VERIFICATION SERVICES VLO/VLC

APPLICATION

1. COMPANY CONTACT INFORMATION

Company Legal Name:
Date: / Jurisdiction of Company:
Type of Legal Entity:
Primary Contact: / Title:
Contract Signer*: / Title:
Mailing Address:
City: / State/ Prov: / Country:
Email(s): / Post. Code:
Tel: / Fax: / Website:

*The contract signer must have sufficient legal rights to represent the company.

2. TYPE OF VERIFICATION REQUESTED

Verified Legal Origin (VLO):
Verified Legal Compliance (VLC):
Is there a specific date when you want to have your verification completed by? / Date:

3. BUSINESS BACKGROUND (Help us create a profile of your business to plan for your legality verification)

3a. BUSINESS TYPE (check all that apply)

Please state the nature of your enterprise:

Primary manufacturing / Import / Export / Forest Manager
Secondary manufacturing / Broker / Trader / Agent / Distribution / Wholesale
Converter of Paper Products / Retailer / Other

3b. COMPANY OWNED FACILITIES/FMUs AND PRODUCTS (to be included in the scope)

Facility name / Address: / Type of entity (i.e., FMU, sawmill, molding facility): / Area: (if applicant is FMU, list area) (ha)

3c. VERIFIED PRODUCTS TO BE INCLUDED IN THE SCOPE

Application is for ALL or SOME of the forest products your business produces or sells.

Product Type: / Species: / Annual Quantities (m3):

4. SUMMARY OF SUPPLYING COMPANIES AND SOURCES (to be included in scope)

4a. SUPPLYING COMPANY INFORMATION (supplying companies NOT owned by the client)

Company Name: / Address: / Type of Company (primary or, secondary processing): / Product Supplied (e.i. sawn timber, moldings): / VLO/VLC Code, if any:
SW-VL-
SW-VL-
SW-VL-
SW-VL-

4b. SOURCE INFORMATION (list the FMUs from which wood is being sourced)

FMU Name: / Address: / Area of FMU (ha) / Species supplied / Type of FMU
(natural forest concession, plantation, community forest etc) / VLO/VLC Code, if any:
SW-VL-
SW-VL-
SW-VL-
SW-VL-

PLEASE SEND TO:

SmartWood Program – Scandinavia, Eastern Europe & Russia

Nepcon

Veski 15-1
Tartu, ESTONIA 50001

Denmark mobile: (+45) 4036-0866,

Estonia mobile: (+372) 5664-0246


Appendix: Verification Application

Notes

1. COMPANY CONTACT INFORMATION

The Company making the application should be the same Company to whom the Verification Statement will be issued. The Company may consist of several entities (such as a forest source and processing facilities) which can be included in the scope of the verification. Information on these is given in section 3b. The scope of the assessment may also include other companies in the supply chain (listed in section 3b). These can also be included in the verification under a group arrangement. Details of these companies are requested in Section 4.

2. TYPE OF VERIFICATION REQUIRED

There are two types of legality verification offered:

1.  Verified Legal Origin (VLO) focuses on the possession of mandatory approvals, permits, and documents required by the specific permitting framework of the country involved. Timber producers and all downstream entities wishing to be verified must have in place a robust Chain of Custody system to allow tracking of material back to a verified source.

2.  Verified Legal Compliance (VLC) expands upon the basic component of legal origin and encompasses the totality of laws relating to environmental protection, wildlife, water and soil conservation, harvesting rules and practices, worker health and safety, and fairness to communities.

Which type of verification you require will often be determined by your buyers. If you are not sure then please contact the SmartWood Regional Representative or the Regional Office for advice.

3. BUSINESS BACKGROUND

Please check all business-type boxes in section 3a applicable to the Company making the application, even if not all the Company facilities will be included in the scope of the assessment. The Company facilities and products that will be included in the verification scope should be listed in sections 3b and 3c.

There may be other companies in your supply chain (either upstream or downstream) that you wish to have verified. If so, list these in section 3b. These companies could be assessed as part of a group arrangement with your Company, or as separate companies who will receive their own Verification Statements (though please note that SmartWood verification is voluntary). We will contact you to discuss this further. If you are unsure of the scope if the verification and require some assistance, please check the appropriate box in section 3b. The Gross Annual Sales information gives us an idea of the scale of your operation.

4. SUMMARY OF SUPPLYING COMPANIES AND SOURCES

Section 4 is a summary of your supplier companies that are not owned by your Company. Please include all companies here even if they will not be included in the verification scope. Section 4a is a summary of all suppliers to your Company; 4b is a detailed breakdown of all sources of wood (FMUs) to each facility in your Company (each facility that is within the verification scope). The column VLO/VLC refers to whether the supply company has an existing Verification Statement (from SmartWood or another verifier).

NEXT STEP

Thank you for taking the time to complete the Application. The information you provided will help us provide you with an effective and efficient verification service. If you should have any queries on the Application or SmartWood verification services please contact your local SmartWood representative or the Regional Office.

Verification Services VLO/VLC Application (VER-02) Page 2 of 3