GMO-free Declaration
Name and address of vendor
Company Name:
Client Number:
Website:
P.O. Box / Street:
Zip Code / Town:
Province / State:
Country:
Name of product/crop & variety	Identification (lot, batch, stock or article number)
Components: Specify all components existing in the product/used in the production process.
I declare, that this product a) is neither a genetically modified organism (GMO) itself, nor does it contain any such organism, and b) it was not produced “from” or “by” a GMO. Neither do we have any information that would implicate that this statement is incorrect (depth of analysis: backwards in the manufacturing process to the last organism able to reproduce). In addition, all components contained in the above-mentioned product in respect of which one cannot rely on Regulation (EC) No 1829/2003 (because they are exempt from the labelling obligation), written declarations of compliance by the producers having the same scope and the same content as (a) and (b) have been provided to us. This concerns microorganisms, enzymes, flavourings, organic acids and other organic compounds. No declarations are necessary for substances that are used for the production of the product or the components and for technically unavoidable residues from the manufacturing process. This concerns e.g. nutrient media, processing aids, enzymes, plant protection products, feed and other aids that are used to manufacture the product or the components but are not themselves contained in the product as components. Consequently, the product named above complies with the provisions of Regulation (EU) No 2018/848 as amended (see back for an excerpt from the provisions with regard to the “prohibition of genetically modified organisms”. A specification of the above-mentioned product is enclosed with this declaration of compliance. The signatory undertakes to give notification to its customer and the competent control body or control authority which the signatory is subject to without delay if this confirmation is revoked or changed or if information becomes known that calls into question the correctness of the confirmation. The signatory authorises the competent control body / control authority responsible for the control of the customer in accordance with Article 3, 55) and 56) of Regulation (EC) No 2018/848 to verify the correctness of this confirmation in the context of an audit and take samples for analytical proof if necessary. This task can also be performed by an independent body named in writing by the control body. The signatory confirms the correctness of the statements made in this declaration.
Signature of vendor:	Company stamp of vendor (if available)
Name of signatory in block letters:
Date of signature:
Place:
Country: