Certification Log In
Contact Us
Member Dues & Merch
General Store
Who We Are
Staff and Board
Farmers and Beekeepers
Advisory Councils
FAQs
What is PGS?
CNG In The News
Get Certified
Apply
Why Join CNG?
Requirements
Certification Types
Produce
Livestock
Apiary
Aquaponics
Mushrooms
Inspections
Inspection Guidelines
How to Request an Inspection
Peer Review Education
Peer Review Training
Observed Inspections Include Community Stakeholders
Senior Inspectors (SI) Program Overview
Remote Inspections
Guidelines
Forms
Re-Join
Find Farms
Get Involved
Be a Friend
Be a Business Ally
Observe an Inspection
List Your Market
Be a CNG Ambassador
Events & Programs
Contact Us
Resources
Farmer Networking
Marketing
Grassroots Fund
Equity Fund
Seed Suppliers
Feed Suppliers
Education for Farmers
Peer Review Education
Master the Standards
Be a Better Farmer
For Farmer Trainers
Events & Programs
Blog
0
Your cart is currently empty!
Submit your Declaration
Would you like to submit your declaration online using this form, or would you like to upload a photo or scan of your declaration?
(Required)
Online form
Upload
Declaration Upload
Upload your file here
Drop files here or
Select files
Accepted file types: pdf, jpg, Max. file size: 15 MB, Max. files: 5.
Farm Name
(Required)
Farm Name
(Required)
Please select which certification type(s) you hold.
(Required)
Produce/flowers
Livestock
Apiary
Mushrooms
Aquaponics
I (we) declare and affirm that the information submitted via the Certified Naturally Grown (CNG) application is correct and accurate, and that all information will be kept current, complete and up to date to reflect any changes.
(Required)
Please initial.
I (we) have read and understood the appropriate CNG standards, and our practices adhere to the requirements listed therein.
(Required)
Please initial.
I (we) understand that Certified Naturally Grown reserves the right to remove us from the program and deny us the use of the CNG logo and marketing materials for any reason including concerns that we don’t adhere to CNG standards, or have missing or misleading information on the application.
(Required)
Please initial.
I (we) declare and affirm that I (we) will only represent products as Certified Naturally Grown when they actually meet the certification standards and come from a Certified Naturally Grown operation.
(Required)
Please initial.
Please select which of the following statements applies to your apiary:
I (we) declare and affirm that the brood comb in our apiaries have never been exposed to coumaphos (CheckMite+), fenpyroximate (Hivastan), Tylan or more than two treatments of fluvalinate (Apistan, Mavrik) or amitraz (Miticur, Taktic, or Mitak) AND all the brood comb originated in our apiaries (no nucs).
40% or less of our brood comb may have been exposed to Tylan and/or 3 or more treatments of fluvalinate or amitraz, and/or came from another apiary, but I (we) don’t use any prohibited treatments now.
Please select which of the following statements applies to your produce, flower, and/or livestock operation(s):
Please choose one.
I (we) declare and affirm that all the land for which we are applying for Certified Naturally Grown status has been free of prohibited pesticides, herbicides and fertilizers for at least three years (36 months) from the date of our first saleable harvest this year.
The land is still within the 36 month transitional period, but I (we) don’t use any prohibited pesticides, herbicides and fertilizers now.
I (we) declare and affirm that all the substrate used to grow CNG mushrooms meets CNG standards, and does not contain heavy metals or byproducts of GMO crops.
Please initial.
The container/s used for pasteurization and/or sterilization…
meet CNG standards
will be replaced within two months
not applicable
Please initial.
Please initial.
The fruiting room racks…
meet CNG standards
will be brought into compliance within twelve months
not applicable
Please initial.
Please initial.
The outdoor production area…
does not contain pressure treated wood used to elevate logs
will have such pressure treated wood removed within two months
not applicable
Please initial.
Please initial.
Name
(Required)
First
Last
Email
(Required)
Date
(Required)
Month
Day
Year
Use this space for anything you'd like share with us:
Signature
(Required)
Please sign your name.
Reset signature
Signature locked. Reset to sign again
Email
This field is for validation purposes and should be left unchanged.
Δ