Renew License with the ROA

Name

This field is for validation purposes and should be left unchanged.

*Important Notice for Renewing Licensees*: License renewal applications are due annually. If a renewal application is submitted after the deadline, ROA will automatically issue an invoice for the maximum licensing fee tier as outlined in the Cost and Fee Structure policy.

Adjustments to fees will be made only after all required documentation is received and reviewed. Failure to submit required documentation may result in delays or suspension of your license.

In this form you will need to submit the following documents (if applicable):

Product Claim Material Worksheet
Organic Certificate(s): Please attach your organic certificates for processing/handling, as applicable. Please include any appendices and/or client profiles.
Brand/Processor License Agreement OR Private Label Retailer License Agreement
ROSP for Licensed Products
SCA Declaration Forms for each actor in your supply chain: Supply Chain Actor Disclosure
Labels, if applicable (drafts if available)

Section 1 - General

Business Name(Required)

Please copy exactly as it appears on your current ROA License

Your Name(Required)

First Last

Your Email(Required)

Business Role(Required)

Select all that apply

Brand

Processor/Handler

Textile Manufacturer

Textile Gin

Distributor

Exporter

Private Label Manufacturer

Retailer

Other

If Other, please describe your supply chain role.

(Required)

Private Label Retailer's Business Name

(Required)

Private Label Retailer's Email

(Required)

Private Label Retailer's Phone Number

(Required)

Please select the section of the Cost and Fee Structure that applies to this application(Required)

View our Cost and Fee Structure policy for details on these sections, as well as the descriptions below.

3.1 Brand License (Non-Textile)

3.1 Brand Licensee - Private Label Manufacturer

3.2 TEXTILE Brand License

3.5 Handlers/Processors/Brokers/Textile Manufacturers (Supply Chain Actor License)

3.3 Private Label Retailer

If your organization makes the final claim to a product's end user, then please select either 3.1 Brand License (Non-Textile) OR 3.2 TEXTILE Brand License.

If your organization processes for and strictly supplies to a private label brand owner, please select 3.1 Brand Licensee - Private Label Manufacturer.

If your organization is handling / processing ROC materials but not making the final claim to a product's end user, please select 3.5 Handlers/Processors/Brokers/Textile Manufacturers (Supply Chain Actor License).

If your organization is a retailer that has its own private label making ROC claims, please select 3.3 Private Label Retailer.

Do you take ownership of Regenerative Organic Certified® ingredient(s) then sell it with Regenerative Organic Certified® claims to more than one entity?

(Required)

Yes

*PLEASE NOTE* If you answered "No", then you may not need to complete this application!

Unless you are a textile cotton gin, you are not required to complete this application if only selling to one entity unless you would like to be independently licensed anyways.

If you answered "No" above, are not a textile cotton gin, and do not desire to maintain your licensed status, then please work with the brand owner that you are supplying to complete a disclosure form. They will need this form for their application.

Textile cotton gins should complete this application regardless of the number of entities that they sell to. However, license fees are waived for textile cotton gins making ROC sales to only one entity.

Section 2 - Updates/Changes

1. Has your business name changed?(Required)

Yes

Please provide new business name

(Required)

Upload Your Current Organic Certificate (USDA NOP/equivilent, GOT, OCS)

(Required)

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 2.

Upload New Brand/Processor License Agreement

(Required)

Brand/Processor License Agreement can be downloaded from the Brands and Suppliers section of the RegenOrganic.org/Resources. Here is a quick link: Brand/Processor License Agreement

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 10.

2. Has your DBA (doing business as) name changed?(Required)

Yes

Please provide new DBA name

(Required)

Upload Your Current Organic Certificate (USDA NOP/equivilent, GOT, OCS)

(Required)

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 2.

Upload New Brand/Processor License Agreement

(Required)

Brand/Processor License Agreement can be downloaded from the Brands and Suppliers section of the RegenOrganic.org/Resources. Here is a quick link: Brand/Processor License Agreement

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 10.

3. Has your address changed?(Required)

Yes

New Address

(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

4. Are there any changes to your contact information?(Required)

Yes

Please let us know which contact(s) have changed:

(Required)

Select all that apply

Legally Responsible Representative (CEO, COO, Executive Director, Managing Director, or Registered Agent)

Primary Contact (one person in your Organization to be the ROA’s Primary Contact)

Accounting Contact (the primary contact that should be invoiced for the organization’s License Fees)

Additional Contacts (additional contacts in organization authorized to make changes, submit label reviews etc.)

