Topic Response Form

Instructions Hide Show

Step 1 - In the Form Info section on the left, click the Product Information and Contact Information links to confirm the values are correct. This information will be automatically copied to all request forms.

Step 2 - In the Requests section, click each request to view and complete the form. Click the Save Draft button to save and return later, or the Submit Now button to submit. Once submitted the system will perform a check of the data and provide a list of any missing or inconsistent data points. To update a response click Edit. Once the form is ready for submission click Confirm.

Note: Completed requests are marked with a green check mark and can be revised and resubmitted by selecting the request name and clicking Edit. For additional guidance on how to respond to requests please visit our Supplier Resource Center. To make changes contact 3E using the contact information at the bottom of this form.

Request Information Show Hide

Product Name: COLOR, PERGASOL YELLOW 97L
Part Number: 10095496

Please fix the following errors

Food Contact Compliance

Show All Questions

Good Manufacturing Practices

Provide information on the systems and processes used to ensure products are consistently produced and controlled according to Good Manufacturing standards.
- - Is the product produced utilizing Good Manufacturing Practices (GMPs)?
    
    Answer
    Comment
  - Is an appropriate Quality Assurance System is in place that ensures compliance of the finished product with all applicable regulations?
    Answer
    Comment
  - Has your facility been audited?
    Answer
    Comment
    - Provide Site and Name of Auditor
      Answer
      Comment
    - Provide Audit Results
      Answer
      Comment
Europe
- EU Directives
  
  Is your product compliant with or listed in:
  - Are all components of the product as supplied listed in Annex I of the Regulation EU 10/2011 as amended? **If carbon black is not present please select Not Applicable.
    Answer
    Comment
  - Are all components of the product as supplied listed in Annex I of the Regulation EU 10/2011 as amended?
    Answer
    Comment
    - Other Ingredients. Please specify below the identity and category of any non-intentionally added substances.
      
      Add new ingredient
      CAS Number Chemical Name Percent Category
      1
      items per pageNo record found.
  - Please provide the Food Contact Material (FCM) substance number
    Answer
    Comment
  - PM Reference Number
    Answer
    Comment
  - Is the Fat consumption Reduction Factor (FRF) applicable? If yes specify the amount.
    Answer
    Comment
  - Is this substance subject to any restrictions and/or specifications?
    Answer
    Comment
    - Specific Migration Limit (SML) - mg/kg
      Answer
      Comment
    - Specific Migration Limit (T) (Group restriction ) - mg/kg
      Answer
      Comment
    - QM
      Answer
      Comment
    - List specifications
      Answer
      Comment
    - Are there any Notes on verification of compliance (column 11 in Annex I of R. 10/2011/EU)? If so please specify.
      Answer
      Comment
  - EU Framework Regulation (EC) 1935/2004 - When the product is used under normal and foreseeable conditions will the product meet the safety requirements on materials and articles intended to come into contact with food?
    Answer
    Comment
  - Allergens listed in ANNEX II of the EU Regulation 1169/2011
    Answer
    Comment
  - Does the ingredient fulfill the definition of nanomaterial as defined by the commission recommendation 2011/696/EU?
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Aluminum present above 1 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Barium present above 1 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Cobalt present above 0.05 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Copper present above 5 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Iron present above 48 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Lithium present above 0.6 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Manganese present above 0.6 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Per Annex II of the Regulation EU 10/2011 is Zinc present above 5 mg/kg. If present above this level, please specify the quantity.
    Answer
    Comment
  - Absence of primary aromatic amines [-excluding those appearing in Table 1 of Annex I of Regulatory 10/2011/EU] < DL (Detection Limit) = 0.01 mg/kg
    Answer
    Comment
  - Absence of components classified as "Carcinogenic", "Mutagenic" or "toxic to reproduction" in accordance with the criteria set out in section 3.5, 3.6 and 3.7 of Annex I to Regulation (EC) N° 1272/2008
    Answer
    Comment
    - If any of the specified components are present please specify in the table below.
      
