General information:

The current legal framework for organic production includes some exceptional production rules that are strictly necessary to ensure access to certain agricultural ingredients, and where such ingredients are not available in organic form in sufficient quantity.

A recognized control body under compliance with 2018/848 may grant a provisional authorisation, as referred to in paragraph 1, for a maximum of six months to operators in third countries that request such an authorisation and that are subject to controls by that control body, provided that the conditions of that paragraph are fulfilled in the third country concerned. The authorisation may be prolonged for a maximum of two times six months each.

If your operation requires a derogation for using certain non-organic agricultural ingredients for processed organic food, please submit this application to Kiwa BCS before using this ingredient in a product intended to be sold or labelled as organic. Otherwise, a product made with a non-authorized ingredient cannot be labelled or sold as organic and other actions might be taken by Kiwa BCS.

This application is mandatory only for the EU standard. It is not mandatory for other standards.

1. Operator. General information

Operator (certificate holder)
Company Name:
Client Number:
Address:	Zip Code
Town:	Province / State:	Country:

Contact data of responsible person for questions
Name:
Phone/Mobile phone:
E-mail:

2. Information of the non-organic agriculture ingredients for processed organic food

2.1 List the agricultural product you wish to use as non-organic agricultural ingredients. Add more rows if it applies.

Ingredient to be authorized:	Name of the final product and its complete recipe: Indicate exactly the % of each ingredient	Supplier, origin and status: Indicate for each ingredient: Status-> organic/non-organic/in conversion Origin-> agriculture/wild collection/livestock/factory, etc Supplier-> name (if organic, the MC validity)
1.
2.
3.

2.2 Annexes and additional information

2.2.1 Is there available a statement that confirms that such ingredients are not available in organic form in sufficient quantity?

YES ; NO If; it is yes, please attach it (Annex )

Note. Having the statement from the authority is preferable and for at least three different suppliers.

2.2.2 Have the ingredients been authorized before?

YES ; NO

If; it is yes, please fill in the following table. Mention all the times that the ingredient has been authorized before.

Ingredient:	Authorized by:	From/To (dd/mm/yyyy)

Additionally, the following documents are mandatory for each ingredient requested:

A - GMO-free confirmation (GMO free Vendor declaration)

For crops/species with GMO (genetically modified) varieties, like corn, rice, soybeans, rape, cotton, tomatoes, potatoes, sugar beets, papaya, etc., a GMO-free confirmation from the supplier is required.

Please remember:

To keep all documentary evidence related to this request for at least 3 years.

Operator´s signature Name
Place and date	Role and Name in block letters

This part is for internal use of Kiwa BCS and will be filled in by the technical reviewer or certifier

Response by the technical reviewer/certifier:

A. Decision about derogation(s)

1. Non-organic agricultural ingredient:

After analysing the documentary evidence, the non-organic agricultural ingredient has been authorized:

YES	NO

From: dd/mm/yyyy To: dd/mm/yyyy

2. Non-organic agricultural ingredient:

After analysing the documentary evidence, the non-organic agricultural ingredient can be authorized:

YES	NO

From: dd/mm/yyyy To: dd/mm/yyyy

3. Non-organic agricultural ingredient:

After analysing the documentary evidence, the non-organic agricultural ingredient can be authorized:

YES	NO

From: dd/mm/yyyy To: dd/mm/yyyy

If more than three ingredients have been requested by the client, please replicate this part as many times is needed.

B. Signatures and remarks

Date:	dd/mm/yyyy

Signature of the responsible person at

Kiwa BCS:	____________________________________________

Name of the responsible person at

Kiwa BCS

Additional remarks:

Dear operator, please bear in mind that you must keep all documentary evidence related to this request for at least 3 years.