Form C

CertiPUR-US^® Annual Registration Renewal and Directory Listing Update | Form C for 2027 Directory

Form C is now only to be used by companies that are currently listed in the directory at certipur.us/directory and are due to renew their registration and confirm or revise their current directory listing(s). Not registered yet? Start here.

How do you know if your company is due to renew for 2027? Unless your directory listing(s) says “Valid through 2027,” you are due to renew. Please scroll down to submit a new Form C. This is the only form needed. A completed Form C will ensure your listings are updated for the 2027 directory. If we do not receive an updated Form C each year, your listing(s) will be dropped from the directory and your company (and your customers) will no longer have legal permission to use the trademarked CertiPUR-US^® name and logo.

Before you start this form, please review your directory listing(s) at certipur.us/directory to determine whether they are still accurate.

If there are no changes to your current listing(s), please check the box at the beginning of Section 3; you must still complete, sign and submit the rest of Form C to renew your registration.
If you need to update your current listing(s) or add a brand, please do so in Section 3.
If you need to add or change more than 4 listings, please answer “yes” to the question “I have more than 4 listings of companies/brands and will email directory@certipur.us for a customized approach” in Section 3.

Note: Renewing companies only need to submit Form C. Do not ask your foam supplier to submit a Verification Form A. CertiPUR-US^® administrators will independently verify the supply chain with your suppliers and will contact you if more information is needed.

Section 1. Basic Information

This form should only be completed by an authorized representative of the Parent Company/Main Company named below.

Parent/Main Company Name *

Required: Use the box below to tell us which of your listings from the current directory at certipur.us/directory should be included in the 2026 directory. For any new brands you are listing for the first time, you must fill out details about product categories, etc. in Section 3 of this form. *

Required: Use the box below to tell us which of your listings from the current directory at certipur.us/directory should be included in the 2026 directory. For any new brands you are listing for the first time, you must fill out details about product categories, etc. in Section 3 of this form. * *

Parent/Main Company Address

Address Line 1

Parent/Main Company Address *

Address Line 2

City

State / Province / Region

City *

State / Province / Region *

Postal Code

Country

Postal Code

Country

Parent/Main Company Phone *

Please include country code if applicable.

Parent/Main Company Email *

Parent/Main Company Phone *

Parent/Main Company Email *

Parent/Main Company Website *

Enter the website for PARENT/MAIN company. You can provide websites or webpages for other companies/brands in Section 3. This is a required field.

Company or Brand Website *

Company Contacts

Please list Primary Contact first. In addition to a Primary Contact, please list a Customer Service Contact, if different. We will call or email the Customer Service Contact if we receive a question from a consumer about one of your products they have purchased (concerns, care instructions, etc.) We also suggest providing a Marketing/PR Contact.

Company Contact

Name *

First

Last

Name *

First

Last

Job Title *

Job Role

Contact Information

Email *

Phone Number *

Please include country code if applicable.

Extension

Please include an extension if applicable.

Phone Number

Extension

Check “Yes” to add additional contacts

Section 2. [REQUIRED] About Your Supplier(s) of CertiPUR-US® Certified Foam

Confidential. For use by CertiPUR-US® administrators only.

List the foam supplier (foam producer, reseller, or distributor) from whom you DIRECTLY buy certified foam or products containing certified foam.

If you are buying directly from a participating foam producer, we recommend you check their certificate on our website to be sure the foams you are buying are certified and in good standing. Go to certipur.us/producers and click on the name of your supplier to find their certificate. If you are buying from a distributor or reseller, check to be sure they are registered with us here: certipur.us/directory. Email us at compliance@certipur.us if you have questions.

Supplier 1

Company name: *

Primary contact name: *

Email address: *

Supplier 2

Company name:

Primary contact name:

Email address:

Supplier 3

Company name:

Primary contact name:

Email address:

If you have more than 3 suppliers, please email compliance@certipur.us

Identify the CertiPUR-US® Certified Foam Families You Purchase or Your Products Contain

(check all that apply) *

Do you use only CertiPUR-US® certified foam in all your products, brands and sub-brands that contain flexible polyurethane foam? *

Are you a manufacturer of products containing shredded foam? *

Are you a retailer selling products containing shredded foam? *

Section 3. Directory Listing(s) – Free and Required

Registered companies are required to have at least one directory listing. Multiple listings are encouraged. All listings are free. List any company or brand a consumer or customer would search for.

