Recertification Form A – Applicant InformationSubmission Date(Required) MM slash DD slash YYYY Company / Facility Name(Required) First Address(Required) Street Address City State / Province / Region ZIP / Postal Code Contact Person(Required)Phone(Required)Contact Email(Required) A/C Payable Email(Required) 1 – No Change StatementIf the ingredients, processes, labels, SOPs, suppliers, and products of your facilities have remained the same since the last certification period, please state so below. If anything has changed, provide detailed information about each change.No Change Statemente.g. ‘All ingredients, processes, labels, SOPs, and suppliers remain unchanged from the previous certification period.’ — or describe any changes in detail.2 – Supporting CertificationsList all existing safety, quality, and claims certifications your company holds (e.g., SQF, FSSC 22000, Kosher, Vegan, Gluten-Free, Non-GMO, Organic). Upload certificate copies where indicated below. Certification Name Upload Certificate Copies (optional) Drop files here or Select files Max. file size: 20 MB, Max. files: 5. 3- Porcine Materials DeclarationRequired. Are porcine-derived materials (including ingredients, processing aids, or packaging materials) present in any of the products or processes submitted for halal recertification?Porcine Materials Declaration No — not present Yes — present (details required) Porcine Material Details *4- Authorization & SignatureThe undersigned applicant hereby confirms its commitment to renew its halal program in accordance with the guidelines set forth by the halal certifying body. The information provided in this application is true and accurate to the best of our knowledge. The applicant agrees to pay the annual dues as outlined in the halal agreement and to abide by all the terms and conditions thereof.Printed Name(Required)Title / PositionConsent I authorize that the information submitted on behalf of the Company is accurate and complete. Your submission will be sent to AHF’s Department of Halal Inspection and Supervision. A confirmation will be sent to your contact email.