New Mexico Department of Agriculture, Organic Program
2016 APPLICATION FOR ORGANIC CERTIFICATION NON-RUMINANT LIVESTOCK
poultry, rabbits, swine, etc.
RANCH OR BUSINESS NAME:
COUNTY:
RANCHER’S NAME:
PHONE NUMBER:
TITLE:
CONTACT NAME (IF DIFFERENT FROM ABOVE):
PHONE NUMBER:
TITLE:
FOREMAN/ MANAGER (IF DIFFERENT FROM ABOVE):
PHONE NUMBER:
TITLE:
STATE:
ZIP CODE:
MAILING ADDRESS :
CITY:
PHYSICAL ADDRESS/ LOCATION OF RANCH:
CELL PHONE NUMBER (IF DIFFERENT FROM ABOVE):
ALTERNATE PHONE NUMBER:
FAX NUMBER:
EMAIL ADDRESS:
W EBSITE:
BUSINESS INFORMATION :
INDIVIDUAL (SOLE PROPRIETORSHIP)
INDIVIDUAL “DOING BUSINESS AS”
CORPORATION
LIMITED LIABILITY COMPANY (LLC)
EDUCATIONAL INSTITUTION / PUBLIC INSTITUTION / NONPROFIT
GENERAL PARTNERSHIP
COOPERATIVE
OTHER (PLEASE LIST):
2016 NMDA Organic Non-Ruminant Livestock Application
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Page 1 of 17
New Mexico Department of Agriculture, Organic Program
AFFIRMATION OF ORGANIC APPLICANT
I,
as an authorized representative of [Business Name]
depose and say that I will:
1. Fully comply with all applicable organic production and handling regulations in accordance with Title 7 CFR Part 205 National Organic
Program Rule.
2. Establish, implement, and update annually an organic production or handling system plan that will be submitted to New Mexico
Department of Agriculture (NMDA).
3. Supply NMDA with all information required to verify compliance with the National Organic Program Rule.
4. Permit on-site inspections with complete access to the production or handling operation, including noncertified production and
handling areas, structures, and offices by NMDA inspectors. These inspections may be announced or unannounced at the discretion
of NMDA or as required by the Administrator of the National Organic Program.
5. Maintain all records applicable to the organic operation for not less than five (5) years beyond their creation.
6. Allow authorized representatives of NMDA, or the US Secretary of Agriculture access to these records under normal business hours
for review and copying to determine compliance with the National Organic Program Rule.
7. Submit to NMDA the applicable fees as described on the fee schedule which is current at time of payment (see pgs. 16 & 17).
8. Immediately notify NMDA about any application, including drift, of a prohibited substance to any field, production unit, site, facility,
livestock, or part of an operation.
9. Immediately notify NMDA of any change in our certified operation or portion of it that may affect its compliance with the National
Organic Program Rule, including: additions or deletions of crops & fields; new inputs (fertilizers, pest control, processing aids, etc.);
facilities; ingredients & products; changes to managers or responsible parties; contact information and email address.
10. Understand that willful violation of organic rules and regulations may result in revoking of organic certification and in extreme cases
may lead to state and federal fines and penalties.
11. Understand that submitting this application in no way implies granting of certification by NMDA.
12. Understand that this form becomes a legally binding document upon submission to NMDA.
SIGNATURE OF AUTHORIZED REPRESENTATIVE:
DATE:
PRINT NAME:
TITLE:
2016 NMDA Organic Non-Ruminant Livestock Application
Certifier@nmda.nmsu.edu
Page 2 of 17
New Mexico Department of Agriculture, Organic Program
If you were Certified Organic in 2015, please report your
2015 ORGANIC SALES & YIELDS
● Sales include CSA, farmer’s markets, restaurants, on-farm stands, distributors, grocery stores, internet, etc.
● Please list all products separately (beef - whole, sides or cuts, hay, etc).
● Please include sales of live organic animals.
