If your product(s) are GM Free to GFA standards, please check by referencing the GFA standards. Please complete, sign and post or fax this form to us at our address below. (You may send us a copy of the form by clicking the button at the bottom, but please also send or fax the signed).

 Your product will be taken up in our database and will be eligible for the GFA GM Free Symbol. (See here for further details on certification scheme).

 (1) ABOUT YOUR COMPANY

Company Name:
Contact Name:
Position:
Telephone:
Fax:
Email:
Website:
Address:
If you are part of a larger company or group of companies, please give  details here:

Please tick all of the following that are appropriate to describe your business:
Manufacturer
Importer
Distributor

If you are solely an importer and / or distributor, please either:

• Answer this questionnaire on behalf of your suppliers (if you are authorised to do so)

or
• Provide us with contact details for the manufacturer so that we can question them directly

2) ABOUT YOUR PRODUCT(S)

In the following questions we refer to the phrase 'GM Free to GFA Standards'. Please ensure that you understand our definition of this phrase before answering the questions. To be 'GM Free to GFA Standards' a product must not contain any GM ingredients or derivatives such as those listed on the preceding page. Nor should it have undergone any process that has involved any genetic modification, even if this does not need to appear on the ingredients' list of the finished product. You should have written guarantees from your ingredient suppliers to this affect, and will be required to produce these when requested by GFA (Click here for details).

NB - Please use a separate form for each brand name.

Please take the time to make sure that we are all clear about which brand names fit into which categories. This information will be published and distributed throughout the UK. Products indicated to be 'GM Free to GFA Standards' may be subject to testing by Genetic Food Alert.

Please tick whichever category fits your products. Tick 'Yes/No' options where appropriate.

Brand / Product Name:

Manufacturer All products under this brand name are certified organic.

Certifying body(ies):

All our products are 'GM Free to GFA Standards' (i.e. free from all GM ingredients, derivatives and processes, such as those listed above).
Some product lines under this brand name are 'GM Free to GFA Standards', but others may not be. Please supply details:

Products under this brand name are not 'GM Free to GFA Standards'.

We do not know whether products under this brand name are or are not 'GM Free to GFA Standards'. (GFA assumes that products may contain GM ingredients unless they are guaranteed 'GM Free to GFA Standards')

We are asking all manufacturers to provide a copy of the Identity Preservation and Audit system that they are using for all soya and maize ingredients. Do you have in place an IP/Audit system of this kind ?
Yes
No
Please supply name and details of your IP/Audit system:

If you have a company policy statement regarding GM Foods please attach it to your completed questionnaire

I confirm on behalf of my company that the information above is correct and that we will notify you immediately if any product guaranteed 'GM Free to GFA Standards' is altered to include GM ingredients and/or derivatives, or is produced using genetic manipulation.
Signed: Date:

Please print this form out, sign it, and post or fax it to us (details at top)