The information provided in this Application will help SCS to determine eligibility and scope of service. No charges will be incurred or work conducted until a Work Order is executed.

Section 1: Company/Organization Information
1. COMPANY INFORMATION
Company Name (as it would appear on a contract):
Street:
City: / State/Province: / Postal Code:
Country:
Main Phone: / Website:
Brief Company Description:
2. PRIMARY CONTACT PERSON
First Name: / Last Name: / Title:
Direct Phone: / Email:
3. COMPANY AFFILIATIONS WITH OTHER LEGAL ENTITIES (parent co, subsidiaries)
Company Name: / Corporate Relationship:
Has the company worked with SCS previously?
Yes No
Which service, or services, did you use?
4. COMPANY LEGAL STATUS (e.g. INC., LLC., GMBH, LTD., NGO)
What is the legal status of your company?
Section 2: Certification Information
Please indicate which certification(s) you are applying for:
Aquaculture Stewardship Council (ASC) Chain of Custody
Marine Stewardship Council (MSC) Chain of Custody
Responsible Fisheries Management (RFM) Chain of Custody
Is this a certificate transfer?
Section 3: Site Information
Provide information for each location to be considered under this Chain-of-Custody certification. Be specific and list all facilities (cold storage, processing, subcontractor, etc.). Use additional pages if necessary to complete this information or attach as a separate list.
Site Name & Address / Activity (i.e. processing, repacking, admin, etc.)

Is site(s) certified by a third party to a standard requiring traceability (e.g. BRC, IFS, SQF, ISO9001, etc.)? If yes, please list:

Section 4: Systems Description
Attach a flow chart or brief written explanation of the receiving, storing, production and sales/shipping processes at each facility to be considered for this Chain of Custody Certification.
Section 5: Product Information
Does your organization intend to purchase fish directly from a certified fishery or farm?
Yes No
Does your organization intend to purchase fish from a non-certified fishery or farm that is currently undergoing assessment with intent to eventually sell with a certified claim?
Yes No
Provide details on the finished product that will be sold on as ASC or MSC Certified. Use additional pages if necessary to complete this information.
Species / Form of product at purchase
(whole, H&G, etc.) / Form of product at sale
(fillets, steaks, canned, etc.)
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Section 6: General Information
1. What factors contributed to your interest in SCS Global Services?
Compliance
Customer Interest
Supplier Programs / Strategy
Buyer Requirement
Other
2. Would you like information on any of our other services?
Climate
(Carbon Offset, Carbon Footprint, etc.)
Environmental Claims
(Product Certification, Life Cycle Assessment, etc)
Food and Agriculture
(Safety, Testing, Sustainability, etc) / Responsible Forestry
(FSC, PEFC, Chain of Custody, Timber Legality, etc.)
Sustainable Seafood
(MSC, ASC, Chain of Custody, Seafood Safety, etc.)
Sustainability Services
(Consulting, Supply Chain, Sustainability Metrics, etc.)
3. How did you learn about SCS Global Services? Who referred you to SCS Global Services?
Section 7: Affirmation
I affirm that the information provided herein is true and correct to the best of my knowledge, and that I am duly authorized to sign this application. Should our company decide to pursue certification, I agree to supply any information that is deemed necessary for the audit of the operation and/or products to be certified.
Print Name:
Title:
Signature (electronic or typed accepted):
Date:

Please return this application to:

Phone: +1-510-452-8043 | Fax: +1-510-452-6884

We will be in touch as soon as possible.

Thank you for choosing SCS.

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