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Application Form - Trademark and Licensing
1. Company Information
Company Headquarters
Company Name
*
Company Headquarters
*
Street Address
Address Line 2
City
State/Province/Region
State/Province/Region
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
State/Province/Region
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Other
Country
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Zip / Postal Code
*
Phone
*
Website
*
Company OK Contact
(Person who will deal with all kosher aspects)
Title
Name
*
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
First
Last
Phone
*
Email
*
President/CEO
Same as
Company OK Contact
Name
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
First
Last
Phone
Email
Billing Contact
(Person who will oversee all bills and payments for kosher program)
Same as
President/CEO
Company OK Contact
Name
*
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
First
Last
Phone
*
Email
*
Marketing Contact
Same as
President/CEO
Company OK Contact
Billing Contact
Name
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
First
Last
Phone
Email
Hidden
Company Information
2. General Information
Under which category of foods would you list your finished products?
*
(e.g. snacks, fish, acidulants etc.)
This category will be used to categorize your products on our website, should you become kosher certified.
ACIDS & ACIDULANTS
ADHESIVE
ALCOHOL
ALCOHOLIC BEVERAGES
ALUMINUM WRAP PRODUCTS
AMINO ACIDS
ANTI-CAKING AGENTS
ANTI-FOAM AGENTS
ANTI-OXIDANT
APPETIZER
AROMATIC CHEMICALS
AROMATICS
ARTIFICIAL CASINGS
BABY FOODS & FORMULAS
BAKED GOODS
BAKERIES
BAKERY - PAREVE & DAIRY
BAKING SUPPLIES
BASE OIL FOR SYNTHETIC LUBRICANT
BASES & SYRUPS
BEVERAGE MIXES
BEVERAGES
BOTANICALS
BREAD, CAKE, & PASTRY MIXES
BREADS, BAGELS, ROLLS & BUNS
CAKES & PASTRIES
CALCIUM LACTATE
CANDLES
CANDY & CHOCOLATES
CASING, VEGETABLE EDIBLE
CATALYSTS
CATERER
CATERER MEAT - CHASSIDISHE SHECHITA / PAS YISROEL
CATERER PAREVE - PAS YISROEL
CATERER DAIRY - CHOLOV YISROEL / PAS YISROEL
CELLULOSE
CEREALS
CHEESE
CHEESE ALTERNATIVES
CHEMICALS
CHINESE FOOD PRODUCTS
COAGULATING AGENTS
COATING MIXES
COCKTAIL MIXES
COCOA PRODUCTS
COCONUT PRODUCTS
COFFEE
COFFEE LIGHTENER (NON-DAIRY CREAMER)
COLORING
CONDIMENTS & RELISHES
CONFECTIONERY
COOKIES & CRACKERS
CORN PRODUCTS
COSMETICS
COUGH & THROAT DROPS
CULINARY FOUNDATIONS
CULTURES
CULTURES & RENNETS
DAIRY PRODUCTS
DELICATESSEN
DESSERTS
DETERGENTS / CLEANSERS
DIETARY SUPPLEMENTS
DINNER KITS
DIPS AND SPREADS
DO NOT CATEGORIZE
DO NOT CATEGORIZE_pesach
EDIBLE DUST, COLORS & POWDERS
EGG PRODUCTS
EGG REPLACERS
EMULSIFIERS & STABILIZERS
ENERGY DRINKS
ENZYMES
ESSENTIAL OILS
ESTERS
FALAFEL & FALAFEL MIX
FATTY ACIDS
FATTY ALCOHOLS
FIBERS
FILLO DESSERT
FILTERING AGENTS
FISH PRODUCTS
FISH PRODUCTS - FISH TAKE-OUT
FLAVORING EXTRACTS
FLAVORS
FLOCCULANTS
FLOUR
FONDANTS
FOOD ADDITIVES
