Register FDA | Food Facility Registration Form

Facility Information
Legal Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax (Include Area/Country Code)
Email Address*
Emergency Contact Information
Contact Name*
First Last
Contact Phone*
Contact Email*

Types of Activity Conducted at the Facility*
- Ambient Food Storage Warehouse / Holding Facility
- Refrigerated Food Storage Warehouse / Holding Facility
- Frozen Food Storage Warehouse / Holding Facility
- Acidified Food Processor
- Low-Acid Food Processor
- Labeler / Relabeler
- Manufacturer / Processor
- Packer / Repacker
- Farm Mixed-Type Facility
Please check for all types of operations that are performed at this facility.
If the type of activity you perform is not listed, please indicate the type of activity you perform on each food category here:

Certification Statement*
- I agree.*
By submitting this form to register-FDA, or by authorizing an individual to submit this form to register-FDA, the owner or operator in charge of the facility certifies that the above information is true and accurate. The owner or operator in charge of the facility also authorizes register-FDA to submit the registration on the facility's behalf and FDA will be permitted to inspect the facility at the time and in the manner permitted by the Federal Food, Drug, and Cosmetic Act.
Terms and Conditions*
- I have read and agree to the Terms and Conditions.
Terms and Conditions

Food Facility Registration Form