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

REMINDER
If the form is not submitting, please go back and make sure every required field has been answered.
Company Name**
Company Name*
Name*
First Name and Last Name*
First Last
Email*
Email*
Domestic Phone*
Domestic Phone Number*
Post Custom Field
International Phone Number
Website** (Start with https://)*
Website** (Start with https://)
Address*
Address (Street, Line 2, City, State, Zip, and Country)*

Street Address Address Line 2 City State / Province Zip / Postal Code Country
Is your company subject to FSMA 204?*
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.
Does your company provide any FTL items to McLane?*
Q2. Does your company provide any FTL items to McLane?
Q3. If you answered yes to Q1 and Q2, what method will you use to share your shipping CTE’s with McLane?*
Q3. If you answered yes to Q1 and Q2, what method will you use to share your shipping CTE’s with McLane?*
Q4. Do you sell food items to Walmart / Sam's Club through McLane??*
Q4. Do you sell food items to Walmart / Sam's Club through McLane?
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 [email protected] 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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Post Custom Field
Post Title

Click Here to see if you are exempt from FSMA 204

FDA FSMA 204 Website

GS1 and FSMA 204

Produce Traceability Initiative (PTI)

Share-ify Resources for FSMA 204

Am I Exempt from the FSMA 204 Food Traceability Rule?

McLane FSMA 204 Supplier Form

McLane FSMA 204 Questionnaire

Instructions

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