בקשה לקבלת תעודת הכשר למוצרי מזון

If you are unable to complete this form online, please download a PDF here and email it to [email protected].

1. Company Information

Company Headquarters

Company Name*

Company Headquarters*

Street Address Address Line 2 City

State/Province/Region

State/Province/Region*

Country*

Zip / Postal Code*

Phone*

Website*

Company Contact

(Person who will deal with all kosher aspects)

Title

Name*

Prefix First Last

Phone*

Email*

President/CEO

Same as

Company Contact

Name

Prefix First Last

Phone

Email

Billing Contact

(Person who will oversee all bills and payments for kosher program)

Same as

President/CEO
Company Contact

Name*

Prefix First Last

Phone*

Email*

Marketing Contact

Same as

President/CEO
Company Contact
Billing Contact

Name

Prefix First Last

Phone

Email

2. General Information

Is your company either a co-packer or toll manufacturer?

Please explain why you are seeking Kosher certification.

(i.e. what are your marketing goals and objectives for kosher)

Where did you hear about the OK?

How will your product be distributed?

(wholesale or retail? please be specific)

Please specify the geographic regions where you plan to market the product(s):

Please list all the types of finished products that this company produces*

(regardless of kosher status)

Please list the names of products for which you are seeking certification.*

I have a list I would like to upload.
I prefer to type out the list.

Please list the names of products for which you are seeking certification.*

File*

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.

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:*

Do any of your finished product labels already bear an Kosher Symbol?*

PLEASE NOTE: The Kosher symbol is a registered trademark and unauthorized use of the Kosher symbol is a violation of trademark laws.

Yes
No

How soon are you looking to achieve certification?*

The estimated timetable for completing the application process is approximately 5 to 8 weeks or sooner. Our ability to meet this timetable also assumes No undue delays in obtaining information or scheduling calls and meetings.

Approximately how many ingredients/raw materials does your company handle (regardless of kosher status)?*

Please enter a number from 0 to 20000.

How many of these INGREDIENTS/RAW MATERIALS have more than one supplier?

Please enter a number from 0 to 20000.

Approximately, how many finished products does your company produce (regardless of their kosher status)?

Please enter a number from 0 to 20000.

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:

How many facilities would you like to certify at this time?*

Please enter a number from 1 to 30.

General Information

3. Facility Information

Facilities

Facility Name	Name	Plant Manager
			Edit Delete
There are no Facilities.

Maximum number of facilities reached.

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.

בקשה לקבלת תעודת הכשר למוצרי מזון

1. Company Information

Company Headquarters

Company Contact

President/CEO

Billing Contact

Marketing Contact

Company Information

2. General Information

General Information

3. Facility Information

Facility Information

Facility Information

Facility Contact

Plant Manager

Production

Certification

בקשה לקבלת תעודת הכשר למוצרי מזון

1. Company Information

Company Headquarters

Company OK Contact

President/CEO

Billing Contact

Marketing Contact

Company Information

2. General Information

General Information

3. Facility Information

Facility Information

Send a link to your friend

Facility Information

Facility Contact

Plant Manager

Production

Certification

Company Contact