US Food NLEA Survey

Please fill in the form and submit your request. We will contact you by email in response to provide more information regarding this specific enquiry. To learn more about how Eurofins protects your data and your rights as a customer please read our Privacy Notice.

You will receive a copy of your completed form via email after submission.

Name*

First NameLast Name

Company*

Has this sample been previously submitted to Eurofins for NLEA testing?*

Note: If previously submitted to Eurofins, but the product formula HAS changed, please select NO.

Please provide the Quote # or EOL Order # associated with these samples. *

If not applicable, please indicate n/a.

Please indicate the name of the Eurofins Customer Service Agent or Sales Representative assisting you below. If none, please indicate n/a.*

Customer Service Agent or Sales Representative

Please select the laboratory you are working with to submit samples from the drop down below*

If not present, please select “Other” and indicate the lab name/location below

Other Laboratory*

Email*

example@example.com

What is the name of the product?*

If able to do so, please upload an image of product for reference.

Upload Image

Does the product require labeling under FDA, USDA, or Canadian format/regulations?*

Requested Regulations*

Please select the appropriate RDI (Reference Daily Intake) category:*

For Infant (up to 12mo) and Child (1-3) RDIs, PDCAAS analysis may be required. The lab will reach out to confirm protein ingredient sources and confirm testing capability.

Please indicate product form below*

Density Value*

Do you need Eurofins to generate a Nutrition Facts Panel?*

Is the Serving Size aligned with the respective regulatory reference amounts (RACC or TRA)?*

Serving Size evaluations based on applicable regulatory guidelines may be offered for an additional fee; please indicate if this service is needed.*

Serving Size evaluation is based on current understanding of regulatory guidelines and does not constitute legal advice. Final claim approval is subject to relevant regulatory agency review.

What is the Serving Size in g, mL, or fl oz? Please include quantity & unit

Note: Regulations require that serving sizes be determined based on customarily consumed amounts for the relevant product category. Eurofins assumes no responsibility for serving sizes provided by clients that do not comply with these requirements.(FDA RACC) (USDA RACC) (Canada TRA)

Quantity (g, mL, fl oz) per Serving*

Unit (g, mL, fl oz) per Serving*

How many Servings per Container?*

What is the Common Household Measurement?*

i.e. ¼ cup, 1 Tbsp, 2 slices, 1 bottle, etc..

Does the product contain ethanol/alcohol?*

Quantity*

Does the product contain greater than 50% protein?*

How much (%, g/100g,or g/serving)?*

Have oligosaccharides been added to the product? *

If yes, please indicate ingredient & quantity per 100g

Ingredient(s)*

Quantity*

Have synthetic or isolated non-digestible carbohydrates (dietary fiber) been added to the product?*

If yes, please indicate ingredient & quantity per 100g. Some common products like isomalto-oligosaccharide (IMO), RS3 Resistant Starches, sodium carboxymethylcellulose, Xanthan, and Acacia Gum are not considered dietary fiber. Some ingredients may have petitions pending FDA approval.

Ingredient(s)*

Quantity*

Has Psyllium Husk or Psyllium products (fiber) been added to the product?*

If yes, please indicate ingredient & quantity per 100g

Ingredient(s)*

Quantity*

Does the product require caloric factor adjustment for eligible insoluble and soluble dietary fibers?*

i.e. Konjac flour/Glucomannan is considered eligible, beneficial fiber by the FDA and can reflect a reduced caloric contribution of 2 kcal/g, rather than the standard 4 kcal/g.

Name of Eligible Ingredient*

Does the product contain Added Sugars? *

If yes, please indicate quantity per 100g

Quantity (per 100g)*

Does the product contain Sugar Alcohols?*

If yes, please indicate ingredient & quantity per 100g

Ingredient(s)*

Quantity*

Does the product contain Artificial Sweeteners?*

If yes, please indicate ingredient & quantity per 100g

Ingredient(s)*

Quantity*

Are there Voluntary Nutrients to be included on the Facts Panel, outside of the mandatory requirements?*

(i,e. Vitamin A, Folate, Magnesium, etc.) If yes, please indicate Voluntary Nutrient(s) & quantity per 100g

Does the product contain THC or CBD?*

Quantity of THC and/or CBD per Serving*

CBD per Serving

THC per Serving

Does the product contain CBD, Delta 8, Delta 9, or Delta 10 THC?*

Does the product contain any synthetic forms of THC or forms other than hemp-derived Delta 9?

Does the product contain less than 0.3% THC on a dry weight basis?*

Products containing THC will require a signed Hemp Agreement. Please request this from your client services representative.

Does the product require a PDCAAS analysis to support protein claims?*

Voluntary Nutrient(s)*

Expected Level(s) per 100g or per Serving*

Please indicate “Yes” if 2018 Rounding Rules for Vitamins/Minerals should be applied.*

2018 Rounding Rules increases the level of significance for vitamins and minerals that are >2% of the DV but round to zero on the Nutrition Facts Panel, per FDA rounding rules. Link for more information here: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/guidance-industry-nutrition-and-supplement-facts-labels-questions-and-answers-related-compliance

Are there any other components that should be considered for this product, with respect to caloric contributions and reduced caloric factors?*

i.e. Citric acid is an organic acid that will be calculated as a carbohydrate and multiplied by a factor of 4 for calories calculation. For some matrices, citric acid should be quantified if a reduced caloric factor is expected to be used.

Other Considerations*

Special calculations or considerations outside of standard requests may result in increased turnaround time. Examples include PDCAAS calculations, special carbohydrate considerations, or reduced caloric factors for approved ingredients.

Receipt of Privacy Notice*

By submitting this enquiry form you acknowledge having received, read and understood our Privacy Notice as made available above.

Please verify that you are human*