KOF-K affirms/agrees that it will not communicate or divulge to any other party trade secrets, formulas, or secret processes used by the Company, conveyed to the KOF-K by virtue of this application.
Submission of this application does not authorize the applicant to use the KOF-K trademark. Authorization will only be given after a contract is executed and a kosher certificate is granted.
Application
indicates that field must be filled in
Name of person authorizing this application:
First Name:
Middle Initial:
Last Name:
Company Name:
Street Address:
Street Address 2:
City:
State:
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Phone:
(
)
-
Ext:
Fax:
(
)
-
Email:
Addition contact information:
Contact Name:
Phone:
(
)
-
Ext:
Fax:
(
)
-
Email:
Brand Name(s) of product(s) to be certified:
Nature of Products:
Plant(s) at which products are made :
Other products made at these plants :
Do you store any other ingredients in your plant:
Yes
No
Are there any owners of the company that are jewish?:
(This question is asked solely to determain if certain passover procedures must be followed.)
Yes
No
Does your company have any plants other than those listed above?:
Yes
No
Does your company use any release agents or processing aids not listed below?:
(if yes, please add to ingredient list)
Yes
No
Has your company ever been Kosher certified?:
Yes
No
