If you are unable to fill out the form below, download the PDF, print, complete, sign, scan, and send to email@example.com.
- 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 certipur.us/FormA.
- NEW! Beginning in 2022, all registered companies must update their directory listings annually via Form C. Details to follow.