Enquiry for Certification against the

IFFO RS Chain of Custody Standard for Responsible Supply (IFFO RS CoC)

Dear Applicant,

Thank you for your interest in the IFFO RS Chain of Custody Standard for Responsible Supply (IFFO RS CoC). In order to assist the Certification Body of your choice to develop the correct audit plan for you we require some information about your company.

Please be assured all such information is treated in a confidential manner.

If you have any question at any time during the certification processes please do not hesitate to contact me.

Yours sincerely

Francisco Aldon

Head of Operations

Instructions for completion of this application.

All Applicants must complete all the information requested in this form.

Applicants with multisite organisations must complete Part 2.

Applicants utilising sub-contractors must complete Part 3.

1.  Company main activities

Which of the following activities describes your company, please tick as many as apply.
Processing / Storage & Distribution
Trading / Packing or Repacking
Other
Product Description
Fishmeal
Fish oil
Other Marine Ingredient (Please detail)

2.  Legal Ownership

Does your company take legal ownership of IFFO RS Certified material? / Yes / No

3.  Number of sites for certification

Is your application for a single site? / Yes / No
Please confirm Number of Sites / Please complete the Multisite Part 2

4.  Subcontractors

Does your company use subcontractors? / Yes / No
Please confirm Number of subcontractors / Please complete the Subcontractor Part 3
5.  IFFO RS compliant material providers
Please provide a list of products you handle and from which RS approved factories
Factory name / Geographic Location / IFFO RS certification number / Product

In case of utilizing more IFFO RS compliant material providers, add to this application an extra page listing the remaining IFFO RS certified factories together with all the information required in this table.

6.  Additional Business Information

Please supply any additional information that will provide the Certification Body with a better understanding of your business.
·  Add examples of the different links in the chain of your business
·  Other third part certifications held
·  Timeframe for on-site audit

Please provide as much detail as possible enclosing additional information if deemed relevant.

7.  Company Details

Company Name
Address
City/state
Province/country
Postal code / Phone / Fax
E-mail
Company Legal Entity / e.g. INC, PLC, Sole Trader, Producer Group
8.  Contact person details
Title
First Name
Last Name
Position/Role
Address
City/State
Province/Country
Postal Code / Phone / Fax
E-mail
Commitment and Signature

I understand the requirements of the IFFO RS Standard and its Chain of Custody Standard (IFFO RS CoC) and that the information supplied in this Application form will be used by the IFFO RS secretariat and any of the approved Certification Bodies to determine the full assessment requirements for the applicant and associated costs.

I agree to comply with the relevant current standard and any future issues or revisions.

I agree to disclose all relevant information to the Certification Body to allow them to carry out a full and thorough assessment and inspection. I agree to instruct the chosen Inspection Body to release all documentation relevant to this application to the approved Certification Body.

I confirm that all information and answers I have supplied are true and complete to the best of my knowledge at the time of application.

I understand that false or misleading information in my application may result in the full assessment requirements and costs being increased.

I confirm that there are no legal proceedings against the company that could bring the IFFO RS standard into disrepute.

I accept to pay IFFO RS secretariat the annual application fee of £2,000 per company registration + £200 per site registration (and the agreed fees for fishery assessments in case opting for the Identity Preserve model).

I accept and agree that it is my responsibility to provide all information required by the Fisheries Assessment Body and Certification Body about the raw material used for the fisheries assessments in case opting for the Identity Preserve model.

I understand that information about the amount of marine ingredients produced by the company may be necessary by the IFFO RS approved Certification Bodies and the IFFO RS Secretariat for auditing and statistical purposes and that this information is strictly confidential and will not be shared with other parties.

I understand that there will be an additional fee charged for each site audit as agreed with the approved Certification Body of choice.

I agree to provide site access during normal working hours to authorised auditors of the approved Certification Body of choice for the purpose of carrying out inspections of product and premises in order to establish compliance to the IFFO RS CoC Standard.

I acknowledge that failure to comply with the requirements of the standard will result in withdrawal of certification and all entitlements and references to the IFFO RS certified claim.

I accept that this application form lasts for 3 years from the date of submission and that any changes after the initial submission will need to be added to this same application form and re-submitted to the IFFO RS secretariat for its process.

I understand that the completion and submission of this application formulates a contract to abide by the requirements of the program.

Signature / Date
Name & Position

Please return completed Application and Fee to:

IFFO RS Ltd
Unit C, Printworks
22 Amelia Street
London, SE17 3BZ
United Kingdom / Tel: + 44 (0) 2030 539 195
E-mail:

Part 2 Multisite Applications

Please include names of all sites, etc. that are included in the multisite application.

Name / Address / Number of Staff / Certified RS Product Purchased / Activity / Certified RS Product Sold

Part 3 Subcontractors

Subcontractors: An organisation that is contracted to carry out work under contract for a third party or affiliate (includes contract processors, transportation companies, distribution companies and any other storage or processing facilities).

Name / Address / Activity / Do they hold an existing IFFO RS CoC Certificate? / Have they had an IFFO RS CoC Certificate revoked?

Form 2 Page 2 of 8 Issue No: 6, June 2015