Requirements for Release of Food Samples

FDA list of requirements for release of food samples

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Evaluation Form for Release of Donations
Name of Establishment:
Address:
REQUIREMENTS
1. BIHC Endorsement Letter
2. Letter request from Donee
3. Certificate of Quality/ Certificate of Free Sale
4. Certificate of Donation
5. Deed of Acceptance
6. Invoice
7. Packing List
8. Bill of Lading
9. Payment
OR #
Amount:
Date:
EVALUATION
Complied
Not Complied
Deficiencies:

CFRR Evaluator:
Date: