White-Label COA Request Form

Attestation: By completing and submitting the below form, I affirm that I am the owner of the account that originated the requested laboratory analysis reflected in the Certificate of Analysis referenced in this form. I further attest that I will not make any further changes or alterations to any version of this Certificate of Analysis beyond the changes indicated in this form, and that I do not and will not authorize any other party to do the same. The changes described herein are for marketing and branding purposes only, and will not alter in any form the analytical data presented on the report. I understand that actions I may undertake to counter my acceptance of this statement may violate the law, and that New Bloom Labs will cooperate fully with any agency or party that may have interest in any illegal activity related to the alteration of this report.