      Add new ingredient
      CAS Number Chemical Name Classification Concentration UnitOfMeasure
      1
      items per pageNo record found.
  - Is that product or component of the product also listed as a food additive by Regulation (EC) 1333/2008 or as flavourings by Regulation (EC) 1334/2008
    Answer
    Comment
    - Please disclose the identity of the food additive and its lowest restriction in food
      Answer
      Comment
    - Does the product meet the criteria of purity required?
      Answer
      Comment
    - Specify E Number
      Answer
      Comment
  - EU Commission Regulation (EC) 1895/2005 on the restriction of use of certain epoxy derivatives in materials and articles intended to come into contact with food
    Answer
    Comment
  - Is that product produced following the requirements of the Regulation (EC) 2023/2006 of 22 December 2006 on good manufacturing practice for materials and articles intended to come into contact with food?
    Answer
    Comment
- Council of Europe (CoE) Resolutions
  
  Is your product compliant with or listed in:
  - RESOLUTION AP (2004) 4 ON RUBBER. If applicable please indicate the version you refer to.
    Answer
    Comment
  - Is the product in listed in Resolution AP (89)1. If yes please specify if in compliance with specifications
    Answer
    Comment
  - Is the product listed in Resolution AP (92) 2. If yes please specify the restriction.
    Answer
    Comment
    - Specific Migration Limit (SML) - mg/kg
      Answer
      Comment
    - Specific Migration Limit (T) (Group restriction ) - mg/kg
      Answer
      Comment
European Union National Legislations
- Austria
  
  Is your product compliant with or listed in:
  - Regulation N° 775 (Plastic Regulation , KVO), Appendix 1, Section A (23.09.1194) including subsequent amendments like "KVO N° 69" ( 01.20.1995 ), "KVO N° 898" (29.12.1995) "KVO N° 528" (4.10.1996) , "KVO N° 262 "(16.9.1997) and KVO N° 93" (22.2.2001) If applicable please indicate the version you refer to.
    Answer
    Comment
- Belgium
  
  Is your product compliant with or listed in:
  - Royal Decree of 03/07/2005 (Belgian Official Gazette of 29/07/2005) on plastic articles intended to come into contact with food. If applicable please indicate the release you refer to.
    Answer
    Comment
  - Is the product listed in List 3 - AR 03 07 2005
    Answer
    Comment
- France
  
  Is your product compliant with or listed in:
  - Materials in contact with food and foodstuffs intended for human consumption. Brochure 1227 (2002) If applicable please indicate the release you are referring to
    Answer
    Comment
  - Decree of 19/10/2006 relating to plastic materials and articles placed or intended to come into contact with foodstuffs, products and drinks. If applicable please indicate the release you are referring to
    Answer
    Comment
- Germany
  
  Is your product compliant with or listed in following regulations in Bundesinstitut für Risikobewertung (BfR) - German Federal Institute for Risk Assessment:
  - Bedarfsgegenständeverordnung 23 Dezember 1997 zuletzt geândert 24 Juni 2013. If applicable please indicate the version you refer to.
    Answer
    Comment
  - Recommendation III Polyethylene. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation VI styrene mixed and graft polymers and mixtures of polystyrene with other polymers. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation VII Polypropylene. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation IX colorant for coloring plastics and other polymers used in commodities. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation XXI Commodities based on natural and synthetic rubber. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation XXXVI Paper and board for food contact. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation XXXVI/1 Cooking Papers, Hot Filter Papers and Filter Layers. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation XXXVI/2 Paper and Paperboard for Baking Purposes. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Recommendation XXXVI/3 Absorber pads based on cellulosic fibres for food packaging. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
  - Is product listed or compliant with another BfR recommendation? If applicable please specify which recommendation in the comments.
    Answer
    Comment
  - BfR 39 (1996) 124 - Guidelines for sanitary and personal sanitary products. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
- Italy
  
  Is your product compliant with or listed in:
  - Italian Ministerial Decree of 21/03/1973. If applicable identify the specific regulation and any limitations in the comments.
    Answer
    Comment
- Spain
  