FOOD COLORS
FOOD PELLETS
FREEZE DRIED FRUITS & VEGETABLES
FROZEN DESSERTS
FROZEN DOUGH
FROZEN FILLO DOUGH
FROZEN FOODS
FRUIT & VEGETABLE POWDERS
FRUIT & VEGETABLE PUREE
FRUIT (CANDIED)
FRUIT (CANNED)
FRUIT (DRIED)
FRUIT (FRESH PACKAGED)
FRUIT (FROZEN)
FRUIT / VEGETABLE SMOOTHIES
FRUIT CONCENTRATES
GARLIC PRODUCTS
GELATIN
GIFT BASKETS
GINSENG
GLUTEN
GLUTEN FREE PRODUCTS
GLYCERINE
GRANOLA / TRAIL MIX
HERBAL EXTRACTS
HERBS
HOME CANNING
HONEY & MOLASSES
HOPS
HUMMUS
HYDROLYZED VEGETABLE PROTEIN
ICE CREAM CONES
ICE CREAM MIXES
ICE PRODUCT
ICES & ICE CREAM
INK PRODUCTS
INVERTASE
ION EXCHANGE AND ADSORBENT RESINS
JAMS & SPREADS
JUICE & JUICE CONCENTRATES
Koji
KOSHER SUPERMARKET
KOSHER SUPERMARKET - DELI COUNTER
KOSHER SUPERMARKET - MEAT PROCESSING
KUGELS
LACTIC ACID
LACTOSE
LEAVENING AGENTS
LECHITHIN
LEGUMES
LIQUEUR
LIQUID SMOKE
LIQUOR
LUBRICANTS AND MINERAL OILS
MAGNESIUM COMPOUNDS
MALT
MALT EXTRACT
MAPLE PRODUCTS
MARASCHINO CHERRIES
MARGARINE
MARSHMALLOW PRODUCTS
MATZO & MATZO MEAL
MEAL DELIVERY
MEAT FOOD SYSTEMS
MEAT SUBSTITUTES
MEAT/POULTRY
MENTHOL
METHYL ESTER
MIDDLE EASTERN FOOD PRODUCTS
MINERAL WATER
MISO
MONOSODIUM GLUTAMATE
MOUTHWASH
NUCLEOTIDES
NUT BUTTERS
NUTRACEUTICALS
NUTRITIONAL BAR
NUTS & SEEDS
OIL & SHORTENINGS
OLEOCHEMICALS
OLEORESINS
ORAL HYGIENE
ORGANIC FOODS
PACKAGING
PAN LINERS
PANCAKES & WAFFLES
PAPERWARE/PLASTICWARE
PARCHMENT PAPER
PARTICLE REDUCTION
PASTA & GRAINS
PEANUT/NUT BUTTERS
PHARMACEUTICAL & PERSONAL CARE PRODUCTS
PHOSPHATES
PICKLED PRODUCTS & OLIVES
PIE FILLINGS
PIZZA DOUGH/CRUSTS
PLASTIC PRODUCTS
POPCORN
POTASSIUM LACTATE
POTATO CHIPS
POTATO PRODUCTS
PREPARED FOODS
PRESERVATIVES
PRETZELS
PROBIOTICS
PUDDINGS
PURIFYING AGENTS
RELEASE AGENTS
REST. DAIRY - CHOLOV YISROEL / PAS YISROEL
REST. MEAT - CHASSIDISHE SHECHITA / PAS YISROEL
REST. PAREVE - PAS YISROEL
RICE & RICE FLOUR
RICE AND BEANS
ROCA
ROSEMARY PRODUCTS AND EXTRACTS
SACCHARIDES
SALAD DRESSINGS & MAYONNAISE
SALADS & SALAD SPREADS
SALT PRODUCTS
SANITIZERS & DISINFECTANTS
SAUCES
SCHACH
SEASONINGS & SPICES
SEAWEED
SEEDS
SESAME SEED PRODUCTS
SHEA BUTTER
SINTERED SURFACES
SMOOTHIES – FRUIT / VEGETABLE
SNACK FOODS
SOAP STOCK
SODIUM LACTATE
SOUP & SOUP MIXES
SOY PRODUCTS
SPRINKLES
STARCHES
STARTER MEDIAS
STEARATES
STEARIC ACID
STUFFING MIXES
SUGAR
SURFACTANTS
SUSHI NORI
SWEETENERS
TAHINI
TEA
THICKENERS & BULKING AGENTS
TOMATO PRODUCTS
TOPPINGS & WHIPPED TOPPINGS
TORTILLAS/TACO SHELLS
TRUCK WASHING
TRUCKING COMPANIES
VEGETABLE EDIBLE CASING
VEGETABLES (CANNED)
VEGETABLES (DEHYDRATED)
VEGETABLES (DRIED)
VEGETABLES (FRESH)
VEGETABLES (FROZEN)
VINEGAR
VINEGAR NUTRIENTS
VITAMINS, SUPPLEMENTS & NUTRITIONALS
WATER
WAXES
WHEY PRODUCTS
WHISKEY
WINE
WPC, LACTOSE
XANTHAN GUM
YEAST
YEAST EXTRACT
YOGURT
OTHER
Please list all the types of finished products that this company produces
*
(regardless of kosher status)
Are any of your finished products currently kosher certified?
