Email to: or Fax to: (973) 201-0320

Thank you for your interest in BM TRADA Certification. Information provided in this questionnaire will be used to prepare a proposal detailing Chain of Custody Certification Services. A BM TRADA Certification representative may contact you if further information is required. If you have any questions regarding this form or our services, please contact us.

BM TRADA Certification shall keep confidential all information relating to your organization and shall not disclose any such information to any third party except that required by law or by BM TRADA Certification’s accreditation bodies.

Company Information
Company Legal Name (as it should appear on the certificate) / dTrading Trading As Names (any other names company does business as, and should al so appear on the certificate)
Address (Please provide company address as you would like it to appear on your certificate) / Billing Address / Contact (if different)
Check appropriate box: Individual/Sole Proprietor Corporation Partnership LLC Other: / Employee Count:
Contact Person: / Email: / Telephone:
Fax: / Position / Website
In which Standards are you interested ? (please check all that apply)
FSCCoC*
See FSC’s Admin Fee table,see page 4 / PEFC CoC
See PEFC’s Admin Fee table see page4 / SFICoC / Other
What Type of Services Can We Offer?
New Chain of Custody
Certification / Change of Scope
(locations,standards, activities) / Transfer from
another Certification
Body / Certification Renewal

Please provide below the details forall sites to be included in your certification including the Central Office (this may be provided in a separate document) address and employee count

(Please list the central office first is it differs from the above)

Address / City/State/Province/Zip Code / Employee Count

Are any of the activities within your scope outsourced / subcontracted? e.g. printing & finishing, cutting, laminating etc

Yes No

If yes, please provide the following information:

Company Name / City/State/Province / Type of Service
(die cutting, warehousing, bindery, laminating, etc.) / How often are they used (weekly/monthly) / FSC, SFI or PEFC Certified?

At the point of certification will your organization have taken any physical possession of FSC certified material? (BM TRADA highly recommends you have some certified material on hand so we may verify the receiving and purchasing process.)

Yes No

Please check the item(s) that best describe your business
Broker/Trader
Agent / Purchase and sales of certified products without transformation – (e.g. direct merchant or distributor)
Broker/Trader: A person or legal entity that buys and sells timber and/or other timber and non timber forest products and negotiates contracts, purchases, sales or transfers of products on behalf of third parties, and who takes legal and/or physical possession of the goods.
Agent: A person or legal entity with the authority to act on behalf of a principal, under an express or implied agreement and inreturn for a fee, to negotiate or arrange contracts, purchases, sales or transfer of timber and/or other timber and non timber forestproducts, and who does not take legal and/or physical possession of the goods. According to the FSC policy, agents do not necessarily need to be certified. If they do opt for being certified, they are subject to the AAF policy for brokers.
Paper product conversion(e.g. re-cutting, sheeting, envelope manufacturer, laminating))
PrinterorPublisher (e.g. commercial printer and printing services)
Solid Wood Dealers
Any company buying and selling certified material with no mixing of non certified content into the certified product
Primary wood product manufacture (e.g. sawmills, pulp/paper mills) (please indicate below if mixing certified with non-certified materials e.g. Controlled Wood or reclaimed material by checking either Percentage or Credit.)
Secondary wood product manufacture (e.g. furniture manufacturers, casework, millwork) (please indicate below if mixing certified with non-certified materials e.g. Controlled Wood or reclaimed material by checking either Percentage or Credit.)
Utilization and/or sale of post-consumer recycled wood products for use with certified claims
(e.g. FSC-recycled label )

Please check the system to be used by your company(Typical system per business type above is listed under each system type)

Transfer System
Physical Separation Method
(Companies using certified material and not mixing with controlled wood / non-controversial sources) / Percentage System / Method
(Companies mixing certified material with Controlled Wood / non-controversial sources and/or reclaimed material) / Credit System
(Companies mixing certified material with Controlled Wood / non-controversial sources and/or reclaimed material)
Please provide a summary below of your company activities (ie; printing services, lumber yard. Mill etc.)as well as the products your organization supplies/uses ie; Controlled Wood, Reclaimed Material

How did you hear of us?

Consultant
(Name) / Referral from BM TRADA Client
(Name) / Business Consortium
(Name)
Advertisement
(Source) / WEBSITES: BM TRADA Google FSC PEFC SFI
Other; enter > / Other
(Source)
Is your organization certified to any other standards?

