Trucker Affidavit
Verification of Compliance with Canadian Organic Standards
Date: _______________
Trucking Company: _________________________________________________
Address of Company: _______________________________________________
Freight # / B.O.L. #:________________________________________________
Product Description: ________________________________________________
Packing Description (bulk, cartons, sacks, etc.):___________________________
Truck / Trailer 
Cleaned:
Rinsed:
Swept:
Other method: _______
Please explain: ____________________________________________________
_________________________________________________________________
I hereby certify that the commodity(ies) described above has (have) been
transported in a manner that protects Organic Integrity and is therefore in
compliance with the current Canadian Organic Standards.
Driver’s Name: _______________________________________
Driver’s Signature: ____________________________________
Date: _______________________________________________