Fillable FDA Product Data Sheet: Food Related Items (Livingston)

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FDA Product Data Sheet: Food Related Items (Livingston)

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FDA: Food Related Items US Brokerage, 09/2015
FDA Product Data Sheet: Food Related Items
(Dishware, Cookware, Food Packaging Products, Food Manufacturing Equipment)
Account Number
Account Name
DUNS Number (if available)
Client Part Number*
Description of Product (as complete as possible)
Government Agency Processing Code
CCW - Ceramicware and other food contact substances
Tariff Number
FDA Product Code (if known)
Country of Origin**
FDA Country of Production**
Cargo
Storage Status
Type of Product (if other, specify)
Product Material
(if other, specify)
* Part number as shown on their paper work or SKU use to identify the product in their system, item #, etc.
** U.S. Customs considers the country of origin to be the country where the product last underwent a “substantial transformation” (resulting in an
increase in value.) The FDA considers the country of origin to be that of the actual manufacturer. Actual manufacturer is defined as the last party
involved in the production process.
FDA Actual Manufacturer
Company Name
Address
State/Province
Zip/Postal Code
Country
DUNS Number (if available)
FDA Shipper (As shown on Customs document, BOL or airway bill)
Company Name
Address
State/Province
Zip/Postal Code
Country
DUNS Number (if available)
Select one
Select one
Select one
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FDA Product Data Sheet: Food Related Items (Livingston)

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Completed 23 September 2021

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