CROP
YIELD
example: native grass hay
450 tons
LIVESTOCK & PRODUCTS
300
Not yet slaughtered
chicken eggs
400 dozen
$
NUMBER OF
ANIMALS
YIELD
example: swine
SALES
(rounded to nearest dollar)
ACRES
SALES
(rounded to nearest dollar)
18 sows, 2 gilts
$
30 hens 1 rooster
$
Total Certified Organic Sales 2015 $
Percentage
of Sales
%
%
%
%
%
%
%
Type of Sales
Farmers Markets
On-Farm Sales
CSA (Community Supported Agriculture)
Wholesale
Restaurant
Retail Stores
Other (please specify):
2016 NMDA Organic Non-Ruminant Livestock Application
Number of
employees
Type of Employee
Permanent Full Time Employees
Permanent Part Time Employees
Seasonal Employees
Marketing & Jobs - Help us show the importance of
organic farming in New Mexico’s economy.
Certifier@nmda.nmsu.edu
Page 3 of 17
FIELD HISTORY & MAPS
COMPLETE THE FIELD HISTORY BELOW FOR EACH FIELD FOR ALL FOUR YEARS (a) Field name /number must match your maps. (b) Location (Township, Range, Section
or physical address) required. (c) Material input = fertilizer, pest control, manure, etc. (d) Four years (two pages) of field history must be completed.
Check if
NOT
certified in
2015
Farm/Field Name
and/or Number
Acres
2016
crops
+ Location (address or Township, Range,
Section)
2016
material
inputs
2015
crops
2015
material
inputs
CONTINUED NEXT PAGE →
2016 NMDA Organic Non-Ruminant Livestock Application
Certifier@nmda.nmsu.edu
Page 4 of 17
←
CONTINUED
FROM
PREVIOUS
PAGE
Farm/Field Name
and/or Number
Acres
2014
crops
+ Location (address or Township, Range,
Section)
PLEASE ADD TOTAL ACRES HERE →
2016 NMDA Organic Non-Ruminant Livestock Application
2014
material
inputs
←
Certifier@nmda.nmsu.edu
Page 5 of 17
2013
crops
2013
material
inputs
Updated maps are required EACH year; use this sheet or equivalent
SUBMIT A MAP that: (a) Matches your Field History on page #5 (b) Includes every organic farm/field.
(c) Shows farm name, field name & acreage of each field. (d) Shows borders & shape of each field.
(e) Identifies location of crops and fallow land. (f) Accurately shows land boundaries and organic buffer
zones. (g) Identifies all adjacent land use, such as other farms, roads, ditches, open range, etc.
(h) Indicates NORTH.
Attachment (check if map is attached rather than detailed below)
2016 NMDA Organic Non-Ruminant Livestock Application
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Page 6 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
SECTION A. GENERAL INFORMATION
§ 205.201 ,
205.401
National Organic Standards 7 CFR 205 require an organic system plan that is verified and approved by an accredited certifying
agent. A certified operation must update this system plan on an annual basis in order to verify continued compliance. Please
remember that your plan may change. Changes or updates must be approved by NMDA prior to implementation. Submit
changes and updates by email, letter or fax. Keep copies of all applications, forms and documents you submit to NMDA.
1. Please check the boxes that apply to your operation:
Laying hens/eggs
Meat birds
Pasture/Forage
Rabbits
Pigs
feed/hay:
Living livestock for sale
Crops for human consumption
Other
for your own livestock
for sale
Please provide a complete list of livestock, products and crops you want to certify in 2016. This will be used to prepare your
Organic Product List. (Examples: native pasture, wheat, alfalfa, sorghum silage, turkeys, eggs, hogs, cuts of meat, etc.) Please note
that your Product List must be updated before you sell crops that were not certified in 2015.
Animal Class/stage of Production Number of Head
Crops
Example: laying hen
56
Example: native pasture
alfalfa, oats and native grass
2. Please provide detailed directions to your operation:
If you are producing either of the following you must also complete a separate application for each - please contact NMDA
3.