  Is your product compliant with or listed in:
  - Resolution of 11.4.1982 Amended by Royal Decrees 2207/1994, 510/1996, 1042/1997. If applicable Please Indicate the version you refer to.
    Answer
    Comment
- Switzerland
  
  Is your product compliant with or listed in:
  - SR 817.023.21 dated 23th November 2005. Status as of 1 April 2013 and compliance with article 34 of SR 817.02.
    Answer
    Comment
    - Specific Migration Limit (SML) - mg/kg
      Answer
      Comment
  - 817.0 Federal Act on Foodstuffs and Utility Articles.
    Answer
    Comment
  - SR 817.02 Ordinance on foodstuffs and consumer products (ODAJOUs).
    Answer
    Comment
    - Specific Migration Limit (SML).
      Answer
      Comment
- The Netherlands
  
  Is your product compliant with or listed in:
  - Verpakkingen en Gebruiksartikelen Besluit 44e Supplement 2016. If applicable please indicate the version you refer to.
    Answer
    Comment
  - § 2.2.1 Table 1 polymerisation aids or their degradation products
    Answer
    Comment
- United Kingdom
  
  Is your product compliant with or listed in:
  - England: Statutory Instruments 2012/2619
    Answer
    Comment
  - Northern Ireland: Statutory rules 2012/384
    Answer
    Comment
  - Scotland Statutory instruments 2012/318
    Answer
    Comment
  - Wales Statutory instruments 2012/2705
    Answer
    Comment
Americas
- USA
  
  Is your product compliant with or listed in the following US Food & Drug Administration (FDA) Sections of Title 21 Code of Federal Regulations (CFR)?
  - Please specify all allowable Food Types and Conditons of Use:
  - Temperature
    
    All Temperatures
    
    A - High temperature heat-sterilized (e.g., over 212 deg. F)
    
    B - Boiling water sterilized
    
    C - Hot filled or pasteurized above 150 deg. F (cooking)
    
    D - Hot filled or pasteurized below 150 deg. F (non cooking)
    
    E - Room temperature filled and stored (no thermal treatment in the container)
    
    F - Refrigerated storage (no thermal treatment in the container)
    
    G - Frozen storage (no thermal treatment in the container)
    
    H - Frozen or refrigerated storage: Ready-prepared foods intended to be reheated in the container at time of use
    
    I - Irradiation
    
    J - Cooking at temperatures exceeding 250 deg. F
  - Food Types
    
    All Food Types
    
    I Nonacid, aqueous products
    
    II Acid, aqueous products
    
    III Aqueous, acid or nonacid products containing free oil or fat
    
    IV A. Dairy products and modifications: Water-in-oil emulsions, high- or low-fat
    
    IV B. Dairy products and modifications: Oil-in-water emulsions, high- or low-fat
    
    V Low-moisture fats and oil
    
    VI A. Beverages: Containing up to 8 percent of alcohol
    
    VI B. Beverages: Nonalcoholic
    
    VI C. Beverages: Containing more than 8 percent alcohol
    
    VII A. Bakery products: Moist bakery products with surface containing free fat or oil
    
    VII B. Bakery products: Moist bakery products with surface containing no free fat or oil
    
