Form AG-04025 "Request for Inspection Certificate of Current Good Manufacturing Practices (Gmp) for Commercial Animal Feed and Feed Ingredients" - Minnesota

What Is Form AG-04025?

This is a legal form that was released by the Minnesota Department of Agriculture - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 21, 2021;
  • The latest edition provided by the Minnesota Department of Agriculture;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AG-04025 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Agriculture.

ADVERTISEMENT
ADVERTISEMENT

Download Form AG-04025 "Request for Inspection Certificate of Current Good Manufacturing Practices (Gmp) for Commercial Animal Feed and Feed Ingredients" - Minnesota

Download PDF

Fill PDF online

Rate (4.4 / 5) 19 votes
625 ROBERT STREET NORTH, SAINT PAUL, MN 55155-2538
WWW.MDA.STATE.MN.US
Food and Feed Safety Division, Ph. 651-201-6027, Fax 651-201-6119
Minn. Stat. Sec. 25.371
Request for Inspection Certificate of Current
Good Manufacturing Practices (GMP)
for Commercial Animal Feed and Feed Ingredients
The Location to be Inspected must have a Commercial Feed License issued by the
Minnesota Department of Agriculture before this GMP Certificate can be issued.
Questions: MDA.Licensing@state.mn.us 651-201-6062
Inspection Location
Billing (if different than inspection location)
Name of Firm for Inspection
Firm Name for Billing
MN Commercial Feed License
MN Commercial Feed License
Contact Name
Attention (Optional)
Physical Street Address
Mailing Address
City
State
Zip
City
State
Zip
Telephone:
Email
Contacted by
Email
Destination Country
Other Contact Information
Notes
Completing Request
Save and email completed form to: MDA.Licensing@state.mn.us
Alternatively, completed form may be mailed to
Minnesota Department of Agriculture Food & Feed Safety Division
Attn: Licensing & Registration
625 Robert Street North
Saint Paul, MN 55155-2538
Note: Final fees will be based on Inspection Costs. Mileage, and Administration Fees
Up to three original certificates (MDA letterhead, signed, notarized) are automatically included
AG-04025
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request by calling 651/201-6000.
TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/21/21
625 ROBERT STREET NORTH, SAINT PAUL, MN 55155-2538
WWW.MDA.STATE.MN.US
Food and Feed Safety Division, Ph. 651-201-6027, Fax 651-201-6119
Minn. Stat. Sec. 25.371
Request for Inspection Certificate of Current
Good Manufacturing Practices (GMP)
for Commercial Animal Feed and Feed Ingredients
The Location to be Inspected must have a Commercial Feed License issued by the
Minnesota Department of Agriculture before this GMP Certificate can be issued.
Questions: MDA.Licensing@state.mn.us 651-201-6062
Inspection Location
Billing (if different than inspection location)
Name of Firm for Inspection
Firm Name for Billing
MN Commercial Feed License
MN Commercial Feed License
Contact Name
Attention (Optional)
Physical Street Address
Mailing Address
City
State
Zip
City
State
Zip
Telephone:
Email
Contacted by
Email
Destination Country
Other Contact Information
Notes
Completing Request
Save and email completed form to: MDA.Licensing@state.mn.us
Alternatively, completed form may be mailed to
Minnesota Department of Agriculture Food & Feed Safety Division
Attn: Licensing & Registration
625 Robert Street North
Saint Paul, MN 55155-2538
Note: Final fees will be based on Inspection Costs. Mileage, and Administration Fees
Up to three original certificates (MDA letterhead, signed, notarized) are automatically included
AG-04025
In accordance with the Americans with Disabilities Act, this information is available in alternative forms of communication upon request by calling 651/201-6000.
TTY users can call the Minnesota Relay Service at 711. The MDA is an equal opportunity employer and provider.
9/21/21