Organic crops for human consumption
On site slaughter and packing
4. Have you ever previously applied for organic certification?
Yes
No
Yes
No
Yes
No
4a. If “Yes,” please list the year(s) and certifying agency to which you applied.
5. Are you currently certified organic, or have you ever been certified organic?
5a. If “Yes,” please list the name of the certifying agency and the year(s) certified by that agency.
6. Have you ever been denied certification or had your certification suspended or revoked?
6a. If “Yes,” please list the name of the certifying agency, the year(s) and describe the circumstances. Please attach
copies of Notice of Denial of Certification and/or Notice of Noncompliance; description and evidence of your corrective
actions.
7. If currently certified by NMDA, were issues noted or has information been requested that is still
outstanding? See your last correspondence from NMDA.
7a. If “Yes,” please note issues or information requested and how you have resolved the issue.
2016 NMDA Organic Non-Ruminant Livestock Application
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Yes
No
Page 7 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
CHAIN OF CUSTODY
8. When do organic products leave your CUSTODY?
At point of sale - retail /wholesale
At harvest
Other (please specify):
8a. When do organic products leave your OWNERSHIP?
At point of sale - retail /wholesale
At harvest
Other (please specify):
9. Are you hired or contracted by another operation to grow organic crops?
Yes
No
9a. If “Yes,” please provide the name of the operation (processor, grower, dairy, marketing company) and the details of the
contract. (Please note any areas for which you are not the responsible party (e.g. seed selection, planting/harvest, herd
management).
10. Do you hire or contract custom services during production, handling or storage of organic crops?
(Examples –tractor work, transportation, harvest, etc.)
Yes
No
10a. If “Yes,” list the business(s), service, and contact information and submit a Custom Service Compliance Statement as
appropriate.
11. If Non-Ruminant livestock are on pasture or are free range, the land must be managed according to Organic Crop Regulations.
Please complete and submit the Non-ruminant Crop Sections attached below.
Non –ruminant Crop Sections Attached
Non-ruminant Crop
Sections 2016.docx
If you produce labeled products, submit label proofs to NMDA for approval before printing.
NMDA is NOT responsible or liable for non-compliant or incorrect labels.
2016 NMDA Organic Non-Ruminant Livestock Application
Certifier@nmda.nmsu.edu
Page 8 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
Section B. Livestock Flow Chart
Please provide information regarding the flow of animals through your system. Include source of animals, living conditions for each
stage of production and final destination of animals. This may be in a narrative form or submitted as a flow chart and must be for each
flock or herd with a different flow. Refer to the example below and attach additional sheets as necessary.
Flock #1
Chicks
received
from
hatchery
Brood for 3
weeks in
house
Moved to pens
on pasture 1, 2
and 3 at 4 weeks
Slaughter on
site
beginning
week 8
Flock #1
sold on site
on day of
slaughter
Flow chart and/or additional narrative:
Section C. Origin of Livestock
§ 205.236
Organic livestock products must come from livestock under continuous organic management from the last third of gestation
except poultry which must be under continuous organic management beginning no later than the second day of life.
1. Please check all methods of animal identification that you use on the ranch:
Ear tag
Ear notch
Brand
Paint
Flock number
Other (specify):
2. If you buy replacement animals, list all sources in the table below.
Type of Animal
Example: Day old chicks
Source (Name, Address or Phone)
Organic (X)
Heritage Hatchery, 555 Main Street, Anytown NM. (505) 555-5555
X
Maintain all receipts and organic certificates for purchased animals and have them available at your annual inspection.
3. Do you breed livestock or hatch chicks/poults on the farm?
Yes
No
N/A
4. Have all animals (except poultry) been under continuous organic management since
the last third of gestation?
Yes
No
N/A
5. Have all poultry been under continuous organic management since the 2nd day of life?
Yes
No
N/A
2016 NMDA Organic Non-Ruminant Livestock Application
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Page 9 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
Section D. Slaughter
205.236, 205.237, 205.238, 205.239
National Organic Standards require that slaughter stock must be under continuous organic management from the last third of
gestation and comply with all feed, health care and living condition requirements, except that poultry must be under continuous
organic management beginning no later than second day of life.
