ORGANIC TRUST LIMITED
Application for Derogation to use Untreated Non-Organic Seed
(This form should be completed and forwarded to the Organic Trust Ltd for approval prior to purchase
and use of any non-organic untreated seed or seed mixtures – please ensure you sign at end of form)
1.
Name
2.
Address
3.
County
5.
Derogation sought to use a single variety of untreated non-organic seed
Species
Variety
Quantity (Kg/No) Supplier being used
4.
Reasons for seeking derogation
Licence No.
Please
tick (ü )
Seed not available
Seed available but variety
unsuitable
Please outline why variety is unsuitable/other reasons:
6.
Derogation sought to use untreated seed mixture (i.e. seed mixture containing a
% of certified organic seed and a % of non-organic untreated seed - e.g. grass seed
mixture)
Species
Variety
Quantity
Composition (i.e.
Supplier being
Kg/No
the % of seed
used
which is organic
and the % which is
non-organic
Reasons for seeking derogation
Please
tick (ü )
Seed not available
Seed available but variety
unsuitable
Please outline why variety is unsuitable/other reasons:
Signed:
E-mail address:
Date:
Office use:
Seed database searched and non-availability of organic seed substantiated:
YES/NO
Approved/Not Approved by: ___________________________
Date: ___________________________
Producer Notified:
YES/NO
Date: ___________________________
Copy on Seed Derogations File:
YES/NO
Copy on applicant/s file:
YES/NO
Non-Organic Untreated Seed Derogation Form – Issue 2 (28.10.2009)
In cases where one derogation form is being used for multiple derogations, the required information must
be supplied on the following table for each variety of seed for which a derogation is being sought – if
insufficient room exists, please use an additional form
Derogation sought to use a single variety of untreated non-organic seed
Species
Variety
Quantity
(Kg or
Number of
Seeds)
Supplier
Reason for Seeking
being
Derogation – Please tick ü
used
Seed not Seed available
available
but variety
unsuitable
Non-Organic Untreated Seed Derogation Form – Issue 2 (28.10.2009)
If variety
unsuitable,
please outline
reasons