Form B

Form B

CertiPUR-US® Program Registration | Form B Terms of Use Agreement

This is an agreement to adhere to the CertiPUR-US® Terms of Use which provides details on how the CertiPUR-US® name/logo/mark can and cannot be used — and what marketing claims can and cannot be made in association with the program. Please read the entire CertiPUR-US® Terms of Use Manual before agreeing to the terms by submitting Form B below. We encourage you to share the Terms of Use Manual with those on your team who will be selling, marketing, developing content or interfacing with customers about your products containing certified foam.

If you are unable to fill out the online form below, contact

  • To register, please fill out this form on behalf of the company you represent only if you are purchasing CertiPUR-US® certified foam or products containing certified foam. A company must be registered to be granted permission to use the CertiPUR-US® program’s trademarked name/logo/mark.
  • There is no cost to register, but in addition to this Form B, your supplier of CertiPUR-US® certified foam, or products containing certified foam, must submit CertiPUR-US® Program Supplier Verification Form A available at — Exception: if you are a retailer selling brands that are already listed in our directory and you do not offer any house or private label brands containing CertiPUR-US® certified foam, then no Supplier Verification Form A is needed.
  • Please remember that you do not have permission to use the CertiPUR-US® name/logo/mark until your company or brand is registered and listed on our website. Once registered, if you do not adhere to the Terms of Use, permission to use the CertiPUR-US® name/logo/mark will be rescinded and your listing on our website will be removed
  • All registered companies must update their directory listings annually using Directory Listing Update Form C.

Certificate of Knowledge Requirement

Before you complete Form B, you will need to successfully complete the CertiPUR-US® free 20-minute online Certificate of Knowledge course at When you complete the course, keep following prompts to download your certificate. Your certificate will include the 16-digit number required below:

Section 1. Basic Information

Parent/Main Company Address

Address Line 1

Address Line 2


State / Province / Region

Postal Code


Please include country code if applicable.

Please include country code if applicable.

Company Contacts

Please list Primary Contact first. In addition to a Primary Contact, please list a Customer Service Contact, if different. We will reach out to 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



Contact Information

Please include country code if applicable.

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

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

If this is a listing for a house brand of a current foam producer listed here, please indicate that in space below.

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 and click on the name of your supplier to access their certificate. If you are buying from a distributor or reseller, check to be sure they are registered with us here: Contact us at if you have questions.

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

(check all that apply)

Please specify

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 a consumer/customer would search for.

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

For the public directory listing you create below, we will use the information from THIS SECTION ONLY. For EACH company/brand/collection you want listed, 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.

NOTE: If you have a parent company and brands, see box.

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

If your parent company is a holding company or conglomerate, you can choose NOT to list it in the directory as long as you have at least one other listing included.

If you DO want the parent/primary company you entered in the first section of this form to be listed in the directory, you must create a separate entry for it—and any other brands you want listed—here in Section 3.

A. Company/Brand Name

B. Website/Webpage

C. Company Type

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

Please specify

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 in which that company/brand sells CertiPUR-US® certified foam or products containing certified foam.

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

Foam Producers listed here:

E. Location

Indicate location where product is available for purchase.
For the directory, your company will only be listed in the locations you check. Check at least one.
If you check this, please do not check the other USA options.

F. Related Listings/Cross References (Optional)

In this particular listing, do you want us to cross reference any other listed/related companies or brands you have submitted?

G. Retailers Only: Brands Sold (Optional)

If you are a retailer, we can add a section to your listing that indicates the brands you sell that contain CertiPUR-US® certified foam.

Comments/Notes (Optional)

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

I have more than 4 listings of companies/brands and will contact for a customized approach.

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

The Terms of Use Manual is available at
  • 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.

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

If you would like to receive a copy of your form submission, please provide the appropriate email address here:

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

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