Yes No If yes please provide the following details:

Standard(s)
Certification Body

Chain of Custody Standard(standards are available at no charge by following the appropriate links below)

FSC –

FSC-STD-40-004 Main CoC Standard

FSC-STD-40-003 Multi-Site Standard

FSC-STD-40-005 Controlled Wood Standard

FSC-STD-40-007 Reclaimed Material Standard

FSC-STD-50-001 Trademark Requirements for Certificate Holders

FSC-POL-40-002 Group CoC

PEFC–

PEFC ST 2002-2010: Chain of Custody of Forest Based Products - Requirements

SFI–

SFI 2015-2019 Standard (CoC - Section 4)

FSC CoC Annual Administration Fees

Size Class; Your company’s total annual turnover(revenue) (for ALL forest products and products containing wood or wood fiber components, including non-FSC material) This is required to calculate the licensing fees charged by FSC.

We will invoice you, and BM TRADA will pay FSC on your behalf so this amount will appear as a line item on the proposal we will submit to you. Note: This fee is subject to change on an annual basis by FSC and charges will be adjusted accordingly.

Please select your class in the table below

Traders - Only operations that do not conduct any changes to the traded products, either directly or through outsourcing, are eligible for this category.

Single Certification – Companies with a single site location, possibly with a second warehouse but invoicing only occurs at one location and functions as if under one roof.

Multi-Site - Companies with a multiple site locations, invoicing from various sites or with more than one legal entity.

Group Certificate - Companies with a group certificate which meet the requirements of FSC-POL-40-002 will be invoiced the total turnover for all the sites based on single certification column, plus an additional $10 per site.

Please check appropriate box

Column 1 / Column 2 / Column 3 / Column 4 / Column 5 / Column 6
Class / Annual Turnover / Single COC / Multi-site COC / Trader single / Trader Multi-site
Class 1 / < 200,000 / $ 65 / $ 65 / $ 25 / $ 25
Class 2 / 200,000 – 1,000,000 / $ 270 / $ 270 / $ 100 / $ 100
Class 3 / > 1 – 5 Million / $ 530 / $ 530 / $ 200 / $ 300
Class 4 / > 5 – 25 Million / $ 1,070 / $ 1,070 / $ 400 / $ 400
Class 5 / > 25 – 100 Million / $ 1,880 / $ 1,880 / $ 670 / $ 670
Class 6 / > 100 – 500 Million / $ 4,000 / $ 4,700 / $ 1,000 / $ 1,100
Class 7 / > 500 – 1,000 Million / $ 6,700 / $ 10,000 / $ 2,000 / $ 2,100
Class 8 / > 1,000 – 2,000 Million / $ 9,400 / $ 20,000 / $ 4,000 / $ 4,250
Class 9 / > 2,000 – 3,000 Million / $ 15,000 / $ 30,000 / $ 5,000 / $ 6,000
Class 10 / > 3,000 – 5,000 Million / $ 20,000 / $ 40,000 / $ 7,000 / $ 8,000
Class 10+ / > 5,000 Million / $ 30,000 / $ 50,000 / $ 10,000 / $ 12,000

NOTE: Fee Classes 10 and 10+ will become effective as of 01 January 2015. Until then Class 9 will represent the highest Class with no upper limit.

PEFC Annual Notification Fees USA (charged by PEFC to BM TRADA Certification NA)

BM TRADA will invoice you, so this amount will appear as a line item on the proposal we will submit to you.

US Fee Structure

Starting January 2014: Certification Bodies will collect the following fees for PEFC COC Certificate Holders
NEW: Annual PEFC U.S. Chain of Custody and Label Use Fees - 2014
Number of Sites in the US with a PEFC COC certificate / PEFC Fee
1 / US $500
2 – 20 / US $1,000
21 - 40 / US $5,000
41 + / US $10,000

CA Fee Structure This amount ^ is billed to you directly from PEFC

Number of Sites / Annual PEFC Annex 4 Notification Fee / Annual PEFC Logo Use Fee
1 / CA $500 / CA $250
2 / CA $1000 / CA $500
3 - 10 / CA $1500 / CA $750
11 - 20 / CA $2000 / CA $1000
21 - 30 / CA $2500 / CA $1250
31 – 40 / CA $3000 / CA $1500
41 - + / CA $3500 / CA $1750

This amount ^ is billed to you directly from PEFC

For the Use of BM TRADA Office Only
Reviewed By / Date of Review

BM TRADA Certification North America, Inc., 2001 Route 46 E, Waterview Plaza Suite 310, Parsippany, NJ 07054

2416 Main St., Suite 398, Vancouver, BC. V5T 3E2 Tel: (855) 517-2439

Tel: (973) 434 -7516e-mail:web:

CC06.1f Issue 10 (Jan 2015) Page 1 of 4