Canadian Grain Commission
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Application for accreditation as a CGC audit service provide

The purpose of this HTML page is to display the information as found on the application for viewing only. If you wish to submit an application please use the MS Word (124 kb) or PDF (40 kb) version. If you cannot access the MS Word or PDF version or require printed copies of this application, please contact the Certification and accreditation Office.

Company name: _______________________________________________________

Corporate address: ____________________________________________________

____________________________________________________________________

____________________________________________________________________

Contact name: ________________________________________________________

Title: ________________________________________________________________

Telephone number: ____________________________________________________

Fax number: __________________________________________________________

Email address: ________________________________________________________

Audit services to be provided:

__ CIPRS   __ CIPRS+ HACCP   __ CGC HACCP

Auditors proposed by assessment body to conduct audits for each program (please use separate list if required and attach resume)

Name: ______________________________________________________________

Location: ____________________________________________________________

Qualifications*: _______________________________________________________

 

Name: ______________________________________________________________

Location: ____________________________________________________________

Qualifications*: _______________________________________________________

 

Name: ______________________________________________________________

Location: ____________________________________________________________

Qualifications*: _______________________________________________________

 

Date of application: _______/_______/_______ (YYYY/MM/DD)

Other registrations or accreditations (e.g. ISO Registrar):

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Complete and return to:

Process verification and accreditation
Canadian Grain Commission
900-303 Main Street
Winnipeg MB  R3C 3G8
or email to elaine.bernardin@grainscanada.gc.ca

* Qualifications – see CGC ASP-STAN 2.0.0 for requirements

IS-IP-PVA-01-E