canada not including Quebec / US Market / EU Market* / Other Market (Specify) / Notes4:
Brand name /
Label (Trademark)1, 5 / Product
(common name)2, 3 / Single ingredient / Multi-ingredient / Organic (95%) / x% organic ingredients (70-95%) / Ingredient Only (<70%) / retail package / non-retail / Preparing / Packaging / Labelling / Distributing / Trading / Bokering / Within BC only / Canada including Quebec / Canada not including Quebec / US Market / EU Market* / Other Market (Specify) / Notes4:
Brand name /
Label (Trademark)1, 5 / Product
(common name)2, 3 / Single ingredient / Multi-ingredient / Organic (95%) / x% organic ingredients (70-95%) / Ingredient Only (<70%) / retail package / non-retail / Preparing / Packaging / Labelling / Distributing / Trading / Bokering / Within BC only / Canada including Quebec / Canada not including Quebec / US Market / EU Market* / Other Market (Specify) / Notes4:
Brand name /
Label (Trademark)1, 5 / Product
(common name)2, 3 / Single ingredient / Multi-ingredient / Organic (95%) / x% organic ingredients (70-95%) / Ingredient Only (<70%) / retail package / non-retail / Preparing / Packaging / Labelling / Distributing / Trading / Bokering / Within BC only / Canada including Quebec / Canada not including Quebec / US Market / EU Market* / Other Market (Specify) / Notes4:
Brand name /
Label (Trademark)1, 5 / Product
(common name)2, 3 / Single ingredient / Multi-ingredient / Organic (95%) / x% organic ingredients (70-95%) / Ingredient Only (<70%) / retail package / non-retail / Preparing / Packaging / Labelling / Distributing / Trading / Bokering / Within BC only / Canada including Quebec / Canada not including Quebec / US Market / EU Market* / Other Market (Specify) / Notes4:
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RECORD-PA Product List