AGRICULTURAL SERVICES CERTIFIED ORGANIC MATERIALS VERIFICATION PROGRAM
Application for Materials Verification (A separate application must be submitted for each product)
Type of verification requested: NOP Compliance  CDFA Pre-Compliance 
California leafy Green Marketing Agreement - Compost 
Export verification to foreign country requirements / NOP Export Arrangements/Agreements:
Canada 
EU 
Japan 
Taiwan 
Check type of product (√):  Fertilizer  Crop Production Aid  Pesticide  Processing Aid
 Post Harvest Material
 Soil Amendment  Spray Adjuvant  Other __________________
Product Brand Name: _______________________ Is this a renewal product application? Yes No (circle one)
General Applicant Information:
Company Name
Contact Name
Title
Mailing Address
City
State
Ca
Zip Code
Phone
Fax
Email address
Website Address
Manufacturer Information:
Do you manufacture this product?  Yes  No
Company Name
If no, please list the manufacturer below.
Contact Name
Mailing Address
City
Zip Code
State
Phone
E-Mail address
Website
Do you have the authority for the Full Disclosure of Ingredients?
 Yes  No
Changes to prior formula?
 Yes  No
[If yes, attach current formula and documentation]
Distributor Information:
Company Name
Contact Name
Mailing Address
City
Zip Code
State
Phone
E-Mail address
Website
Signature of Authorized representative: __________________________ Phone Number: ________________
The person signing the application must be authorized to represent the firm and is responsible for notifying ASCO of any changes or updates
to the above listed product.
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The following documents are required to be attached to your application- review process will
not be started without these documents:
 Attach check for each product label to be reviewed - $350.00 per label. (Fees are required with application)
 Confidential statement of formula (required)
 Description of manufacturing process and process flow charts (required)
 Product label (required)
 Material Safety Data Sheet for final product (required)
 Ingredient information
 Manufacturing process for each ingredient (required)
 Material Safety Data Sheet for each ingredient (required if applicable)
 Product label for each ingredient (required)
 Invoice or proof of purchase for each purchased ingredient & other information as required by ASCO. (required)
Fees
Manufacturers wishing to have products reviewed for use in organic production and handling may enter into the ASCO
Material Verification Program on an annual basis (products must be re-evaluated annually). A non-refundable fee of
$350.00 per product label and hourly research will be charge (call for complete estimate) for; research, reports, site
inspection (Which includes: general expenses of time, travel, air fare and accommodations when necessary) and
expenses associated with product samples taken and lab analysis results. All charges incurred will be to evaluate if a
product is allowed, restricted or prohibited in relation to NOP requirements. The need for an onsite inspection is to
verify NOP compliance in order to use a material in an organic operation. Applicant will be advised if an onsite
inspection is required in order to have products reviewed and listed with ASCO.
The ASCO Material Verification Program is not a recommendation of products, its sole purpose is to
evaluate materials used in organic operations. Once products are evaluated, they will be listed on the ASCO Material
Lists and this information will be made available to organic operations. ASCO will provide the manufacturer with a
Verification Certificate stating the evaluation finding at the time of product review.
An onsite visit to the manufacturing facility includes: Inspection of manufacturing facility, auditing of records,
balancing of product in/out, research of ingredients back to origin and their manufacturing process and drawing of product
samples for analysis. An estimate for the onsite inspection will be provided to any operation entering into the ASCO
Materials Verification Program. Once an application has been received with the initial label review fees, an operation can
decide at that time whether to continue with the onsite inspection beyond the label review process.
Annual update verification: Annual update product review, annual updated certificate and listing of product
thereafter will be charged at a rate of $250.00 per product label. Additional onsite inspections by ASCO will be done
as ASCO deems necessary to reaffirm that products remain in compliance of NOP requirements. Additional onsite
inspections will be at the manufactures expense.
ASCO is not responsible for manufacturer changes in product compositions at any time which nullifies
the product being allowed, or requires the product to be restricted or prohibited as required by NOP regulations.
Attached application check with filled out forms and associated documents listed above to the following:
ASCO
P.O. Box 4871
Salinas, CA 93912
If you were referred to ASCO, please list here →
Referred By:__________________________
P.O. Box 4871 * Salinas, CA 93912 * Phone: 831-449-6365 * Fax: 831-975-4414 * info@ascorganic.com
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