*
Yes
No
If Yes, please indicate the product, kosher supervision agency and year of certification:
*
If not, have any of your products been kosher certified in the past?
*
Yes
No
If Yes, please indicate the product, kosher supervision agency and year of certification:
*
Please specify which of your products bear the OK Symbol.
*
How many of each product label bearing the OK symbol have been printed?
*
Please enter a number from
0
to
20000
.
How many of each product label bearing the OK symbol have been used in production?
*
Please enter a number from
0
to
20000
.
Where are said products currently located?
*
How many of each product label bearing the OK symbol have been sold?
*
Please enter a number from
0
to
20000
.
Where are said products currently available for sale?
*
Please list all outlets in which each product bearing the OK can be purchased, including stores, catalogues and online.
Please explain why the OK Symbol was applied to your packaging and/or marketing material(s).
*
Approximately how many ingredients/raw materials does your company handle (regardless of kosher status)?
*
Please enter a number from
0
to
5000000
.
How many of these ingredients/raw materials have more than one supplier? *
*
Please enter a number from
0
to
5000000
.
Approximately, how many finished products does your company produce (regardless of their kosher status)? *
*
Please enter a number from
0
to
10000000
.
Are any products (finished goods) bulk-shipped via tank wagon, railcar, ISO or ship compartment?
*
Yes
No
Do you private label for others?
*
(Learn More)
Yes
No
If Yes and they wish to be certified as well, please provide the names of the private labels:
3. Facility Information
How many facilities does your company produce in?
*
Please enter a number from
1
to
30
.
If you have additional facilities, you will be able to add facilities to this application after it is submitted.
Is the facility in which the products bearing the OK symbol were produced operated by your company?
*
Yes
No
If not, please provide owner entity name:
Facility Name
*
Facility Address
*
Same as Company Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Phone
*
Nearest Airport
*
Travel Time from Airport to Facility
*
Please specify the recommended mode of transport (e.g. car, train, boat, helicopter, etc.)
Facility Kosher Contact
(typically regulatory personnel)
Same as
Company OK Contact
Name
*
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
First
Last
Phone
Email
*
Plant Manager
Plant Manager
Same as Kosher Contact
Name
Prefix
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
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 your 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
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
Ingredient List
If available, you can submit a pre-printed inventory list, per facility, of all ingredients, with the manufacturer's name and the kosher certifying agency if available.
- If you have any kosher certificates on file, please submit them with the above list. Please ensure to mark off on the kosher letter, which ingredient you use.
- Please list ALL ingredients regardless of kosher status.
- Supported file types: .pdf, .doc, .docx, .xls, .xlsx, .csv, .tif, .tiff, .zip - For multiple files please upload a zip.
Accepted file types: pdf, doc, docx, xls, xlsx, csv, tif, tiff, zip, Max. file size: 256 MB.
Hidden
Facility Information
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.
Name
*
First
Last
Additional comments/notes:
Please note that upon receipt of your application, one of our Rabbinic Coordinators will reach out to you to obtain information regarding the manufacturing process. Upon review of these details, you will be contacted by management to discuss a fee structure tailored for your company.
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