OEFFA
41 Croswell Rd Columbus, Ohio 43214
Phone: (614) 262-2022  Fax: (614) 421-2011  E-mail: [email protected]
ORGANIC PRODUCT CLEAN TRANSPORT AFFIDAVIT
This form should be filled out by all organic growers or businesses that are responsible for the transportation
of organic products.
Name/Farm Name:__________________________________________
Date:_______________
Organic Crop(s) Transported
Lot #
_____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
1. Type of transport:
Farm wagon(s)
Common carrier
2. The transport was arranged by:
Farm truck
Tanker
Grower
Buyer
Bulk semi trailer
Other (specify) ____________________
Other (specify) _______________
3. Is the transport unit used only with organic products?
Yes
If no, list products transported prior to organic products:
4. Was the transport unit cleaned prior to transport of the organic crop(s)?
If yes, how was it cleaned?
No
Yes
No
5. Was the unit inspected prior to transport?
Yes
No
If yes, was the unit found to be free of the following? Check all that apply.
Foreign odors
Residues
Conventional products
Other substances which may compromise organic integrity
I hereby certify that the above transport unit was inspected and cleaned thoroughly using the method
indicated to protect the integrity of the organic products being transported.
____________________________________________________
Signature
__________________________
Date