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Get the free Sample Product Formulation Statement (Product Analysis) for Meat/Meat Alternate (M/MA)

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Sample Product Formulation Statement (Product Analysis) for Meat/Meat Alternate (M/MA) Products Child Nutrition Program operators should include a copy of the label from the purchased product carton
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How to fill out sample product formulation statement

01
Start by gathering all the necessary information about the product formulation, including the names and quantities of all ingredients used.
02
Create a table or list to organize the information. Include columns for the ingredient name, quantity used, and any additional notes or specifications.
03
Begin filling out the statement by listing each ingredient in the first column.
04
In the second column, provide the quantity or percentage of each ingredient used. Be sure to specify the unit of measurement.
05
If there are any additional notes or specifications for specific ingredients, include them in the third column.
06
Continue filling out the statement until all ingredients have been listed and the quantities and notes have been provided.
07
Double-check the accuracy of the information entered in the statement.
08
Save the completed product formulation statement for future reference or submission to relevant authorities.

Who needs sample product formulation statement?

01
Companies or individuals involved in the manufacturing or distribution of products that contain chemicals or ingredients.
02
Regulatory agencies or bodies that require documentation on the formulation of certain products.
03
Product developers or formulators who need to keep a record of the ingredients and quantities used in their formulations.
04
Research and development teams working on new product formulations.
05
Quality control or compliance departments responsible for ensuring product safety and regulatory compliance.
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It must be on company letterhead and signed by a person of authority in the company, such as the quality control manager or the appropriate staff in nutrition or research and development. This signature may be handwritten, stamped, or electronic.
Product Formulation Statement means a signed certified document that provides a way for a manufacturer to demonstrate how a product may contribute to the meal pattern requirements of Child Nutrition (CN) programs. A PFS is typically provided for processed products that do not have a CN Label.
More Definitions of Product Formulation For example, Oramorph SR TAB 100 mg (1 x 25 blisters) and Oramorph SR TAB 100 mg (100 count bottles) would be the same PRODUCT FORMULATION while Oramorph SR TAB 100 mg (1 x 25 blisters) and Oramorph SR TAB 60 mg (1 x 25 blisters) would be different PRODUCT FORMULATIONS.
Product Formulation Statement (PFS) A PFS always contains: Manufacturer's letterhead. Name of product and product code number. Math calculations showing how the manufacturer determined the meal pattern contribution.
A PFS is a document developed by manufacturers that provides specific information about how a product credits toward the USDA meal patterns for Child Nutrition Programs. Unlike CN labels, the information on PFS forms can vary among manufacturers because these forms are not reviewed, approved, or monitored by the USDA.

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Sample product formulation statement is a document that outlines the ingredients and proportions used in a particular product.
Manufacturers or distributors of certain products are required to file sample product formulation statements.
Sample product formulation statements can be filled out by providing detailed information on the ingredients, quantities, and purposes in the designated form.
The purpose of sample product formulation statement is to ensure transparency and compliance with regulations regarding product ingredients.
Information such as ingredient names, quantities, functions, and safety data must be reported on sample product formulation statement.
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