1 
 EN 
ANNEX  
PART I  
EXTRACT No..........OF THE CERTIFICATE OF INSPECTION  FOR THE IMPORT OF ORGANIC 
AND IN -CONVERSION PRODUCTS INTO THE EUROPEAN UNION  
1. Control authority or control body having issued the 
underlying certificate of inspection  
 2. Procedures pursuant to Regulation (EU) 2018/848  of the 
European Parliament and of the Council1: 
 Compliance (Article  46);  
 Equivalen t third countr y (Article 48 );  
 Equivalent  control authorit y or control bod y 
(Article 57 ); or 
 Equivalence under a trade agreement (Article 
47). 
 
3. Certificate of inspection reference  number  4. Control authority or control body  
 
5. Importer  6. Country of origin  
 
7. Country of export  
 8. Border control post /point of  release for free circulation  
9. Country of destination  10. Consignee of the batch obtained from splitting  
11. Description of products  
CN codes        Category        Number of packages      Lot number       Net weight of the batch and net weight  
                                                                                                                   of the original consignment  
                                                           
1 Regulation (EU) 2018/848 of the European Parliament and of the Council of 30 May 2018 on organic production and labelling of organic 
products and repealing Council Regulation (EC) No 834/2007 (OJ L 150, 14.6.2018, p. 1).  2 
 12. Declaration of the relevant competent authority  verifying and  endorsing the extract of the certificate.  
This extract corresponds to the batch described above and obtained by the splitting of a consignment which is covered by an o riginal 
certificate of inspection with a number mentioned in box 3 . 
 To be released as organic;  
 To be released as in-conversion;                     
 To be released as non-organic;  
 The consignment  cannot be release d for free circulation 2; or 
 Part of the consignment can be release d for free circulation.  
 
Additional  information : 
 
Authority and Member State:  
 
 
Date:  
 
Name and sign ature of authorised person /qualified electronic seal   
13. Declaration of the consignee of the batch  
This is to confirm that at the reception of the products , the packaging or container and, where relevant, the certificate of inspection 
are:  
 in accordance with point 6 of Annex III to Regulation (EU) 2018/848; or  
 
 not in accordance with point 6 of Annex III to Regulation (EU) 2018/848.  
 
 
Name and signature of the authorised person                                                                              Date:  
 
 
 
  
                                                           
2  Regulation (EU) 2017/625 of the European Parliament and of the Council of 15 March 2017 on official controls and other official 
activities performed to ensure the application of food and feed law, rules on animal health and welfare, plant health and pla nt 
protection products, amending Regulations (EC) No 999/2001, (EC) No 396/2005, (EC) No 1069/2009, (EC) No 1107/2009, 
(EU) No 1151/2012, (EU) No 652/2014, (EU) 2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, 
Council Regulations (EC) No 1/2005  and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999/74/EC, 2007/43/EC, 
2008/119/EC and 2008/120/EC, and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of the European Parliament 
and of the Council, Council Directives 89/608/EEC, 89/66 2/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC and 97/78/EC 
and Council Decision 92/438/EEC (Official Controls Regulation) (OJ L 95 7.4.2017, p. 1).  3 
 PART II 
NOTES FOR THE COMPLETION OF THE MODEL OF THE EXTRACT OF THE CERTIFICATE OF 
INSPECTION  
 
Extract No ….:  The extract number corresponds to the number of the batch  obtained from the splitting of the 
original consignment.  
Box 1:  Name, address and code of the control authority  or control body  in the third country having issued the 
underlying certificate of inspection.  
Box 2:  This box indicates the provisions of Regula tion (EU) 2018/848  that are relevant for the issue and use of 
this extract; indicate the relevant provision under which the underlying consignment was imported, see 
box 2 of the underlying certificate of inspection.  
Box 3:  Number of the certificate of ins pection automatically assigned to the underlying certificate by the 
electronic Trade Control and Expert System (TRAC ES). 
Box 4: Name, address and code  of the  control authority  or control body  in charge of the controls in respect of  
the operator having split the consignment.  
Boxes 5, 6 and 7: See relevant information on the underlying certificate of inspection.  
Box 8: This is the unique alphanumeric code assigned by TRACES to the border control post or the point of 
release for free circulation into the European Union, including the country  where official controls for 
the verification of the batch are performed in accordance with Article 6 (1) of Commission Delegated 
Regulation (EU) 2021/xxx3 [DA COI].  
Box 90: Country of destination means the country of the first consignee in the European Union.  
Box 1 0: Consignee of the batch (obtained from the splitting) in the European Union.  
Box 1 1: Description of the products , which  includes :  
- the Combined Nomenclature (CN) code as referred to in  Council Regulation (E EC) No 2658/874 for the 
products concerned (8 -digit level where possible);  
 
- the category of the product;  
 
- the number of packages (number of boxes, cartons, bags, buckets, etc.);  
 
- the net weight expressed in appropriate units (kg of net mass, litre, etc .) and the net weight indicated in 
box 13 of the underlying certificate of inspection.  
 
Box 1 2: This box must  be completed by the competent  authority  for each of the batches resulting from the 
splitting operation referred to in Article s 6(6) and 7(3) of Delegated Regulation (EU) 2021/xxx  [DA 
COI]. 
The competent authority must select the appropriate option adding, if necessary, any additional 
information considered relevant. In particular, if the option “The consignment cannot be release d for 
free circulation” or “Part of the consignment can be release d for free circulation” has been selected the 
relevant information must  be provided under “additional information”.  
In case of products subject to official controls at border control posts, this box must be completed by the 
competent authority at the border control post.  
                                                           
3  Commission Delegated Regulation (EU) No 2021/xxxx of [date] supplementing Regulation (EU) 2018/848 of  the European 
Parliament and of the Council with rules on the official controls in respect of consignments of organic products and in -conversion 
products intended for import into the Union and on the certificate of inspection (OJ L xxx, xxx, p. xxx).  
4 Council Regulation (EEC) No 2658/87 of 23 July 1987 on the tariff and statistical nomenclature and on  the Common Customs 
Tariff (OJ L 256, 7.9.1987, p. 1) . 4 
 The hand signature of the authorised person is required only in the case of extracts of certificates of 
inspection endorsed on paper until 30 June 2022 in accordance with Art icle 11 (5) of Delegated 
Regulation (EU) 2021/xxx [DA COI ].  
Box 1 3: This box must  be filled in by the consignee at the reception of the batch, selecting one option after 
carrying out the checks provided for in point 6 of Annex III to Regulation (EU) 2018/848.  
 The hand signature of the consignee is required for extracts of certificates of inspection endorsed on 
paper until 30 June 2022 in accordance with  Article 11( 5) of Delegated  Regulation (EU) 2021/xxx  [DA 
COI] .