Application for Participation in the Canadian Grain Sampling Program

This form must be completed by companies interested in becoming approved under the Canadian Grains Sampling Program (CGSP). It includes a section to be completed by the company, as well as a section to be completed by the CFIA to document when the company satisfactorily completes their quality manual and their evaluation audit and if the company is given final approval by the CFIA under the CGSP. The application containers the following information fields:

Title of Form: Application for Participation in the CFIA Canadian Grain Sampling Program (CGSP). (1)

Information block for CFIA use only. (2)

CGSP Identification Number: this number is added onto the form by the CFIA once a facility is approved under the CGSP. (3)

Types of Companies: the form requests that the applicant identify their company as either a facility or a 3rd party sampler. (4)

Manager Contact Information is required including the following:

Manager's first and last name (5)

Name of Company (6)

Name of Facility (7)

Details for Company (address, city, province, postal code, phone, fax, e-mail). (8)

Contact and location information for the facility if different from above information. (9)

Name and contact information for person responsible for the manual if different from above; including their name, phone and e-mail. (10)

A note to applicaant to refer to D-10-02 Section 3.1 regarding submitting a copy of the manual along with this application. (11)

Agreement and signature block indicating that as a participant in the CGSP, we (the company) agree to follow the guidelines and condition of the CGSP and to have our company name published on the CFIA website as a participate; including data fields for Manager's title, manager's signature and date. (12)

A CFIA Use Only section is used by the CFIA Regional Program Officer to inform the Area Program Specialist that a company has completed their application, manual review, and evaluation audit requirements of the CGSP and should be considered for approval under the CGSP. If the Area Program Specialist agrees, they then sign the Application form and send it to the National Manager. Areas to complete include Regional Program Officer name, Regional Program Officer signature, date, Program Specialist name, Program Specialist signature and date. (13)