VITAL® Standard Application Form

VITAL Standard Application Form

To be considered for VITAL certification an applicant should complete this VITAL Standard Application form. The form will automatically be submitted to the Allergen Bureau for their record. You will receive a pdf copy. Please send the PDF to your preferred certification body to initiate the process.

Before submitting, the applicant should check they meet the pre-requiste requirements as listed in The VITAL Standard, Part A Scheme Management, Clause 1 Pre-requisites, subclauses 1.1 to 1.3.
Section 1: Applicant Details

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Applicant Company Name*
Applicant Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is the applicant mailing address the same as above address?*

YesNo
Mailing Address Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applicant Contact Person - note this person will receive a copy of the form*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Section 2: Manufacturing Site Details
VITAL® certification applies on a site by site basis. The applicant for certification to the VITAL standard must be an individual food manufacturing site involved in the manufacture of packaged product, bulk product, or a combination thereof. Food corporations with multiple sites will need to have each site certified separately.
Are you applying for an audit across multiple sites*

YesNo, just a single site

Section 2: Manufacturing Site Details - Single Site
VITAL® certification applies on a site by site basis. The applicant for certification to the VITAL standard must be an individual food manufacturing site involved in the manufacture of packaged product, bulk product, or a combination thereof. Food corporations with multiple sites cannot be collectively certified.
Name of Manufacturing Site*
Physical Address of Manufacturing Site*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is the manufacturing site mailing address the same as above address?*

YesNo
Mailing Address of Manufacturing Site*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Manufacturing Site Contact Person*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Section 2: Manufacturing Site Details - Multi Site
VITAL® certification applies on a site by site basis. The applicant for certification to the VITAL standard must be an individual food manufacturing site involved in the manufacture of packaged product, bulk product, or a combination thereof. Food corporations with multiple sites cannot be collectively certified.

Multi Site Excel

If you wish to apply for an audit across multiple sites please download this multi site excel, complete the details and then repload it below.
Please re- upload the excel sheet above once complete

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Section 3: Certification Details
Preferred Audit Timeframe

The timing of the initial certification audit is by agreement between the manufacturing site and their contracted Certification Body. The initial VITAL certification audit can either be an extension of an existing food safety management standard (FSMS) audit, or a stand-alone audit conducted at any time during the currency of the manufacturer’s existing FSMS certification.
Timing preference*
Products to be Audited

Please complete the table below for the products to be audited, or upload an excel spreadsheet.
Will this audit be product specific or based on product grouped by allergen profile and risk? (If risk based you will need to discuss the detail and rationale with the Certification Body and ensure the Contract of Agreement states the grouping and rationale for acceptance of this grouping.*

Product specificProduct grouped by allergen profile and risk

Please complete the table below for the products to be audited,OR upload an excel spreadsheet below.

Products to be Audited - File Upload Option

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Current Certifications
List all certifications currently held that apply to the site and products to be audited, including GFSI recognised FSMS, industry and retailer certifications.*
Please upload your GFSI Certificates here*

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Section 4: Sign & Submit

By signining this form you are authorising the submission of this form on behalf of the applicant and the manufacturing site contact person.
Name*

First NameLast Name
Signature

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VITAL Standard Application Form