McLane FSMA 204 Supplier Form

To begin providing your information to McLane, please complete the following form.

Please be sure to click submit.

McLane FSMA 204 Questionnaire

If the form is not submitting, please go back and make sure every required field has been answered.

Company Name *

Full Name *

Email *

Domestic Phone Number *

International Phone Number

Address

Street Address *

City *

State *

Country

Postal Code *

Website (Start with https://) *

Q1. Is your company subject to FSMA 204? (Keep in mind that your company may not be subject to FSMA 204 but still sell FTL items. McLane would still be required to keep FSMA 204 compliant traceability records in this scenario.) Choose from the pull down options below. *

Yes

Q2. Does your company provide any FTL items to McLane? *

No, I do not sell any items on FDA's FTL List

Yes, I do sell items on FDA's FTL List

Q3. If you answered yes to Q1 and Q2, what method will you use to share your shipping CTE’s with McLane?* *

Message

Q4. Do you sell food items to Walmart / Sam's Club through McLane? *

Yes

Instructions

In addition, if you have answered “yes” to question #2 or #4, please login to Share-ify and use the Bulletin Board to Download the “McLane FSMA 204 Product information Upload” and "McLane FSMA 204- Uploading items, Traceability Lot Code Source and Traceability Lot Code Source Reference." If you have any questions or need additional assistance, reach out to your assigned contact from Share-ify. If you are not sure who that is, email service@share-ify.com and you will be put in touch with the appropriate person. Please be sure to CLICK the SUBMIT BUTTON below to complete this form. Thank you!

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McLane FSMA 204 Supplier Form

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