
ROR-600 Organic Certification Application
Date / /
This document becomes public record and is subject to disclosure. With few exceptions, you have the right to
request and be informed about the information that the State of Texas collects about you. You are entitled to
receive and review the information upon request. You also have the right to ask the state agency to correct any
information that is determined to be incorrect. (Reference: Government Code, Sections 552.021, 552.023, and
559.004.)
Processor (Food and Feed) - ROR-606 Processor (Food and Feed) Organic System Plan
Processor (Fiber) - ROR-604 Processor (Fiber) Organic System Plan
Distributor - ROR-602 Distributor Organic System Plan
Retailer - ROR-608 Retailer Organic System Plan
ROR-622 Seed and Planting Stock Disclosure (if applicable)
ROR-624 Organic Livestock Outdoor Access Calendar
Please note that an incomplete application will result in processing delays.
SECTION N
Please use this checklist to ensure you are sending all of the necessary information and documents. Organic
standards require you to keep a copy of your application and all supporting documentation for your files.
Organic Certification Application
ROR-623 Organic Livestock Dry Matter Worksheet (if applicable)
Fees (see instructions for assistance with calculating the correct fee)
All applicable supporting documentation:
Land Producer - ROR-607 Producer Organic System Plan
daymonth year
1
CHECKLIST
Livestock Producer - ROR-603 Livestock Organic System Plan
ROR-621 Previous Land Owner/Manager Affidavit for Organic Land Certification (if applicable)
SECTION M
The applicant, by and through their personal or agent's signature below (1) certifies that all information provided in
connection with this application at any time is true and correct to the best of the applicant's knowledge; (2)
acknowledges that any misrepresentation or false statement made by the applicant, or an authorized agent of the
applicant, in connection with this application, whether intentional or not, will constitute grounds for denial,
revocation, or non-renewal of any license issued pursuant to this application and/or assessment of monetary
administrative penalties; and (3) if applying as an individual, further acknowledges that this application may be
denied and that any license issued pursuant to this application may be suspended, revoked, or denied renewal due to
delinquency in payment of a guaranteed student loan and that any license issued pursuant to this application may be
suspended or denied renewal for failure to pay child support. Applicant similarly certifies that such farm or handler
has not produced or handled any agricultural product sold or labeled as organically produced except in accordance w
employee) of the applicant, the person signing certifies that he or she is authorized to make the preceding
certifications on behalf of the applicant.
Applicant Name
Applicant Signature
Title
1
SIGNATURE
Legal Business Name: ______________________________
Page 5 of 5
Organics
egulatory Division
Revised 9/01/2011