FDA FSVP CERTIFICATION
Title 21 of the United States Code of Federal Regulations, part 1, subpart L, §1.505, and §1.506; requires all information and documentation related to a product's food safety program be kept up-to-date. To maintain your company's current good FSVP Importer coverage, we respectfully request that the following information be provided on an annual basis.
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– response required
Time to complete: ~ 7 minutes
– response required, if relevant
1. Has any change been made to any product's food safety program in the last year? *
– if yes, please describe the change and upload new food safety program.
No
Yes
2. Has any change been made to any product's ingredients in the last year? *
– if yes, please describe the change and upload new ingredient list / specifications.
No
Yes
3. Has the supplier's conformance with FSVP (or appendant regulations) changed in the last year? *
– if yes, please describe the change and upload new files / corrective actions
No
Yes
4. Has the supplier undergone a recall or been placed on FDA Import Alert in the last year? *
– if yes, please describe the circumstance and upload substantiation
No
Yes
5. Has any product been stopped, held, or rejected by U.S. Customs, for any reason, in the last year? *
– if yes, please describe the circumstance and upload substantiation
No
Yes
6. Is there any additional information that you would like to share?
No
Yes
7. How satisfied are you with the level of service provided by United Safety Agents?
– your response will not influence the certification process or its outcome
CERTIFICATION By entering your name below, you certify that the information you provide on and in connection with this form is true, accurate, and complete to the best of your knowledge. Any false statements or deliberate omissions on this form or any other provided documents may be grounds for disqualification from successful Foreign Supplier Verification Program approval or, if discovered after approval takes place, could result in a product's approval status being revoked or terminated and may result in a product or shipment being rejected from entry into the United States.
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