REQUIREMENTS CHECK – FSMA EXPORT

USA FOOD SAFETY MODERNIZATION CHECK

FSMA EXPORT using the following form is to assist your company to identify the US Regulations that applies to your products and plant of production. In detail, FSMA EXPORT’s preventive control qualified individual will check and assess your information provided through the below form to determined which Regulations your company have to respect to be in compliance and to be able into export or import to the USA. Please complete and submit the form:

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REQUIREMENTS CHECKStep 1

Company Name

Contact

Phone Number

Phone

Country

FDA Registration Number:

Yes

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Address

Position Held

Email Address

Website / URL

DUNS Number:

Yes

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Max file size: 976.56 KB. | Allowed file types: gif,jpeg,png,jpg

Select Files

REQUIREMENTS CHECKStep 2

Is your company a:

Manufacture/Processor

Distributor/Broker

Importer

- How many foreign suppliers do you utilize for Dry/pre-packaged and/or Refrigerated/Frozen products?

N/A

Comments:

- How many product-lines do you import for Dry/Pre-packaged products?

N/A

Comments:

- How many product-lines do you import for Refrigerated/Frozen products?

N/A

Comments:

REQUIREMENTS CHECKSubmit

Declaration by the applicant company:

All the information provided to BRAVO with the above form is true and accurate as of the date stated below. We understand that those information related to our products and company will be used by BRAVO to determined which Regulations our company must to respect to be in compliance with the US law to be able to export or import into the USA.

Name*

Name

Date Time Title*

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Position Held*

Position Held

Signature Pad Title

By submitting this form, you hereby agree to accept our Terms & Conditions. Your IP address 95.108.213.150 will be stored in our database.

USA FOOD SAFETY MODERNIZATION CHECK

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REQUIREMENTS CHECKStep 1

Upload

Upload

REQUIREMENTS CHECKStep 2

- How many foreign suppliers do you utilize for Dry/pre-packaged and/or Refrigerated/Frozen products?

- How many product-lines do you import for Dry/Pre-packaged products?

- How many product-lines do you import for Refrigerated/Frozen products?

REQUIREMENTS CHECKStep 3

REQUIREMENTS CHECKStep 4

Are you importing the below Food?:

REQUIREMENTS CHECKStep 5

Are you importing the below Food?:

Are you in the following categories?

REQUIREMENTS CHECKStep 6

Are you in the following categories?

REQUIREMENTS CHECKSubmit

Declaration by the applicant company:

Signature Pad Title

Your form has been submitted

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