    VIII Dry solids with the surface containing no free fat or oil
    
    IX Dry solids with the surface containing free fat or oil
  - FDA Citations
    
    Select all relevant regulations that your product is compliant with or listed in the US Food & Drug Administration (FDA) Sections of Title 21 Code of Federal Regulations (CFR)
  - Add
    Citation Description Subsections Restrictions Comments
    1
    items per pageNo record found.
  - Part 170 – Food Additives
  - § 170.39 Threshold of regulation for substances used in food-contact articles. If yes, identify specific regulation and any limitations in the comments section
    Answer
    Comment
  - PART 172 - Food additives permitted for direct addition to food for human consumption. If yes, identify specific regulation and any limitations in the comments section.
    Answer
    Comment
  - § 172.878 white mineral oil
    Answer
    Comment
  - § 172.880 petrolatum
    Answer
    Comment
  - PART 173 – Secondary direct food additives permitted in food for human consumption. If yes, identify specific regulation and any limitations in the comments section
    Answer
    Comment
  - PART 174 - Indirect food additives: General
    Answer
    Comment
  - § 174.5 general provisions applicable to indirect food additives
    Answer
    Comment
  - Part 175 - Indirect food additives: Adhesives and components of coatings
  - § 175.105 Adhesives
    Answer
    Comment
  - § 175.300 Resinous and Polymeric Coatings
    Answer
    Comment
  - § 175.320 Resinous and Polymeric Coatings
    Answer
    Comment
  - PART 176 - Indirect food additives: Paper and paperboard components
  - § 176.170 - Components of paper and paperboard in contact with aqueous and fatty foods. If yes, identify specific regulation and any limitations in the comments section
    Answer
    Comment
  - § 176.170 - Table 1 & 2. If yes please specify
    Answer
    Comment
  - § 176.180 Paper and Paperboard in contact with dry foods
    Answer
    Comment
  - § 176.200 - Defoaming agents used in coatings. If yes, identify specific regulation and any limitations in the comments section
    Answer
    Comment
  - § 176.210 - Defoaming agents used in manufacture of paper and paperboard. If yes, identify specific regulation and any limitations in the comments section
    Answer
    Comment
  - § 176.300 - Slimicides. If yes, identify specific regulation and any limitations in the comments section
    Answer
    Comment
  - PART 177 - Indirect food additives : Polymers
    Answer
    Comment
  - § 177.1210 closures with sealing gaskets for food containers
    Answer
    Comment
  - § 177.1350 Ethylene-vinyl acetate copolymers
    Answer
    Comment
  - § 177.1520 olefin polymers
    Answer
    Comment
  - § 177.1640 polystyrene and rubber modified polystyrene
    Answer
    Comment
  - § 177.1810 styrene block-polymers
    Answer
    Comment
  - § 177.2600 rubber articles intended for repeated use
    Answer
    Comment
  - Part 178 - Indirect food additives: Adjuvants, production aids, and sanitizers
  - § 178.3297 colorants for polymers
    Answer
    Comment
  - §178.3530 isoparaffinic petroleum hydrocarbons, synthetic
    Answer
    Comment
  - § 178.3570 lubricants with incidental food contact
    Answer
    Comment
  - § 178.3620 mineral oil
    Answer
    Comment
  - § 178.3710 petroleum wax
    Answer
    Comment
  - § 178.3720 Petroleum Wax, Synthetic
    Answer
    Comment
  - § 178.3740 plasticizers in polymeric substances
    Answer
    Comment
  - PART 178 - Indirect food additives: Adjuvants, production aids, and sanitizers
    Answer
    Comment
  - § 178.2010 Antioxidants and/or stabilizers for polymers If listed please provide restriction or specification.
    Answer
    Comment
  - PART 181 – Prior sanctioned food ingredients granted prior to September 6, 1958. If yes, identify specific regulation and any limitations in the comments section
    Answer
    Comment
  - PART 182 -Substances generally recognised as safe If listed please provide restriction or specification
    Answer
    Comment
  - PART 184 - Direct food products affirmed as generally recognized as safe If listed please provide restriction or specification
    Answer
    Comment
  - PART 186 - Indirect food substances affirmed as generally recognised as safe If listed please provide restriction or specification
    Answer
    Comment
  - PART 189 - Substances prohibited from use in human food. If listed please provide restriction or specification
    Answer
    Comment
  - PART 700 - Banned Substances in Cosmetics. If listed please provide restriction or specification
    Answer
    Comment
  - Other FDA Food Contact listing, including Parts 174-199?
    Answer
    Comment
  - Food Contact Notifications (FCN)
    
    Is your product subject to FDA Food Contact Notification?
    Answer
    Comment
  - - Please provide any Food Contact Notification (FCN) Numbers in the table below.
      
