The following information is required on this form:
Completed application form received.
Canadian Nursery Certification Program Manual received.
Date
Name
Signature
To be completed by Regional Program Officer
Does the facility meet the eligibility requirements of the Canadian Nursery Certification Program? Yes / No
Does the Canadian Nursery Certification Program Manual meet the requirements of D-04-01? Yes / No
Date
Signature
Region
To be completed by Area Horticulture Specialist
Does the facility meet the eligibility requirements of the Canadian Nursery Certification Program? Yes / No
Does the Canadian Nursery Certification Program Manual meet the requirements of D-04-01? Yes / No
Recommend that a Facility Evaluation be carried out? Yes / No
Date
Signature
To be completed by Regional Program Officer
Date of Facility Evaluation
Audit report attached? Yes / No
Facility recommended for certification in the Canadian Nursery Certification Program? Yes / No
Date
Signature
Region
To be completed by Area Horticulture Specialist
Facility approved for participation in the Canadian Nursery Certification Program? Yes / No
Date
Signature
Canadian Nursery Certification Program Certified Facility Identification Number