How will your FDA Prior Notice Samples Form look ?
FDA Prior Notice Samples
Even if you are only sending samples to the United States, you will require US FDA Prior Notice documentation.
A sample prior notice form is below:
How will my FDA Prior Notice Form look?
The form will appear as in the image. Each element of the form is numbered as follows:
1. Web Entry Summary Confirmation
This is a brief summary which explains what must be done with the document – name that it must be printed and presented to CBP or the FDA at Port of Arrival. The Prior Notice Confirmation number MUST accompany food carried by or otherwise accompanying an individual (21 CFR 1.279(f)).
2. Web Entry details
This shows the Prior Notice Confirmation Number, also known as “Envelope Number”. This number is also shown in the barcode at the top of the form. Along with this is an ‘Entry Identifier’, the listed ‘Port of Arrival’ and the number of Prior Notices included in the form.
3. Web Entry details continued
This shows the Entry type (Consumption, Express Courier), the anticipated arrival time and the Mode of Transport (Express Courier – Air).
4. Submitter Information
This information relates to the person submitting the Prior Notice documentation – this will either be your details, or a registered broker such as FDA.express.
5. Importer Information
This is the information relating to the person or business receiving the shipment – your customer, friend, family member or partner business within the United States.
6. Carrier Information
This information tells the authorities which carrier will be transporting your shipment – in this case it is FedEx. The carrier code will be listed as FX and a tracking number or airwaybill number will be listed.
7. Prior Notices Samples
This shows the individual food products/items listed one by one – with a full product description, country of origin code (TH), date of prior notice and the FDA product code for each line.
This documentation needs to be affixed to the parcels of the shipment, either in a document wallet or pasted onto the surface of the carton. Your courier company or freight handler will also let you know how many copies of each document are required.