      Add FCN
      FCN Number Material Supplier Restrictions
      1
      items per pageNo record found.
  - Have the materials that are approved under the FCNs been purchased from the FCN rights holder's?
    Answer
    Comment
  - Generally Recognized as Safe (GRAS)
    - Do you have a component that is certified as GRAS?
      Answer
      Comment
      
      Is GRAS component listed in a regulation PART 182, 184 or 186?
      Answer
      Comment
      
      Do you self certify a component as GRAS with no listed regulation or FCN?
      Answer
      Comment
      
      Please give all the details of the component that is self certified and all the details on how you arrived at that decision.
      Answer
  - Additional Questions
    - Has a Letter of No Objection been granted for direct food contact by the FDA?
      Answer
      Comment
      
      Is the required FDA letter of Guaranty or Statement of Assurance available?
      
      Answer
      Comment
      
      Please attach the Guaranty or Statement of Assurance as a Supporting Document at the bottom of this form.
      
      Provide explanation in Comments field why FDA Letter of Guaranty or Statement of Assurance is not available.
      
      Does your substance meet the purity requirement for its intended use as required by the relevant regulation?
      Answer
      Comment
      
      Does the product have any Regulatory Clearance beyond those specified above?
      Answer
      Comment
  - Is your product subject to other FDA Administrative Rulings and Decisions? If yes, specify in the comments section
    Answer
    Comment
  - OTHER Food Contact Notifications - If your chemical is suitable for use in food-contact applications but is not subject to the above listings provide citations and any limitations or restrictions on such use in the comments section and attach separate regulatory assurance statement.
    Answer
    Comment
  - U.S. Food Allergens, as listed in FDA Guidance Sec. 550.250 (Milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, gluten and soybeans)
    Answer
    Comment
- Canada
  
  Is your product compliant with the following regulatory requirements set by the Food Directorate?
  - Does the packaging material comply with Division 23 for Food Packaging Materials of the Food and Drugs Act?
    
    Answer
    Comment
  - Has the packaging material received a "Letter of No Objection" from the Food Directorate?
    Answer
    Comment
  - Please attach the Letter of No Objection as a Supporting Document at the bottom of this form.
  - Are any polymers included in the Lists of Acceptable Polymers For Use in Food Packaging Applications?
    Answer
    Comment
  - - Add Polymer
      Trade Name Grade Code Issue Date Limitations
      1
      items per pageNo record found.
- Mercosur
  
  Is your product compliant with or listed in:
  - MERCOSUR / GMC / RES. No. 32/07 TECHNICAL REGULATION ON MERCOSUR "POSITIVE LIST OF ADDITIVES FOR PLASTICS INTENDED FOR THE PRODUCTION OF CONTAINERS AND EQUIPMENT IN CONTACT WITH FOOD" (REPEAL OF RES. GMC No. 95/94 and 50/01)
    Answer
    Comment
    - Specific Migration Limit (SML) - mg/kg
      Answer
      Comment
    - QM
      Answer
      Comment
    - Specifications. If yes please specify.
      Answer
      Comment
  - MERCOSUR / GMC / RES No. 3/92: General criteria for packaging and food equipment food contact.
    Answer
    Comment
  - MERCOSUR / GMC / RES No. 56/92: General provisions for plastic containers and equipment in contact with food.
    Answer
    Comment
  - MERCOSUR / GMC / RES No. 02/12: Mercosur technical regulation on positive list of monomers, other starting substances and polymers approved for development of packaging and plastics equipment food-contact. Repeal of RES. GMC No. 47/93, 86/93, 13/97, 14/97 and 24/04.
    Answer
    Comment
    - Restrictions. If yes please specify.
      Answer
      Comment
  - MERCOSUR / GMC / RES Np. 32/10: MERCOSUR Technical Regulation on migration in materials, plastic packaging and equipment intended to come into contact with food. Repeal of res GMC No. 30/92, 36/92, 10/95, 11/95 15/97, 32/97 and 33/97.
    Answer
    Comment
    - Specific Migration Limit (SML) - mg/kg
      Answer
      Comment
    - QM
      Answer
      Comment
    - Specifications. If yes please specify.
      Answer
      Comment
  - MERCOSUR/GMC/RES Nº 40/15: Technical regulations on cellulosic materials, containers, and equipment intended to contact food
    Answer
    Comment
  - MERCOSUR/GMC/RES Nº 41/15: Technical regulations on cellulosic materials for hot cooking and filtration
    Answer
    Comment
  - MERCOSUR/GMC/RES Nº 42/15: Technical regulations on materials, containers, and cellulose equipment intended to be in contact with food during cooking or heating in oven
    Answer
    Comment
Asia Pacific
- China
  
