ISWA- Adding an Item or Products

Dear Client,
Fill out this form if you are adding new product or products. Our committee will review it and get back to you upon review.

Email of the person or department filling out the form
Name of Person Submitting form: Name of Person Submitting form: First Last
What is the name of your company?
What is the full address of the manufacturer of this/these products? (street, city, state, zip and country). Please enter the full address the plant/manufacturer. If there is more than one plant address, please list all production addresses. What is the full address of the manufacturer of this/these products? (street, city, state, zip and country). Please enter the full address the plant/manufacturer. If there is more than one plant address, please list all production addresses.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What is the full address of the manufacturer of this/these products? (street, city, state, zip and country). Please enter the full address the plant/manufacturer. If there is more than one plant address, please list all production addresses. What is the full address of the manufacturer of this/these products? (street, city, state, zip and country). Please enter the full address the plant/manufacturer. If there is more than one plant address, please list all production addresses.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Check the type of facility you are?

Check the type of facility you are? • Abattoir (Slaughter/Harvest) • Further Processing (Meat products) • Processing (Non-meat products) • Processing (Mix of meat and non-meat products) • Chemicals • Biochemical • Cleaning Agent • Cosmetics • Pharmaceuticals • Nutraceuticals • Storage Facility only • Transportation Facility only • Storage and Transportation If Other, list If Other, list
What Category do your products fall under (check all that apply)?

What Category do your products fall under (check all that apply)? CI: Processing of perishable animal products (Production of animal products including fish and seafood, meat, eggs, dairy and fish products) CII: Processing of perishable plant products (Production of plant products including fruits and fresh juices, vegetables, grains, nuts, and pulses) CIII: Processing of perishable animal and plant products (mixed products) –(Production of mixed animal and plant products including pizza, lasagne, sandwich, dumpling, ready to-eat meals) CIV: Processing of ambient stable products (Production of food products from any source that are stored and sold at ambient temperature, including canned foods, biscuits, snacks, oil, drinking water, beverages, pasta, flour, sugar, food-grade salt) CV: Animal slaughtering (Processing of carcasses including slaughtering in slaughterhouses, cutting, cleaning and packing.) E: Catering (Domestic Only): Catering (Preparation, storage and, where appropriate, delivery of food for consumption, at the place of preparation or at a satellite unit) GI: Provision of Transport and Storage Services (Storage facilities and distribution vehicles for the storage and transport of perishable food and feed Associated packaging c GII: Provision of Transport and Storage Services for Ambient Stable Food and Feed (Storage facilities and distribution vehicles for the storage and transport of ambient stable food and feed Associated packaging c) I: Production of Food Packaging and Packaging Material (Production of food packaging material) K: Production of (Bio) Chemicals-- Production of (Bio) Chemicals (Microbiology, Production of food and feed additives, vitamins, minerals, bio-cultures, flavourings, enzymes and processing aids. Pesticides, drugs, fertilizers, cleaning agents, cosmetics, textiles, leather products, .... etc.) If Other, list If Other, list
Establishment Number Issued by:

Establishment Number Issued by: FDA USDA EPA BRC SQF State License Other Other
Establishment Number (i.e. FDA 12345678)
What products do you produce?
What products type of Product are adding? Specify the product names and codes.
What new item(s) will be added to the Halal certificate? Specify the product names and codes.
What is the total amount of items you are adding?
What is the total number items listed on the certificate (including this item)?
For any new items, we need the full ingredients lists/specs for all new products.
Are there any natural or artificial flavorings in the items:

Are there any natural or artificial flavorings in the items: Yes No
All ingredients/components of the natural or artificial flavorings must be declared (Attached specification sheet or ingredients components here)

Attach Files
Do your products contain any meat products (lamb, beef, poultry)?

Do your products contain any meat products (lamb, beef, poultry)? Yes No
Do you have the Halal certificate for the Raw materials?

Do you have the Halal certificate for the Raw materials? Yes No Does not apply to my products
All meat products must have a valid Halal certificate from the slaughter plant.

Attach Files
Do your product(s) contain casings, gelatins or any other animal by-product? If so, please list what type of gelatin, etc. and attach a Halal certificate for those products below. (Write N/A if this doesn't apply)
Halal Certificate(s) for Animal By-Products

Attach Files
I acknowledge that: This form is to add items to your current Annual Halal certificate. The certification for the items will expire when your current Annual Halal certificate does, regardless of when the items were added. To receive an Annual Halal certificate with a later expiration date, you must submit a renewal request for your certification.

I acknowledge that: This form is to add items to your current Annual Halal certificate. The certification for the items will expire when your current Annual Halal certificate does, regardless of when the items were added. To receive an Annual Halal certificate with a later expiration date, you must submit a renewal request for your certification. Yes
Has there been a change in the contact person? or address?

Has there been a change in the contact person? or address? Yes No
Contact Title

Contact information.
Your Name?
Phone number?
Email
Add any comments/information about your Halal program or new item:
Upload your labels or specification sheets for the products you are adding here. There must be one label/specification sheet for each item/product you are adding.

Attach Files
If any documents need to be mailed, please send them to:
ISWA Halal Certification Department
12510 Prosperity Drive Ste 280
Silver Spring, MD 20904.
Type the letters you see in the image below.

ISWA- Adding an Item or Products

ISWA- Adding an Item or Products

Contact Title