Legally Responsible Representative Name

(Required)

First Last

Legally Responsible Representative Phone Number

(Required)

Legally Responsible Representative Email

(Required)

Primary Contact Name

(Required)

First Last

Primary Contact Phone Number

(Required)

Primary Contact Email

(Required)

Accounting Contact Name

(Required)

First Last

Accounting Contact Phone Number

(Required)

Accounting Contact Email

(Required)

Additional Contact Name #1

(Required)

First Last

Additional Contact Phone Number #1

(Required)

Additional Contact Email #1

(Required)

Additional Contact Name #2

First Last

Additional Contact Phone Number #2

Additional Contact Email #2

5. Are you adding or updating your current products? (updates include UPC’s, product name, formulation, etc.)(Required)

Yes

Upload New Product Claimed Material Worksheet

(Required)

Claimed Materials Worksheet can be downloaded from the Brands and Suppliers section of the RegenOrganic.org/Resources. Here is a quick link: Claimed Material Worksheet

Accepted file types: pdf, xls, xlsx, csv, Max. file size: 5 MB.

6. Is your supply chain map changing?(Required)

Yes

Upload New Product Claimed Material Worksheet (sheet #4 on worksheet)

(Required)

Claimed Materials Worksheet can be downloaded from the Brands and Suppliers section of the RegenOrganic.org/Resources. Here is a quick link: Claimed Material Worksheet

Accepted file types: pdf, xls, xlsx, csv, Max. file size: 5 MB.

7. Do you have new supply chain actors?(Required)

Yes

List the name(s) of your new supply chain actors

(Required)

Upload Supply Chain Actor Organic Certificates For New Actors

(Required)

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 2.

Upload Supply Chain Actor Disclosure Form(s) For New Actors

(Required)

The Supply Chain Actor Disclosure Form can be downloaded from the Brands and Suppliers section of the RegenOrganic.org/Resources. Here is a quick link: Supply Chain Actor Disclosure Form

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 10.

8. Do you have any new or updated labels?

Yes, I have updated labels

No, I don't have updated labels

Upload Labels, including all sides

(Required)

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB.

Section 3 - Billing Details & Fees

Please provide the email address for all individuals that you want to receive our invoices. Only enter one email address in each provided field, with up to four possible. Additional fields will appear as needed.

Invoice Recipient Email #1(Required)

Invoice Recipient Email #2

Invoice Recipient Email #3

Invoice Recipient Email #4

Do you want a different address used on invoices?(Required)

Yes

Billing Address for Invoices

(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

For additional context on the following question(s), see our Cost & Fee policy. Refer to the section that aligns with the operation type as selected at the beginning of this application - Sections 3.1, 3.2, 3.3, or 3.5. Fee calculations differ based on this being your first year vs. renewal.

Please enter the FOB value (in US Dollars) from the previous calendar year for products WITH 50% OR MORE Regenerative Organic Certified® content. Only include the FOB value related to products on which you made ROC label claims.

(Required)

Please enter the FOB value (in US Dollars) from the previous calendar year for products with LESS THAN 50% Regenerative Organic Certified® content. Only include the FOB value related to products on which you made ROC label claims.

(Required)

Please enter the gross revenue earned (in US Dollars) from the previous calendar year for products with 70% OR MORE Regenerative Organic Certified® content. Only include the value related to products on which you made ROC label claims.

(Required)

Please enter the gross revenue earned (in US Dollars) from the previous calendar year for products with LESS THAN 70% Regenerative Organic Certified® content. Only include the value related to products on which you made ROC label claims.

(Required)

Please enter the gross revenue earned (in US Dollars) from the previous calendar year from the sale of Regenerative Organic Certified® products. Only include the value related to products on which you made ROC label claims.

(Required)

Is the company's anticipated annual gross revenue (including Regenerative Organic Certified® and non-certified products) $2 million or more?

(Required)

This determines the assessment of our Annual Membership Fee, which is detailed in Section 3.3 of our Cost & Fee policy.

Yes

Section 1 - General

Section 2 - Updates/Changes

Section 3 - Billing Details & Fees

Wonderful!

YES

NO

Your purchase choices have powerful impact!

Fantastic!

YES

NO

Wonderful!

YES

NO

Fantastic!

Great!