  Is your product compliant with or listed in:
  - GB 9685-2016 Hygienic Standards for Uses of Additives in Food Containers and Packaging Materials. If listed please answer the additional questions below.
    Answer
    Comment
    - Restrictions. If yes please specify.
      Answer
      Comment
    - QM
      Answer
      Comment
    - Specific Migration Limit (SML)
      Answer
      Comment
    - Specification. If yes please list in the comments field.
      Answer
      Comment
  - GB 31603-2015 National Food Safety Standard General Hygienic Practice for Production of Food contact Materials and its Products.
    Answer
    Comment
  - GB 4806.1 2016 General Safety requirements for FCMs.
    Answer
    Comment
  - GB 4806.6 -2016 National Food Safety Standard for Resins Used to make Plastics in contact with foodstuffs.
    Answer
    Comment
  - GB 4806.7-2016 National Food Safety Standard for Plastic Materials and Articles in contact with foodstuffs.
    Answer
    Comment
- India
  
  Is your product compliant with or listed in:
  - IS 3395 (1997): Low density polyethylene (LDPE) and linear low.
    Answer
    Comment
  - IS 7328 (1992): High density polyethylene materials for moulding and extrusion (first revision).
    Answer
    Comment
  - IS 9833 (1981): List of pigments and colourants for use in plastics in contact with foodstuffs, pharmaceuticals and drinking water.
    Answer
    Comment
  - IS 9845 (1998): Determination of overall migration of constituents of plastic materials and articles intended to come in contact with foodstuffs.
    Answer
    Comment
  - IS 10141 (2001): Positive list of constituents of polyethylene in contact with foodstuffs, pharmaceuticals and drinking water.
    Answer
    Comment
  - IS 10142 (1999): Polystyrene (Crystal and High Impact) for its Safe Use in Contact with Foodstuffs, Pharmaceuticals and Drinking Water - Specification.
    Answer
    Comment
  - IS 10149 (1982): Positive list of constituent of styrene polymers in contact with foodstuffs, pharmaceuticals and drinking water.
    Answer
    Comment
  - IS 10149 (1982): Positive list of constituents of polystyrene (crystae and high impact) in contact with foodstuffs, pharmaceuticals and drinking water.
    Answer
    Comment
  - IS 10909 (2001): Positive list of constituents of polypropylene and its copolymers in contact with foodstuffs, pharmaceuticals and drinking water [pcd 12: plastics].
    Answer
    Comment
  - Amendments N°1 to IS 10909 (2001): Specification for positive list of constituents of polypropylene and its copolymers in contact with foodstuffs , pharmaceuticals and drinking water (first revision ) (2012).
    Answer
    Comment
  - IS 10910 (1984): Polypropylene and its copolymers for its safe use in contact with foodstuffs, pharmaceuticals and drinking water (first revision ) (2012).
    Answer
    Comment
  - IS 10951 (2002): Polypropylene materials for moulding and extrusion [pcd 12:plastics]
    Answer
    Comment
- Japan
  
  Is your product compliant with or listed in:
  - Japanese hygienic olefin and styrene plastics association (JHOSPA) March 1996. If listed please provide Reference Number
    Answer
    Comment
- International
  
  Does your product contain any of the following?
  - International (or "Other") Food Allergens: Buckwheat, celery, lupin, molluscan, shellfish, mustard, sesame, sulfites, bee pollens/propolis, royal jelly, peach, pork, tomato, mango
    Answer
    Comment

Authorizer Information

Name

Title

Phone

Country

Number

Ext

Attach Documents

Please attach all relevant supporting documentation and provide a unique document title for each attachment.
English is the preferred language for all documents.

Please fix the following errors

Attention