HMA Application Form Abattoirs

HMA APPLICATION FOR ABATTIORS
Business Name in Full:*
Full Legal/Corporate Name*
Contact Person:*
Trading Name/Business Name *
(if different from above)
Jurisdiction of Registration (Ontario/Federal): *
Corporation No/ Business Registration No.:*
Current Proprietor established since:*
Registered Office Address:*
Post Code:*
Physical Address:*
Post Code:*
Office Telephone:*
Mobile Contact:*
Website Address*
E-Mail Address:*

Please indicate your day and time of business operation:*

	MON	TUES	WEDS	THURS	FRI	SAT	SUN
Time of Operation

Production details:*

	PRODUCT	QUANTITY PER DAY
1
2
3
4
5
6

Additional products

PRODUCT QUANTITY PER DAY

1
Cutting / De-Boning facility on site: (if applicable) state yes / no:*
I/We agree that the information provided is accurate and the fees of $200 paid is non-refundable.
- I / We** understand that by virtue of this application, I must return the completed application form together with a non-refundable application fee of $200.00+HST to HMA.
- I / We** accept liability of the reasonable travel and administration costs of a preliminary inspection by HMA.
- I / We** understand and accept that the HMA may cancel this application at any time without being required to provide an explanation.
- I / We** understand that an initial audit inspection will only be undertaken by the HMA provided the ‘Initial Audit Authorization Form’ is completed and submitted to the HMA.
- I / We** understand that by virtue of this application I / we** duly authorize HMA where necessary and in their sole discretion to approach other recognized Muslim Authorities or any supplier or manufacturer of any equipment or other peripherals used by the applicant to verify its conformity with the CRITERIA set by HMA.
Please note that no applicant is authorized to use and display the HMA name and/or logo at their outlet, website, advertising and marketing material prior to obtaining the HMA certification. HMA is a registered trademark. The HMA reserves the right to pursue legal action for trademark infringement.
Name:*
Position:*
Signed:*

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Date*

MonthDayYear
Strictly Confidential:
HMA, undertakes to treat all information supplied by or obtained from the application in respect of its processes, trade secrets, prices and operations in the strictest confidence and will not divulge such information for the benefit of any other person or company.
INITIAL AUDIT INSPECTION AUTHORIZATION FORM

HMA will only consider approving products and conducting an initial audit inspection of the applicant’s facility/s, if the applicant is prepared to abide by the following HMA Standards:
Red Meat (beef, veal, sheep, goat, lamb) Facilities

▪ Hand-slaughtered
▪ No Stunning
▪ Muslim Slaughter-men
▪ Equipment must be clean and sanitized prior to HMA halal production
▪ Allow HMA inspector to be present on site during entire halal slaughter & production.
▪ Allow HMA inspector to stamp and or label the certified meat products.
▪ Allow HMA inspector to be present during entire processing / de-boning / portioning.
▪ No contamination with non HMA certified products.
▪ Allow HMA supervisor to conduct periodic visits to ensure compliance of inspector/s and plant
▪ Supply HMA certified products to HMA certified facilities / outlets only.
Chicken / Poultry Facilities

▪ Hand-slaughtered
▪ No Stunning or monitored low-voltage water basin stunning
▪ Equipment must be clean and sanitized before HMA halal production
▪ Muslim Slaughter-men
▪ Allow HMA inspector to be present on site during the entire halal slaughter & production.
▪ Allow HMA inspector to mark certified production in accordance with HMA guidelines.
▪ Allow HMA inspector to be present during entire processing / de-boning / portioning.
▪ No contamination with non-HMA certified products.
▪ Allow HMA supervisor to conduct periodic visits to ensure compliance of inspector/s and the plant
▪ Supply HMA-certified products to HMA-certified facilities / outlets only.
Company Name:*
Name of Person Authorizing Audit Inspection:*
Phone Number:*
Email*
Acknowledgement

The above stated company agrees to firstly complete an application, pay the HMA $200.00 (application fee) and reasonable travel expense for the audit inspection, if outside the Greater Toronto Area.

HMA will contact you to arrange payment of the fees.
Signature (Draw your signature below)*

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Date*

MonthDayYear
Signature Name (for verification)*
Full Name
HMA (Halal Monitoring Authority of CCMT)

	Ingredient/Raw Materiel	Product Code	Supplier	Contact Person	Telephone	Manufacturer (if different from the supplier)
1
2
3
4
5
6
7
8

Additional Notes:*
Please verify you are not a robot*
Should be Empty:

HMA APPLICATION FOR ABATTIORS

INITIAL AUDIT INSPECTION AUTHORIZATION FORM

HMA (Halal Monitoring Authority of CCMT)