Form Ams-15 - Organic Exemption Request Form

Form Ams-15 - Organic Exemption Request Form - 2007 Page 2

OMB No. 0581-0093

If you need more space to list commodities, please use this sheet.

Continuation Sheet for AMS-15

Organic Exemption Request Form

Hass Avocado Board

Company Name: __________________________________________

In order to be exempt, the above-named company must meet all of the following

(please check)

Operates under an approved organic system plan authorized by the National Organic Program

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(NOP) (7 CFR Part 205)

Produces or imports only products eligible for a 100% organic label under the NOP

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Is not a split operation as defined by the Organic Foods Production Act of 1990

Please list all commodities produced or imported

Eligible to be labeled as

Commodity

100% Organic?

Commodity

100% Organic?

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Form Ams-15 - Organic Exemption Request Form - 2007 Page 2