Application for Certification Applicant Information Name of CompanyAddress Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact Information First Last PhoneEmail Best time to contactScope of Coverage Requested FSQP Food Safety Certification Mark Hazard Analysis Critical Control Point (HACCP) Good Manufacturing Practices (GMP) Food Safety Gap Analysis Supplier Audits for Food Safety and Quality FSMA Compliance Gap Analysis FDA Foreign Suppler Verification Program (FSVP) Low-Acid Canned foods (LACF) – 21 CFR 113 Acidified Foods – 21 CFR 114 Food Additives – 21 CFR 170 Bakery Products – 21 CFR 136 Cereal flours and related products – 21 CFR 137 Macaroni and Noodle Products – 21 CFR 139 Fish and Shellfish – 21 CFR 161 Food Additives Permitted for Direct Addition to Food for Human Consumption – 21 CFR 172 Secondary Direct Food Additives Permitted in Food for Human Consumption - 21 CFR 173 Indirect Food Additives – 21 CFR 174 Indirect Food Additives: Adhesives and Components of Coatings - 21 CFR 175 Indirect Food Additives: Paper and Paperboard Components – 21 CFR 176 Indirect Food Additives: Adjuvants, Production Aids, and Sanitizers - 21 CFR 178 Irradiation in the Production, Processing, and Handling of Food – 21 CFR 179 Prior Sanctioned Food Ingredients - 21 CFR 181 Substances Generally Recognized as Safe - 21 CFR 182 Direct Food Substances Affirmed as Generally Recognized as Safe - 21 CFR 184 Indirect Food Substances Affirmed as Generally Recognized as Safe - 21 CFR 186 Substances Prohibited from Use in Human Food - 21 CFR 189 Halal Certification Others (Please describe)
