Canadian Food Inspection Agency Facility Approval Form

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