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Facility Application Form - Spanish
¿Cuántas plantas desea certificar en este momento? / How many facilities would you like to certify at this time?
Please enter a number from
0
to
30
.
Información de Plantas / Facility Information
Si tiene plantas adicionales que desea certificar, podrá adicionarlas al terminar esta sección de la applicación. / If you have additional facilities, you will be able to add facilities to this application after it is submitted.
¿Esta planta pertenece a su empresa? / Is this facility owned by your company?
Si / Yes
No
Si no es así, proporcione el nombre de la empresa propietaria: / If not, please provide owning company name:
*
Dirección de la empresa propietaria / Address of owning company:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Nombre de contacto de la empresa propietaria / Name of company contact person
*
First
Last
Teléfono de contacto de la empresa propietaria / Owning company contact phone:
*
Correo electrónico de contacto de la empresa propietaria / Company contact email:
*
Nombre de la Planta / Facility Name
*
Produciendo / Fabricando Para:
*
Nombre de Compañía / Company Name:
Dirección de la Planta / Facility Address
*
Dirección / Street Address
Dirección / Address Line 2
Ciudad / City
Estado / Provincia / Región / State / Province / Region
Código Postal / ZIP / Postal Code
País / Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Teléfono / Phone
*
Correo Electrónico / Email
*
Aeropuerto más Cercano / Nearest Airport
*
Distancia de la planta / Distance from Facility
Contacto Principal en Planta / Facility Contact
(Generalmente personal de Calidad) / (typically regulatory personnel)
Nombre / Name
*
Nombre / First
Apellido / Last
Teléfono / Phone
*
Correo Electrónico / Email
*
Gerente de Planta / Plant Manager
Same As
Contacto Principal en Planta / Facility Contact
Nombre / Name
*
Nombre / First
Apellido / Last
Teléfono / Phone
*
Correo Electrónico / Email
*
Producción / Production
¿Esta planta re-etiqueta productos? / Does this facility re-label products?
*
Si / Yes
No
¿Esta planta re-envasa o re-empaca productos? / Does this facility repack products?
*
Si / Yes
No
¿Esta planta produce / mezcla / fabrica sus propios productos? / Does this facility produce/blend/manufacture their own products?
*
Si / Yes
No
¿Alguno de los productos finales fabricados en esta planta también se producen en otros sitios? / Are any of your finished products manufactured in this facility also produced at other sites?
*
Si / Yes
No
En caso afirmativo, indique en qué sitios están siendo fabricados: / If Yes, please list other sites:
¿Esta planta fabrica productos para una marca que no es la suya? / Does this facility manufacture products for a brand that you do not own?
*
Si / Yes
No
En caso afirmativo, sírvase proporcionar detalles. / If Yes, please provide details.
¿Quién proporciona los ingredientes que se utilizan en la planta? / Whose ingredients are used?
*
Solo ingredientes comprados por la compañía / Only Ingredients purchased by the company
Solo ingredientes comprados por la planta / Only Ingredients purchased by the facility
Ingredientes suministrados por terceros / Only Ingredients supplied by a 3rd party
Otro / Other
Certificación / Certification
¿Para qué está solicitando la certificación Kosher? / What are you requesting Kosher certification for?
*
Toda la planta / The entire facility
Sólo una parte de la planta / Only a portion of the facility
Por favor detalle. / Please detail.
Los cargos de servicio Kosher se basan en una estructura de tarifa fija por planta, no un plan de tarifa variable por productos! Si todos sus productos pueden ser certificados, estaremos encantados de certificar su planta completa. / OK Kosher service charges are based on a flat rate structure per facility, Not a variable rate plan per products! If all your products can be certified, we will be glad to certify your entire facility.
Por favor, enumere todos los tipos de procesos de fabricación: / Please list all the types of manufacturing processes:
Mezcla en Seco / DB: Dry blend
Mezcla de líquidos en frío <46º / CLC: Coat with cold liquid <115º
Proceso de líquido caliente / HLP: Hot liquid process
Mezcla de líquidos en caliente >46º / HLC: Coat with hot liquid >115º
Proceso de líquido frio / CLP: Cold liquid process
Otro / Other
Por favor detalle / Please detail
Por favor tenga en cuenta que al recibir su aplicación, uno de nuestros coordinadores se comunicará con usted para obtener mas información sobre el proceso de fabricación.
.
Firma Electronica / Electronic Signature
*
(Términos y Condiciones)
He leído y estoy de acuerdo con los términos y condiciones anteriores e indico mi aceptación marcando esta casilla y escribiendo e ingresando mi nombre en el cuadro de firma electrónica a continuación. Al marcar esta casilla y escribiendo e ingresando mi nombre a continuación, autorizo que mi firma electrónica tenga el mismo peso y efecto legal que mi firma escrita. / I have read and agreed with the terms and conditions above and indicate my acceptance by checking this box and by typing and entering my name in the electronic signature box below. By checking this box and by typing and entering my name below, I authorize my electronic signature to carry the same weight and legal effect as my written signature.
Nombre / Name
*
Nombre / First
Apellido / Last
Correo Electrónico / Email
*
Comentarios / notas adicionales: / Additional comments/notes:
×
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