NATURAL FLAVOR VERIFCATION

TO BE COMPLETED BY THE MANUFACTURER /SUPPLIER OF THE NATURAL FLAVOR PRODUCT

Natural Flavor Productsmay be allowed in organic production if they meet the following:

(a)Flavor constituents in the Natural Flavor Product must have come from non-synthetic sources.

(b)Natural Flavor Product must not have been produced using synthetic solvents, carrier systems or artificial preservatives in any stage of production.

(c)Natural Flavor Product must not have been produced usingGenetically Modified Organisms(GMOs) and ionizing radiation in any stage of production.

(d)Natural Flavor Product must meet the FDA definition of Natural Flavor:

FDA 21 CFR Part 101.22(a)(3): “… natural flavor or natural flavoring means the essential oil, oleoresin, essence or extractive, protein hydrolysate, distillate, or any product of roasting, heating or enzymolysis, which contains the flavoring constituents derived from a spice, fruit or fruit juice, vegetable or vegetable juice, edible yeast, herb, bark, bud, root, leaf or similar plant material, meat, seafood, poultry, eggs, dairy products, or fermentation products thereof, whose significant function in food is flavoring rather than nutritional. Natural flavors include [but not exclusively] the natural essences or extractives obtained from plants listed in §§182.10, 182.20, 182.40, and 182.50 and part 184 of this chapter, and the substances listed in §172.510 of this chapter.”

(e)Natural FlavorProduct should be labelled as a “flavor”

  1. natural flavor product (name/code)

  1. Type of flavor (select one or more )

Protein Hydrolysate / Extracts / Essential oil
Compounded flavor / Oleoresin / Isolate
Distillate / Compounded WONF / Other
  1. Flavor constituent
/ n/a / yes / no
Do all of the flavor constituents meet the FDA definition of a natural flavor?
Are the flavor constituents made using natural, non-petroleum based solvents?
Please list any solvents used in the production of this flavor. If alcohol/ethanol is used, please indicate whether it is produced naturally (via fermentation):
  1. Other ingredients
/ n/a
Please list any carriers used in this flavor
Please list any preservatives used in this flavor
Please attach a complete ingredient statement for this flavor
n/a / yes / no
If glycerin is used as a carrier or solvent, was it produced by hydrolysis of fats and oils?
If maltodextrin is used as a carrier, please attach a specific description of how the maltodextrin is made.
List processing aids used and their function in the production of the maltodextrin.
If triglycerides are used as a carrier or solvent, please attach a thorough description of how the triglycerides are made. List processing aids used and their function in the production of the triglycerides.
If citric acid is used as a preservative, was it produced via fermentation of carbohydrates?
  1. Statements
/ yes / no
Were Genetically Modified Organisms (GMOs) used at any stage in the production of this flavor including any solvents, carriers, preservatives or other processing aids?
Wasionizing radiation used at any stage in the production of this flavor?
  1. Supplier/Manufacturer Statement

I attest that the information provided is true and accurate to the best of my knowledge.
company
(supplier/manufacturer)
contact (phone/email)
name (print)
title
signature & date