1. Do you
slaughter or
contract with slaughter facilities?
N/A no slaughter
If you slaughter, you must be a certified Organic Processor/Handler. Contact NMDA for details.
If you contract with a slaughter facility, it must be Certified Organic. Please attach the Organic Certificate.
Section E. Organic Feed Ration
§205.237
The National Organic Standards require that livestock producers provide livestock with a total feed ration composed of 100% organic
agricultural products, including pasture and forage. This feed ration must be sufficient to meet nutritional requirements, including
vitamins, minerals, protein and/or amino acids, fatty acids, energy sources and fiber for non-ruminants.
1. Provide the following information for all stages of livestock on your operation:
Type of Feed
Type of
livestock
Example:
Layers
# of
Animals
1400
Amount of Feed per Unit of Time
Other
Grain
Layer Mash
Forage
Pasture
(supplements, salt,
etc.)
Scratch
Grain
450#/day
Forage
Daily access
Other
Free fed
You must have current organic certificates available at your annual inspection for all purchased feed.
2016 NMDA Organic Non-Ruminant Livestock Application
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Page 10 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
Section F. Livestock Health
§205.238
National Organic Standards require livestock producers to establish & maintain preventative livestock health care practices. When
preventative practices & veterinary biologics are inadequate to prevent sickness, a producer may administer synthetic medications
allowed under 205.603. Any medications administered, whether allowed or prohibited, must be recorded on an animal health record.
Withholding medical treatment from a sick animal is prohibited by the National Organic Standards.
1. Review the conditions that have/ could afflict your animals. Describe your preventative plan and treatment used if preventative
plan is insufficient. Include treatments(s) used if preventative plan is not effective. Use additional sheets as necessary.
Condition
Experienced?
Example: Pecking
yes
Preventative Plan
Treatment (if prevention fails)
Adequate Space
Re-assess space and adjust flock
Digestive Disorders (diarrhea)
External Parasites
Eye Problems
Foot Problems
Internal Parasites
Pecking &/or Cannibalism
Reproductive Disorders
Respiratory Diseases
Skin or Feather Conditions
Viruses
Other (specify)
2. Do you administer vaccines?
2a. If “Yes,” are any of these vaccines genetically modified?
Yes
No
Yes
No
Don’t know
List all vaccines used on your operation in Section F. Livestock Health.
3. If an animal was treated with a prohibited material ( example: synthetic medicine or health care product) , describe your plan
and/or current practice for removing this animal from the organic market:
You must document that all animals treated with a prohibited material were removed from the organic market.
2016 NMDA Organic Non-Ruminant Livestock Application
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Page 11 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
4. Are animals subject to physical alterations?
Yes
No
4a. If “Yes,” please provide the following information in the table below:
Alteration
Ex. – Beak trimming
Age
Chicks
Purpose
How was pain/stress minimized
Reduce injury
Performed at young age
Section G. Livestock Living Conditions & Pasture
§ 205.239
Organic livestock operators must establish and maintain livestock living conditions which accommodate the health & natural behavior
of animals, including access to the outdoors, clean and dry bedding as well as shelter for organic animals.
1. Indicate which of the following accommodations are provided for your organic livestock:
Access to outdoors
Fresh air
2. Do you provide access to pasture?
Shade
Direct sunlight
Yes
Exercise area
Other (specify):
No
3. For each group of organic animals (chicks, pullets, weaners, etc.) describe how you provide access to the outdoors &/or
pasture. Please include typical dates of confinement for each group, typical dates animals are provided access to outdoors and
/or pasture for each group and details of the conditions of the outdoors &/or pasture that are provided.
4.
Indicate which conditions are addressed by the shelter provided (check all that apply).
Natural maintenance
Suitable temperature levels
Reduction of potential for injury
Comfort behaviors
Ventilation
2016 NMDA Organic Non-Ruminant Livestock Application
Opportunity for exercise
Air circulation
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ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
5.
