Organic Product Profile Form
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2Business
Completion date
Name
Organic Product Profile Form
Colorado Department of Agriculture
NOP 205.102, 205.103, 205.201, Sub-Part D, 205.605
Instructions: Please complete a separate PPF for each multi ingredient processed product. For each product label to be
used, please attach a sample to accompany this PPF. Labels must be approved by CDA prior to use; you must have them
approved before they are printed in large quantity.
Product Name(s) on Label
(please list all products
utilizing this formula)
Brand Name(s) on Label
(please list all brand names)
Package size(s) (please list all
sizes)
Are any labels Second Party or Private Label?
Yes
No
If yes, please provide the Second Party Label Agreement and/or the organic certificate for owner of Private Labels
Is this product processed at the address listed in the OSP?
Yes
No If no, complete the following table:
Facility/Comp
Address and Phone
Certified
Contact
Certifier
any Name
Number
Organic?
Yes
No
Please provide the organic certificate for the certified facilities.
If not certified, please contact CDA to ensure the facility is inspected and approved prior to use.
Ingredients must be listed in descending order by weight. They must correspond to your product label’s ingredient
declaration. Copies of organic certificates listing certified products current at the time of purchase, must be submitted for
all agricultural ingredients.
% in final
Quantity
Ingredient**
product
Organic?
Supplier and certifier
(specify units)
***
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
** List the quantities of water and salt used as ingredients, but do not include them in the percentage calculation.
**** Agricultural ingredients listed on NOP 205. 606 may be used if not commercially available in an organic form.
Total % organic ingredients:
Please continue on back side!
OrgMIPPF
Multi Ingredient Product Profile Form
Rev. B 9/19/2013
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