FDA Form # |
Date |
Title |
Format |
Paper Copy or Contact Info. |
431a |
05/84 |
General Continuation Sheet |
|
PPF |
431d |
10/74 |
Bacteriological Record |
|
PPF |
431e |
03/80 |
Industrial Chemicals Worksheet |
Not Yet Electronic |
PPF |
431f |
11/89 |
Quantity of Contents |
|
PPF |
431g |
08/85 |
Salmonella Record |
|
William Campanaro 301-827-1036 |
431h |
07/85 |
Shigella Record |
|
PPF |
431i |
10/85 |
Canned Food Continuation Sheet |
|
PPF |
431j |
08/85 |
Botulism Continuation Sheet |
|
William Campanaro 301-827-1036 |
431k |
08/85 |
Shellfish Bacteriological Record |
|
William Campanaro 301-827-1036 |
431m |
12/79 |
Elemental Analysis Worksheet |
|
PPF |
433 |
06/82 |
Tomato Inspection Report |
|
Gerald Blackwell 301-827-5639 |
1814 |
02/03 |
Permit to Ship or Transport Milk and/or
Cream into the United States Under the Federal Import Milk Act |
|
Monica Metz 301-436-2041 |
1815 |
02/03 |
Certificate/ Transmittal for an
Application |
|
Monica Metz 301-436-2041 |
1993 |
02/03 |
Application for Permit to Ship or
Transport Milk and/or Cream into US |
|
Monica Metz 301-436-2041 |
1994 |
02/03 |
Report of Tuberculin Tests of Cattle
|
|
Ester
Lazar 301-436-1485 |
1995 |
02/03 |
Report of Physical Examination of Cows
|
|
Monica Metz 301-436-2041 |
1996 |
02/03 |
Dairy Farm Sanitation Report |
|
Monica Metz 301-436-2041 |
1997 |
02/03 |
Score Card for Sanitation Inspections of
Milk Plants |
|
Monica Metz 301-436-2041 |
2359 |
06/00 |
Milk Plant Inspection Report |
|
Richard Eubanks 301-436-2174 |
2359a |
03/97 |
Dairy Farm Inspection Report |
|
Richard Eubanks 301-436-2174 |
2359b |
06/00 |
Milk Plant Equipment Tests Report |
|
Richard Eubanks 301-436-2174 |
2359c |
03/92 |
Manufacturing Plant Inspection Report
|
|
PPF |
2359d |
03/04 |
Report of Certification |
|
PPF |
2359g |
04/86 |
Condensed & Dry-Milk & Whey Plant
Inspection Report |
|
PPF |
2359h |
02/98 |
Interstate Milk Shipper Check-Rating
Report |
|
PPF |
2359i |
03/04 |
Interstate Milk Shipper Report |
|
Richard Eubanks 301-436-2174 |
2359j |
06/04 |
Milk Sanitation Rating Report |
|
PPF |
2359k |
09/03 |
Status of Raw Milk for Pasteurization
|
|
Richard Eubanks 301-436-2174 |
2359l |
06/04 |
Status of Milk Plants |
|
Richard Eubanks 301-436-2174 |
2359l-1 |
05/04 |
Status of Condensed and Dry Milk Plants
|
|
Richard Eubanks 301-436-2174 |
2399 |
07/04 |
Dairy Plant Sampling - Raw &
Pasteurized Milk |
|
Richard Eubanks 301-436-2174 |
2399a |
08/04 |
Milk Tank Truck, Hauler Report and
Sampler Evaluation |
|
Richard Eubanks 301-436-2174 |
2399b |
07/04 |
Milk Tank Truck Inspection |
|
Richard Eubanks 301-436-2174 |
2399c |
10/88 |
Farm Bulk Tank Milk Sampling Inspection
Record |
Not Yet Electronic |
Richard Eubanks 301-436-2174 |
2511 |
02/03 |
Registration of Cosmetic Product
Establishment{Instructions} |
|
VCRP 202-418-3414 |
2512 |
02/03 |
Cosmetic Product Ingredient Statement
{Instructions} |
|
VCRP 202-418-3414 |
2512a |
02/03 |
Cosmetic Product Ingredient Statement
{Instructions} |
|
VCRP 202-418-3414 |
2514 |
01/03 |
Notice of Discontinuance of Commercial
Distribution of Cosmetic Product Formulation
{Instructions} |
|
VCRP 202-418-3414 |
2541 |
07/04 |
Food Canning Registration