Do you provide bedding for your animals?
Yes
No
5a. If “Yes,” please list the type of bedding:
5b. Do you
buy or
produce the bedding?
5c. Is the bedding edible?
Yes
No
5d. If you buy the bedding, is it certified organic?
Yes
No
If 5d =“Yes,” you must have a current organic certificate available at your inspection.
6.
Yes
Are organic animals subject to confinement?
No
6a. If “Yes,” indicate why livestock are subject to confinement:
Inclement weather
Risk to soil or water
Stage of production
Other (specify):
Health, safety, well-being of animal
You must maintain records of pasture/access to the outdoors and have this information available at your inspection.
7.
Please list your annual average percentage of culled (live) livestock:
8.
List your annual average percentage of death or loss:
Section H. Egg Handling
§205.236, 205.237, 205.238, 205.239
1. Do you raise poultry or waterfowl for egg production? If “No,” skip to Section J
1a. If “Yes,” do you sell your eggs anywhere other than on your own physical farm location?
1b. If “Yes,” do you have a New Mexico Egg Dealers License or have you registered as an ungraded egg
dealer?
Yes
No
Yes
No
Yes
No
If no, please see http://www.nmda.nmsu.edu/scs/licenseregistration/egg-licensing/
Organic Certification cannot be granted for egg dealers unless you meet any applicable New Mexico license requirements.
2. Do you use new cartons for your eggs?
Yes
No
3. Do you use used cartons for your eggs?
Yes
No
Yes
No
Yes
No
3a. If “Yes,” were the used cartons from certified organic eggs?
4. Do you label your organic eggs? If “Yes,” please submit label proofs for approval before printing.
NMDA is NOT responsible or liable for non-compliant or incorrect labels.
SECTION I. PACKING, STORAGE, AND TRANSPORTATION
§ 205.272
§ 205.272 requires that handling practices and procedures present no contamination risk to organic products from commingling with nonorganic products or contact with prohibited substances. Packaging materials, bins, and storage containers must not contain synthetic
2016 NMDA Organic Non-Ruminant Livestock Application
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Page 13 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
fungicides, preservatives, or fumigants. Reusable containers that have been in contact with any substance in such a manner as to
compromise the organic integrity cannot be used unless container has been thoroughly cleaned. Procedures used to maintain the organic
integrity of ingredients or products (cleaning or lining) must be documented.
1. What type of containers are used to store organic products (tubs, boxes, etc.)?
2. Are containers dedicated organic only?
Yes
No
2a. If “No”, how is contamination prevented?
3. Which type of storage is used for your organic product? This includes short-term or overnight in tubs, coolers or refrigerators.
Product
On site?
Yes
No
Yes
No
Location & unit name /number
Type (cooler, freezer etc.)
N/A
Dedicated
Organic?
Yes
No
Yes
No
Yes
Yes
No
No
4. How do you ensure organic products are not contaminated during storage and transport?
Section J. Recordkeeping
§ 205.103
National Organic Standards require organic producers to maintain records concerning the production, harvesting and
handling of organic livestock and livestock products. These records must fully disclose all activities and transactions of
the operation in sufficient detail to be readily understandable and auditable and must be available for inspection and
copying. You are required to maintain records related to organic production for 5 years and have them available during
inspections. Records include but are not limited to field history, maps, seeds, transplants, planting, fertilization,
pest control, harvest, storage, transportation, livestock origin & births/hatching, feed, pasture, healthcare,
medications, slaughter, egg gathering, storage, sales.
1. Be prepared to submit copies of all records requested by NMDA.
2. Be prepared to produce all records requested by your inspector at the time of inspection.
Organic recordkeeping forms are available at
https://attra.ncat.org/organic.html
2016 NMDA Organic Non-Ruminant Livestock Application
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Page 14 of 17
ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCER poultry, rabbits, swine
SECTION K. MATERIAL INVENTORY
§ 205.201
§ 205.201 requires that the organic system plan include a list of each substance to be used as a production or handling input.
