Get Shellfish Handling And Marketing Certificate Application Form

This guide provides a step-by-step approach to completing the Shellfish Handling and Marketing Certificate Application Form online. Follow these instructions to ensure your application is fully completed to avoid delays.

Follow the steps to successfully complete your application.

1. Click 'Get Form' button to access and open the Shellfish Handling and Marketing Certificate Application Form in your editor.
2. Fill in the name of your firm in the designated field. Ensure it is the full name of the business or organization applying for the certificate.
3. If applicable, provide any additional 'Doing Business As' (DBA) names in the space provided.
4. Enter the complete facility address, including the street number, street name, city, state, and ZIP code.
5. If your mailing address differs from the facility address, enter it along with the appropriate city, state, and ZIP code.
6. Provide the facility operator's name and title in the corresponding fields.
7. Fill in the primary contact telephone number for the facility.
8. Include the facility's FAX number if available.
9. Enter a 24-hour emergency contact telephone number for the facility.
10. Provide the facility's e-mail address.
11. Enter the name and title of the correspondent for further inquiries regarding the application.
12. Fill in the correspondent's daytime business telephone number.
13. Include the correspondent's FAX number if applicable.
14. Indicate the country where the facility is located if outside the United States.
15. Provide your FDA Central File Number or Federal Establishment ID if known.
16. Enter the website address for your business, if applicable.
17. Indicate whether your business engages in interstate commerce by checking the relevant boxes.
18. Select the type of ownership that best applies to your business.
19. If your business is a corporation, provide the corporate name and state of incorporation.
20. List the names and titles of all owners or officers associated with the business.
21. Select the types of shellfish that your firm handles by checking the appropriate boxes.
22. Indicate whether any shellfish will be held in wet storage.
23. State whether any shellfish you handle will leave the state.
24. Provide information regarding the type of clients you sell your product to by checking the relevant categories.
25. Confirm if shellfish will be stored at your facility and provide the location if otherwise.
26. Choose the description that accurately represents your shellfish activities.
27. Sign the application, enter the date signed, and print your name and title at the end.
28. Once all steps above are completed, save changes, print, or download the application as needed.

Complete your Shellfish Handling and Marketing Certificate Application online today to ensure compliance.