Facility Registration Form

Fields marked with an * are required.

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Product Category #1

AFI Member Company Information
This is the contact information for your company as it pertains to the membership in AFI. If your company has multiple facilities included under its membership, then this is the parent company or main office,

Company Name *

Street Address *

City *

Province/Territory

Postal Code *

Country *

Contact Person's Name *

Contact Person's Email Address *

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Facility Name/Address Information
This is the contact information of the actual facility to be submitted to FDA for the purposes of registration. (A physical address is required. Do not enter a post office box).

Contact Person's Name *

Facility Name *

Facility Name Suffix *

Suffix should be Co., Ltd., Inc., etc.

Street Address *

City *

Province/Territory

Postal Code *

Country *

Phone *

Fax

Email Address *

UFI/DUNS Number *

Visit https://www.importregistration.dnb.com/ to look up your DUNS number. This must be provided now in order to file the registration. FDA is no longer allowing a grace period for registrations without a DUNS / UFI number.

FDA Registration Number

Enter the existing facility registration number for this facility; otherwise, leave blank.

FDA PIN

If your facility already has a valid FDA registration, you must provide your registration number and corresponding PIN so that AFI can access your registration. AFI cannot verify the validity of existing registrations without this information. Do not enter a previous registration number if it is no longer valid. Also, do not enter the registration number for a separate facility that is affiliated with your company. A registration is not company-wide; each registration number pertains to a specific physical location.

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Parent Company Name/Address Information (Optional)
Complete this section ONLY if the food facility is owned by a parent company.

Is this facility owned by a parent company? *

Please fill out this section only if your facility is owned by a parent company. Otherwise, you can skip this section and move onto the next section.

Contact Person's Name

Company Name

Street Address

City

Province/Territory

Postal Code

Country

Phone

Fax

Email Address

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Preferred Mailing Address
This information is now required. Please check off below which address communications from FDA should be sent to.

What should we use as the preferred mailing address? *

If you select "other," please fill out the preferred mailing address below. Otherwise, please skip to the next page.

Facility Address

Parent Company Address

Other

Company Name

Street Address

City

Province/Territory

Postal Code

Country

Contact Person's Name

Phone

Fax

Email Address

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Trade Names (Optional)
Complete this section ONLY if the food facility operates under name(s) other than that listed in Section 1. (Brand names should not be included, only alternate company names)

Alternate Trade Name #1

Alternate Trade Name #2

Alternate Trade Name #3

Alternate Trade Name #4

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Facility Emergency Contact Information
Complete this section to name the emergency contact for your company. This information is required. AFI will not serve as the emergency contact.

Individual's Name *

Job Title *

President, Manager, etc.

Email Address *

Emergency Contact Phone *

Facility Registration Form

Please verify that you have checked the “I'm not a robot” checkbox.

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