Materials must be approved by the certifier prior to use application. Please call if in doubt.
You must provide updates to NMDA by email, letter or fax before you add a material NOT already on this inventory. Use
of unreported materials may jeopardize your organic certification.
Material & Brand Name
Please be specific
Example: Ultrabac 7,
Drammatic 0 Liquid Fish 2-5-0.2 , dairy manure, etc.
Purpose
(vaccination, udder ointment,
fertilization, pests, disease, etc.)
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Page 15 of 17
New Mexico Department of Agriculture, Organic Program
RANCH OR BUSINESS NAME:
RANCHER’S NAME:
FEE SCHEDULE part 1 of 2
ASSESSMENT FEE is three-fourths of one percent (¾ percent) of the first million dollars of gross organic sales,
plus seventy-five one thousandths of one percent of the gross organic sales over one million dollars.
Total Gross Certified Organic Sales for the 2015 Calendar Year
(Jan. 1, 2015 – Dec. 31, 2015) rounded to the nearest dollar
A: $
B: $
$0 to $1,000,000 (one
million)
For sales between zero and the first
one million dollars, multiply Box A
amount by .0075
Are gross organic sales over one million
dollars?
Yes
No
If “No”, enter amount from box B into box D
If “Yes”, your total assessment is the sum of the assessment on your first one million dollars (box B), plus the
assessment on sales over your first one million dollars (box C).
Over $1,000,000 (one
million)
For sales over one million dollars,
multiply the amount over one million
by .00075
C: $
D: $
Total Organic Sales Assessment Fee (the sum of box B & C) =
LATE FEE - for RENEWAL applications postmarked after April 1, 2016
Late Fee: renewals received after April 1, 2016
$75.00
Late Fee: renewals received after May 1, 2016
$100.00
Late Fee: renewals received after June 1, 2016
$200.00
Late Fee: renewals received after July 1, 2016
$500.00
Late fees apply to
RENEWAL
applicants only.
Total Late Fees = E :
PROCEED TO NEXT PAGE TO COMPLETE APPLICATION FEE TOTALS
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Page 16 of 17
New Mexico Department of Agriculture, Organic Program
FEE SCHEDULE part 2 of 2
APPLICATION FEE
RENEWAL Application Fee
$200.00
Renewal applicants only
$250.00
New applicants only
OR
NEW Applicants Fee (first time )
Late Fee Renewal applicants ONLY
(see box E from page A above)
Applies to renewal applications
postmarked after April 1, 2016
Total Organic Sales Assessment Fee
(see box D from page A above)
Does not apply to new applicants
FEES ARE NOT REFUNDABLE
Total Fees =
F:
PLEASE NOTE: If new or additional fields/products are
added after the annual inspection is complete,
additional costs will be incurred. A cost estimate will be
provided.
● If a second inspection is necessary you will be billed
for the actual cost of the inspection and the actual cost
of the office audit ($40/hr) to complete the addition.
●In cases where no second inspection is required, you
will be billed for the actual cost of the desk audit
($40/hr).
● Payment must be received before the new or
additional fields/products are certified organic and
added to Organic Product List and the Organic System
Plan
CHECKS PAYABLE TO “NMDA”
Please mail
PAYMENT and FEE SCHEDULE (pages 16-17)
to :
NMDA Marketing & Development
Attn: Elaine M Padilla
MSC 5600, PO Box 30005
Las Cruces, NM 88003-8005
Please mail your APPLICATION (pages 1-15) to:
NMDA Organic Program
2604 Aztec Rd NE
Albuquerque NM 87107
http://www.nmda.nmsu.edu/marketing/organic-program/
bbakker@nmda.nmsu.edu
2016 NMDA Organic Non-Ruminant Livestock Application
(505) 841-9422
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Page 17 of 17
Application for Cost-Share Reimbursement 2016
Name of Certified Organic Business: _________________________________________________
Your Name:_____________________________________________________________________
Type of Certification (crop, livestock, processor):_______________________________________
Address: _________________________________________________________
City: ______________________ State: ______
Zip: ___________________
Phone: __________________________ Fax: ____________________________
Email: __________________________________________________________
Name of your certifier (NMDA, etc.): ______________________________________________
Allowed reimbursement costs for certification include: application fees, inspection fees, user fees, postage and
assessments. Late fees and charges relating to violations of the organic standards are not eligible expenses. If you have
questions about a particular expense, please call (575) 646-2752. If you are certified by NMDA you do not need to
attach receipts unless you are claiming postage. If you are claiming postage or are not certified by NMDA you
must attach receipts. Everyone must attach an itemized list of items to be reimbursed.
