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 form below, download the PDF, print, complete, sign, scan, and send to forms@certipur.us.

  • 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.
  • 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 Once registered, if you do not adhere to the Terms of Use, permission to use the CertiPUR-US® name/logo/mark will be rescinded and your listing on our website will be removed
  • Beginning in 2022, all registered companies must update their directory listings annually using Directory Listing Update Form C. Companies registering for the first time in 2022 do not have to update their listings until 2023.

1. 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 certipur.us/certificatecourse. When you complete the course, keep following prompts to download your certificate. Your certificate will include the 16-digit number required below:

2. Basic Information

If possible, provide unique email rather than generic/role email (e.g., sales@, support@).
Please include country code if applicable.
Please include extension if applicable.
Please include extension if applicable.

3. Customer Service Contact (if different from above)

This is the contact information we will share with consumers if they contact us with inquiries about your products.

If possible, provide unique email rather than generic/role email (e.g., sales@, support@).
Please include country code if applicable.
Please include extension if applicable.

4. Company Type (for online directory — check all that apply)

Only check a company type if that division of your company sells CertiPUR-US® certified foam or products containing certified foam.
*List of CertiPUR-US® Producers

5. About Your Supplier of CertiPUR-US® Certified Foam

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

6. Identify the CertiPUR-US® Certified Foam Families You Purchase or Your Products Contain (check all that apply)

8. Company, Brand(s), Listing(s) and Link(s) (for online directory)

For the directory, include ALL company names/brands/sub-brands (with links, if desired) a customer would search for to confirm participation in the CertiPUR-US® program. To list more companies, brands, or sub-brands, please write us at info@certipur.us.
Type N/A if no link preferred.

9. Product Categories (for online directory — check all that apply)

For the directory, your company will only be listed in the categories you check. Check at least one. Only check a category in which you sell products containing CertiPUR-US® 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.
*List of CertiPUR-US® Producers

10. Geographic Locations Served (for online directory)

For the directory, your company will only be listed in the locations you check. Check at least one.
(check box to see choice of regions)
(check box to see choice of states)

11. 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 certipur.us/TermsofUse.
*Email approvals@certipur.us.

You can say the foam is:

  • Made without ozone depleters
  • Made without PBDEs, TDCPP or TCEP (“Tris”) flame retardants
  • Made without mercury, lead and heavy metals
  • Made without formaldehyde
  • Made without phthalates regulated by the Consumer Product Safety Commission
  • Low VOC (Volatile Organic Compound) emissions for indoor air quality (less than 0.5 parts per million)
  • No chlorofluorocarbons (CFCs)
  • Performance-tested
  • Durability-tested
  • Emissions-tested
  • Content-tested
  • Analyzed by independent, accredited testing laboratories
  • Meets CertiPUR-US® standards for content, emissions and durability, and are analyzed by independent, accredited testing laboratories

You cannot say the foam is:

  • Chemical-free
  • Eco-friendly*
  • Environmentally friendly*
  • Environmentally safe*
  • Green*
  • Hypoallergenic
  • Made without chemicals
  • Made without flame retardants
  • No carcinogens
  • No flame retardants/free of FRs
  • Non-toxic
  • Recycled*
  • Renewable*
  • Safe
  • Soy-, agri- or bio-based
  • Sustainable*

*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.

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

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