California Form 513 026 PDF Details

In the pursuit of sustainable agriculture and environmental stewardship, the State of California has implemented regulations to ensure the safe and effective use of organic input materials in fertilizing products. One critical component of this regulatory framework is the California Department of Food and Agriculture's 513-026 form, known as the Organic Input Material Fertilizing Materials Registration Application. This form serves as a gateway for businesses aiming to distribute organic fertilizing materials within the state, facilitating compliance with rigorous standards that support the National Organic Program. Applicants are required to provide detailed information about their business, the organic input materials they intend to use, including a complete formula and a comprehensive description of the manufacturing process. Moreover, the intended use of the product, supplier details, and alternate formulations must be clearly outlined to ensure transparency and adherence to quality requirements. Failure to provide the complete documentation can result in processing delays, emphasizing the form's vital role in maintaining the integrity of organic products. The application also mandates the submission of labeling information, underscoring the importance of accurate and truthful product representation in the marketplace. With a non-refundable fee and a validity that extends till the end of an odd-numbered year, the form institutes a structured approach to the registration and oversight of organic fertilizing materials, underpinning California's commitment to sustainable agricultural practices and consumer protection.

QuestionAnswer
Form NameCalifornia Form 513 026
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesFORMULATION, CFI, REFUNDABLE, organic input material

Form Preview Example

 

ORGANIC INPUT MATERIAL

STATE OF CALIFORNIA

 

FERTILIZING MATERIALS REGISTRATION APPLICATION DEPARTMENT OF FOOD AND AGRICULTURE

513-026 (REV. 12/10)

FEED, FERTILIZER, LIVESTOCK DRUGS, & EGG REGULATORY SERVICES

DO YOU HAVE A FERTILIZING MATERIALS LICENSE? YES NO (IF NO, SUBMIT A FERTILIZING MATERIALS LICENSE APPLICATION)

 

 

DOING BUSINESS AS (NAME ON LICENSE AND AS APPEARS ON LABEL)

(PHONE NUMBER)

 

(FAX NUMBER)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FULL NAME OF APPLICANT (OWNER OR OWNERS):

EMAIL :

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (LICENSED ADDRESS AS IT APPEARS ON LABEL) :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(STREET NUMBER)

(CITY OR TOWN)

(COUNTY)

(STATE)

(ZIP CODE +4)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF ORGANIC INPUT MATERIAL (CHECK ALL THAT MAY APPLY):

 

 

 

 

 

 

 

AUXILIARY SOIL AND PLANT SUBSTANCE

SOIL AMENDMENT

 

 

 

 

 

 

AGRICULTURAL MINERAL

SPECIALTY FERTILIZER

 

 

 

 

 

COMMERCIAL FERTILIZER

NOT SURE

 

 

 

PLEASE SUBMIT THE FOLLOWING DOCUMENTATION: COMPLETE FORMULA OF MATERIAL, COMPLETE DESCRIPTION OF THE MANUFACTURING PROCESS FOR EACH INGREDIENT AND THE FINAL PRODUCT, INTENDED USE OF PRODUCT, SUPPLIER OF INGREDIENTS, ALTERNATE FORMULATION, THIRD PARTY FORMULATED INGREDIENTS, AND ANY ADDITIONAL INFORMATION SUPPORTING COMPLIANCE WITH THE NATIONAL ORGANIC PROGRAM STANDARDS. FAILURE TO SUBMIT THE REQUIRED DOCUMENTATION MAY RESULT IN A DELAY OF PROCESSING YOUR APPLICATION.

PLEASE SUBMIT ONE 8 ½ X 11 COPY OF LABELING - LARGER SIZES ARE UNACCEPTABLE. LABELING MEANS ALL WRITTEN, PRINTED, OR GRAPHIC MATTER ON, ACCOMPANYING, OR USED IN PROMOTING SALE OF ANY FERTILIZING MATERIAL, INCLUDING ADVERTISEMENTS, BROCHURES, POSTERS, AND TELEVISION AND RADIO ANNOUNCEMENTS. REFER TO SECTION 14542 OF THE FOOD AND AGRICULTURAL CODE.

I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT.

The Department of Food and Agriculture has established time periods for the processing of permit applications, in compliance with Government Code Sections 15374- 15378. Failure to comply with these time periods may be appealed to the Secretary of Food and Agriculture, P.O. Box 942871, Sacramento, CA 94271-0001, pursuant to regulations set forth in Title 3, California Code of Regulations, Section 301. Under certain circumstances, the Secretary may order that the applicant receive a reimbursement of filing fees.

SIGNATURE OF AUTHORIZED REPRESENTATIVE

TYPE OR PRINT NAME

DATE

 

 

THE FEE FOR AN ORGANIC INPUT MATERIAL LABEL REGISTRATION IS FIVE HUNDRED DOLLARS ($500) PER PRODUCT.

THE REGISTRATION EXPIRES ON DECEMBER 31 OF AN ODD-NUMBERED YEAR.

THE ABOVE FEE IS A LABEL REVIEW FEE AND IS NOT REFUNDABLE.

SEND ONE COPY OF THIS APPLICATION, WITH ONE 8 ½ X 11 COPY OF LABELING AND FEES TO:

CASHIER, CFI

CALIFORNIA DEPARTMENT OF FOOD & AGRICULTURE P.O. BOX 942872

SACRAMENTO, CA 94271-2872

DEPT. USE ONLY

RC NO. AND DATE

FEE

PENALTY

 

 

DO NOT SEND COIN OR CURRENCY

Page 1 of 2

PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED

AND WILL BE RETURNED.

PRODUCT NAME

 

 

WETTING AGENT

APPROVAL DATE / PRODUCT

 

 

TYPE (OFFICE USE ONLY):

 

 

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

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BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

 

 

 

PAM SF ASPS PSA CF

 

 

 

BAM BSA COMPOST

 

 

Confidential? YES

 

 

 

NO

 

 

 

 

 

Page 2 of 2

PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED

AND WILL BE RETURNED.