Form NOP 2110-1 NOP 2110-1 NOP Import Certificate

REPRODUCE LOCALLY. Include form number and date on all reproductions.

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
NATIONAL ORGANIC PROGRAM

FORM APPROVED - OMB NO. 0581-NEW
A knowingly false entry or false alteration of any entry on this certificate
may result in a fine of not more than $11,000 or imprisonment for not
more than five years or both (18 USC 1001).

NOP IMPORT CERTIFICATE
1. CITY AND STATE OF PRODUCT DESTINATION

2. DATE

4. EXPORTED BY (Name and address)

5. PRODUCT EXPORTED FROM

6. CONSIGNED TO (Name and address)

8. TOTAL MARKED NET WEIGHT

10. PRODUCT AS LABELED

3. CERT. NO.

7. EU AUTHORIZED BODY ISSUING CERTIFICATE

9. TOTAL CONTAINERS

11. HT CODE AS APPLICABLE

12. SHIPPING MARKS

13. FINAL HANDLER

14. EU AUTHORIZED BODY OF
FINAL HANDLER

15. REMARKS

I CERTIFY that the agricultural products specified hereon have been certified under the EU authorized body and have been found to meet all applicable requirements
of the US-EU Organic Equivalence Arrangement.
16. SIGNATURE OF EU AUTHORIZED BODY

17. DATE

NOT VALID UNLESS SIGNED BY A REPRESENTATIVE OF A DESIGNATED EU AUTHORIZED BODY
No financial liability shall attach to the United States Department of Agriculture or to any officer or representative of the Department with respect to this certificate.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid
OMB control number. The valid OMB control number for this information collection is 0581-NEW. The time required to complete this information collection is estimated to average 15 minutes
per person, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital
status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any
publicassistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large
print, audiotape,etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400
Independence Avenue,S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

NOP 2110-1