For the public directory listing you create below, we will use the information from this section to revise your current listing – or to add new listing(s). For EACH company, brand and collection you want revised or added, complete the entire section below separately. You will see an option to “add another listing” after you complete your first listing. You will also see a customized option if you have more than 4 listings.

If your company or brand is not listed in the directory, you cannot use the trademarked CertiPUR-US^® name or logo or to be associated with the program in any way.

Only information from Section 3 will be included in the online directory.

There must be a separate entry in Section 3 for each brand or company that you want listed in the directory, including the parent/primary company.

Sample Directory Listing

XYZ Mattress Store

AXYZ Mattress Store

Bwww.xyzmattressstore.com

CCompany Type: Mattress/Bedding Retailer, Pillow Retailer

DProduct Category: Adult Mattresses, Crib Mattresses, Pillows

ELocation: Texas

FRelated Listings (optional): XYZ Pet Beds

A. Company/Brand Name

Please type company or brand exactly as it should appear in directory: *

B. Website/Webpage

Please enter a website or web page link associated with this company or brand: *

C. Company Type

Choose company type if that company or brand sells CertiPUR-US® certified foam or products containing certified foam.

† List of Foam Producers certifying foams

Other

Please specify

Other

D. Product Categories

For the directory, your company will only be listed in the categories you check. Check at least one. Only check a category if that company or brand sells CertiPUR-US® certified foam or products containing certified foam.

Example: If you manufacture both mattresses and furniture but you only use CertiPUR-US® certified foam in your mattresses, then do not check the upholstered furniture category.

Medical-Related Products

Medical-Related Products
Wedge/Leg Elevation Support

Pet Products

Pet Products – Molded foam/Contour Cut
Pet Products – Shredded foam

Upholstered Furniture

Chairs/Recliners/Gliders/Rockers
Décor Pillows/Cushions
Juvenile/Play Furniture – Shredded foam
Juvenile/Play Furniture – Molded foam/Contour Cut
Outdoor Furniture/Cushions
Sleeper Sofas
Sofas/Sectionals/Loveseats
Upholstered Headboards/Bed Frames
Worship Furniture/Pew Seating

Suggest another product category below:

E. Location

For foam producers, the location means where the company is geographically based.

For all others, the location means where the product is available for purchase.

For the directory, your company will only be listed in the locations you check. Check at least one.

USA, product available throughout USA

USA, product available throughout USA

If you check this, please do not check the other USA option.

Outside the USA, product available in these countries:

Outside the USA, product available in these countries:

F. Related Listings/Cross-References (Optional)

For this particular listing, do you want us to cross reference any of your other listed companies or brands that you have submitted for the directory?

Multiple Choice

Do not cross-reference any other companies or brands in this listing
Cross-reference all related brands among the listings submitted
Only cross-reference these related brands, please specify:

Single Line Text

Comments/Notes (Optional)

Please provide any additional information here that you would like us to know about this listing:

Comments/Notes (Optional)

Do you have another company or brand to list?

I have more than 4 listings of companies/brands and will email directory@certipur.us for a customized approach.

I have more than 4 listings or prefer to submit a separate spreadsheet of companies/brands and will contact directory@certipur.us for a customized approach.

Section 4. Agreement to Abide by the Rules Set Forth in the CertiPUR-US® Program Terms of Use Manual

Obligation to inform others of terms. *

I have read and agree to the CertiPUR-US® Program Terms of Use Manual and understand it is our responsibility to inform employees, contractors and/or consultants that they must follow the Terms of Use.†

† Find the Terms of Use Manual at certipur.us/TermsofUse.

Permission prior to use. *

I understand that any advertising, packaging, website content, labeling, news release or other promotional materials that carry the CertiPUR-US® name, logo or mark or claims must be submitted to and approved by CertiPUR-US® administrators prior to use.†

† Email approvals@certipur.us.

Use of name and logo. *

I understand that the CertiPUR-US® name, logo or mark can only be used in association with products in which all the flexible polyurethane foam in the product is CertiPUR-US® certified, including shredded foam products. I also understand that separate rules apply to the use of the CertiPUR-US® biobased logo, as outlined in Terms of Use Manual.†

† Find the Terms of Use Manual at certipur.us/TermsofUse.

Only the foam is certified. *

I understand that CertiPUR-US® certifies only flexible polyurethane foam, not the finished product, and my company must not characterize a whole product or my company as being CertiPUR-US® certified.

