Contact Person: Title: Mailing Address: Primary: Mobile: Phone Number(s): Office: Fax: Email Address: AUTHORIZATION REQUIRED: In order to share information with the primary production partner, OTCO requires a signed release. By signing below, I am hereby authorizing OTCO to release information about my certification, including files that I have submitted, to my primary production partner listed above. Date: Name: Signature: Site (Facility/Farm) Address(s) Requested for Certification: Site Address: (Street, City, State or 1. Province and zip code) Site Address: (Street, City, State or 2. Province and zip code) Site Address: (Street, City, State or 3. Province and zip code) Site Address: (Street, City, State or 4. Province and zip code) .Site Address: (Street, City, or 5. Province and zip code) Site Address: (Street, City, or 6. Province and zip code) Site Address: (Street, City, or 7. Province and zip code) Background Information: a) Please indicate all OTCO classes of certification that you are applying for: Handling (Class OH, OP, OM) Class OR (Restaurant or Retail) Attestation of Compliance for Custom Service Providers (see definition below) Please identify the company name this application or certification is under (if different than identified on page 2): b) Please check all certification services requested: United States/Canada Equivalency EU/Canada (COR) Equivalency * EU evaluation requires submission of EU Supplement and appropriate fees. are available for download at or by contacting the Oregon Tilth office. c) Have you reviewed the CAN/CGSB Standards, Operating Manual and any other Yes No applicable international standards or arrangements? (e.g. EU-COR Equivalency) d) Have you reviewed the OTCO Procedures Manual? Yes No
Contact Person: Title: Mailing Address: Phone Number(s): Primary: Mobile: Office: Fax: Email Address: AUTHORIZATION REQUIRED: In order to share information with the primary production partner, OTCO requires a signed release. By signing below, I am hereby authorizing OTCO to release information about my certification, including files that I have submitted, to my primary production partner listed above. Name: Date: Signature: Site (Facility/Farm) Address(s) Requested for Certification: 1. Site Address: (Street, City, State or Province and zip code) 2. Site Address: (Street, City, State or Province and zip code) 3. Site Address: (Street, City, State or Province and zip code) 4. Site Address: (Street, City, State or Province and zip code) 5. .Site Address: (Street, City, or Province and zip code) 6. Site Address: (Street, City, or Province and zip code) 7. Site Address: (Street, City, or Province and zip code) Background Information: a) Please indicate all OTCO classes of certification that you are applying for: Handling (Class OH, OP, OM) Class OR (Restaurant or Retail) Attestation of Compliance for Custom Service Providers (see definition below) Please identify the company name this application or certification is under (if different than identified on page 2): b) Please check all certification services requested: United States/Canada Equivalency EU/Canada (COR) Equivalency * EU evaluation requires submission of EU Supplement and appropriate fees. are available for download at or by contacting the Oregon Tilth office. c) Have you reviewed the CAN/CGSB Standards, Operating Manual and any other applicable international standards or arrangements? (e.g. EU-COR Equivalency) Yes No d) Have you reviewed the OTCO Procedures Manual? Yes No
COR-OSPHandling.docx