{Instructions} |
|
LACF Coordinator 301-436-2411 |
2541a |
10/03 |
Food Process Filing For All Methods
Except Low-Acid Aseptic {Instructions} |
|
LACF Coordinator 301-436-2411 |
2541c |
04/02 |
Food Process Filing For Low-Acid Aseptic
Systems {Instructions} |
|
LACF Coordinator 301-436-2411 |
2681 |
02/02 |
Bakery Inspection Report |
|
Glen Johnson 301-827-2907 |
2682 |
08/01 |
Beverage Plant Inspection Report |
|
PPF |
2684 |
03/87 |
State Contract Monthly Food Report |
|
Glen Johnson 301-827-2907 |
2684a |
04/02 |
State Contract Monthly Feed Establishment
Report |
|
Glen Johnson 301-827-2907 |
3038 |
08/03 |
Interstate Shellfish Dealer's
Certificate |
|
Charlotte Epps 301-436-2154 |
3479 |
06/02 |
Notification for a Food Contact Substance
Formulation |
|
Mitchell Cheeseman
202-418-3083 |
3480 |
06/02 |
Notification For New Use Of A Food
Contact Substance |
|
Mitchell Cheeseman
202-205-3083 |
3500 |
09/03 |
MedWatch: FDA Medical Product Reporting
Program {Instructions} |
|
MEDWATCH 1-800-FDA-1088 |
3500A |
09/03 |
MedWatch: FDA Medical Products Reporting
Program - Mandatory {Instructions} |
|
MEDWATCH 1-800-FDA-1088 |
3501 |
01/01 |
Domestic Seafood (HACCP) Report |
Not Yet Electronic |
Roshelle King 301-436-1416 |
3502 |
01/01 |
Importer Seafood HACCP Report |
Not Yet Electronic |
Roshelle King 301-436-1416 |
3503 |
03/01 |
Food Additive Petition Submission |
|
Maribeth LaVecchi 202-418-3072 |
3504 |
03/01 |
Color Additive Petition Submission |
|
Maribeth LaVecchi 202-418-3072 |
3511 |
01/01 |
FDA LACF Inspection Report |
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511-2 |
01/02 |
FDA Acidified Food Inspection Report
|
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511-3 |
06/04 |
Aseptic Processing & Packaging Report
|
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511a |
01/01 |
Processing in Steam in Still Retorts
|
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511b |
01/01 |
Processing in Water in Still Retorts
|
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511c |
11/03 |
Processing in Steam in Continuous
Agitating Retorts |
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511d |
01/01 |
Processing in Steam in Discontinuous
Agitating Retorts |
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511e |
01/01 |
Processing in Water in Discontinuous
Agitating Retorts |
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511f |
01/01 |
Processing in Steam in Hydrostatic
Retorts |
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511g |
01/01 |
Processing in Cascading/Spray Water
Retort |
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511h |
01/01 |
Processing in Steam-Air Retorts |
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3511i |
01/01 |
Processing in Other Unique Retort Systems
|
|
Brian Hendrickson 317-226-6500
Ext. 12 |
3537 |
10/03 |
Food Facility Registration
{Instructions} |
|
Melissa Scales 301-436-1720 |
3537a |
10/03 |
Cancellation of Food Facility
Registration {Instructions} |
|
Melissa Scales 301-436-1720 |
3540 |
10/03 |
Prior Notice Submission
Instructions |
|
Anne T. Taylor 301-436-1888 |
3570 |
05/02 |
Model Small Business Food Labeling
Exemption Notice |
|
SBusiness 301-436-2375 |