Changing or adding a certified foam supplier. *

I understand that if we change or add foam supplier(s), that supplier must submit an updated Verification Form A(s).

Avoiding inaccurate claims. *

I understand that the following are among the claims that CANNOT be made in association with CertiPUR-US® certified foams:

Chemical-free
Eco-friendly*
Green*
Hypoallergenic
Made without chemicals
Made without flame retardants
No carcinogens
No flame retardants/free of FRs
Non-toxic
Recycled*
Renewable*
Safe
Sustainable*
Biobased (Exception: Biobased foams)

*Avoid using these or other similar unqualified environmental benefit claims which may be prohibited by the Federal Trade Commission Green Guides, a publication designed to help marketers avoid making environmental claims that may mislead consumers.

Indemnify and hold harmless AFPF, Inc. *

We agree to indemnify, hold harmless and defend AFPF, Inc., (the organization that administers the CertiPUR-US® program), its officers, directors and employees against any damages, liability, costs or expenses, including attorneys’ fees and costs, arising out of third-party claims in connection with our use of the CertiPUR-US® name, logo or mark.

Update Directory Listing Annually *

I understand that I must update my directory listing(s) each year via Form C to continue to have permission to use the CertiPUR-US® name, logo or mark. CertiPUR-US® administrators will send a reminder to update listing(s) to the primary contact and/or main company contact.

This form is a legally binding document. *

I have entered my electronic signature below — or signed and submitted a copy of this document — and I understand that in either case my signature is legally binding.

IMPORTANT REMINDER: This form must be completed by an authorized representative of the Parent Company/Main Company identified in Section 1.

Signature of Representative of Parent/Main Company *

Clear Signature

Please use your cursor to sign if you are on a desktop computer.

Print Name: *

Email (for copy of form)

Enter an email address to receive a copy of your form submission:

Email form copy

By submitting this document, I give permission to CertiPUR-US® program administrators to email periodic program updates.

Form C

Form C

CertiPUR-US® Annual Registration Renewal and Directory Listing Update | Form C for 2027 Directory

Section 1. Basic Information

Parent/Main Company Address

Company Contacts

Company Contact

Contact Information

Company Contact

Contact Information

Company Contact

Contact Information

Company Contact

Contact Information

Section 2. [REQUIRED] About Your Supplier(s) of CertiPUR-US® Certified Foam

List the foam supplier (foam producer, reseller, or distributor) from whom you DIRECTLY buy certified foam or products containing certified foam.

If you have more than 3 suppliers, please email compliance@certipur.us

Identify the CertiPUR-US® Certified Foam Families You Purchase or Your Products Contain

If NO, please be sure your corporate, sales, marketing and customer service teams do not state, imply or promote that a product contains certified foam if it does not.

Please fill out Form D to get authorized to use the CertiPUR-US® name and logo on products containing certified shredded foam.

Please fill out Form D to get authorized to use the CertiPUR-US® name and logo on products containing certified shredded foam.

Section 3. Directory Listing(s) – Free and Required

A. Company/Brand Name

B. Website/Webpage

C. Company Type

D. Product Categories

E. Location

F. Related Listings/Cross-References (Optional)

Comments/Notes (Optional)

A. Company/Brand Name

B. Website/Webpage

C. Company Type

D. Product Categories

E. Location

F. Related Listings/Cross-References (Optional)

Comments/Notes (Optional)

A. Company/Brand Name

B. Website/Webpage

C. Company Type

D. Product Categories

E. Location

F. Related Listings/Cross-References (Optional)

Comments/Notes (Optional)

A. Company/Brand Name

B. Website/Webpage

C. Company Type

C. Product Categories

E. Location

F. Related Listings/Cross-References (Optional)

Comments/Notes (Optional)

I have more than 4 listings of companies/brands and will email directory@certipur.us for a customized approach.

Please Please email directory@certipur.us to submit a separate spreadsheet for your directory listings. You may continue to Section 4 to complete this form.

Section 4. Agreement to Abide by the Rules Set Forth in the CertiPUR-US® Program Terms of Use Manual

CertiPUR-US^® Annual Registration Renewal and Directory Listing Update | Form C for 2027 Directory

Please fill out Form D to get authorized to use the CertiPUR-US^® name and logo on products containing certified shredded foam.

Please fill out Form D to get authorized to use the CertiPUR-US^® name and logo on products containing certified shredded foam.