?Nutrition Label Request

Nutrition Label Request Form

In order for the AFIC staff to prepare a nutritional panel for your product label, you will need to provide the information requested in the form below. All of the information that you provide is strictly for the purpose of developing the label and will be kept strictly confidential. Once the form is complete, click the submit button to send it to AFIC.

Date:

Company/Product Name

Address:

City: State: Zip:

Email:

Business phone: Cell phone:

How would you like to receive your nutritional label?

Product Information

Name of Product

Serving Size (if you are unsure, check a similar product in the grocery store):

Size of container (Net weight):

List of ingredients

  1. Please provide the exact name for each ingredient in your formula (recipe). Be as specific as possible. If you use any brand name products, include the brand of the product. For example, if you use commercial crushed tomatoes in your product, list them as Hunt's Crushed Tomatoes, not just as crushed tomatoes.
  2. In the second column identify the amount of each ingredient used. For accuracy, it is best to provide amounts as weights (ounces, pound,s, etc) rather than as volume (teaspoons, tablespoons, cups, etc.).
Ingredient Amount