A) During the year10/1/15-9/30/16 I spent (the following amount) $ _____________
on organic certification expenses.
B) Multiply the amount above x .75.
$______________
C) If the number on line B is larger than $750 you are eligible for a reimbursement of $750. If the number on line B is
less than $750, that amount will be the amount of your reimbursement.
D) If you were first certified in 2016, or are certified by a body other than NMDA, please attach a copy of your
certificate. This is REQUIRED!
TOTAL REIMBURSMENT:
I, ______________________________ understand that under the NOP cost-share program I am eligible to apply for 75%
of my annual certification costs up to $750/year for Federal FY 2016, and nothing more. Awards of funds will be made on
a first-come first-served basis (of the complete application); funds may not be available to reimburse every certified
business.
____________________________________
Date: __________________
(sign here)
Please follow the instructions on the next page.
Please follow these instructions.
1. The Organic Cost-Share Program is a federal program, funded by the 2014 Farm Bill, to reimburse producers and
processors for 75% of the cost of organic certification, up to $750. You must apply to receive reimbursement. If you have
more than one certification (e.g. crop and processor) you may apply for EACH current certificate, but you must complete
a separate application for each certified operation.
2. In New Mexico, the New Mexico Department of Agriculture is the agency responsible for distributing the federal
funds. All certified organic New Mexico businesses are eligible for reimbursement as long as they have successfully
completed the certification process and have a current certificate from a USDA-accredited certifier.
3. You must fill out the forms completely and include the required attachments to be reimbursed.
4. Requests for reimbursement must be received no later than 10/31/16.
5. There is no guarantee that funds will be available. Reimbursements will be issued on a first-come-first served basis
until the money runs out.
6. What is important in figuring your certification costs for a particular year is the date that you wrote the check to cover
those costs. Checks you wrote from 10/1/15-9/30/16 would be eligible for cost share reimbursement this year. Your
“certification year,” (the date on your certificate or renewal) is irrelevant to this program. Eligible expenses generally are
ones for which you paid your certifier. Application fees and assessments are eligible. Late fees charged for late
application submission are not eligible.
7. Please don’t hesitate to call Elaine Padilla at (575) 646-2752 if you have any questions about this program. We want
you to get your reimbursement.
What you have to do
Guided by the information above:
1) Fill out the cost-share application and sign it.
2) Fill out the NMSU Vendor Questionnaire form. If you file taxes as a corporation or partnership you do
NOT have to fill out the “Independent Contractor Determination” section on page 3 of the form. If you file
as an individual, sole proprietor or LLC, you MUST complete the “Independent Contractor
Determination” section of the form. In this section, check “no” on all the boxes. Under Question 8, please
write the following: “I am not providing a service to NMSU but am being reimbursed for fees paid to
NMDA.” Sign the form on page 4 where it says “Contractor’s Signature.”
3) Include a copy of your current organic certificate if you were first certified in 2016, or are not certified by
NMDA.
4) Include an itemized statement of certification expenses; and, if not certified by NMDA or you are claiming
postage, please attach receipts.
5) Please complete the Vendor Questionnaire. Click on the picture of a box below this section to access the
document.
6) Do NOT send the vendor questionnaire (or anything else) to NMSU. Send ALL the above items to: NMDA
Marketing & Development, Elaine M. Padilla MSC 5600, PO BOX 30005 Las Cruces, NM 88003-8005.