Facility Application Form - OKIL

Facility Information

If you would like to apply for certification for more than one facility, you will be able to submit further applications after this one is submitted.

Is this facility owned by your company?

Yes
No

Name of Owning Company*

Address of Owning Company*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Owning Company Contact Name*

First Last

Owning Company Contact Phone*

Owning Company Contact Email*

Enter Email Confirm Email

Facility Name*

Producing for:*

(Company Name)

Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Nearest Airport*

Distance from facility

Facility Contact

(typically regulatory personnel)

Name*

Prefix First Last

Phone*

Email*

Plant Manager

Same as Kosher Contact

Name*

Prefix First Last

Phone*

Email*

Production

Does this facility re-label products?*

Yes
No

Does this facility repack products?*

Yes
No

Does this facility produce/blend/manufacture their own products?*

Yes
No

Are any of the finished products manufactured in this facility also produced at other sites?*

Yes
No

If Yes, please list other sites:

Does this facility manufacture products for a brand that you do not own?*

Yes
No

If Yes, please provide details.

Whose ingredients are used?*

Only Ingredients purchased by the company
Only Ingredients purchased by the facility
Only Ingredients supplied by a 3rd party

Certification

What are you requesting Kosher certification for?*

The entire facility
Only a portion of the facility

Please detail.

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.

Please list all the types of manufacturing processes:

DB: Dry blend
CLC: Coat with cold liquid <115º
HLP: Hot liquid process
HLC: Coat with hot liquid >115º
CLP: Cold liquid process
Other

Please detail

Electronic Signature*

(Terms and Conditions)

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.

Getting Certified

Why OK Kosher?

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Facility Application Form - OKIL

Facility Information

Facility Contact

Plant Manager

Production

Certification