SQF Site's Questionnaire

The purpose of this form is to provide the necessary information, allowing CICS Americas

Inc. to produce an accurate quotation for SQF Code Ed. 9 System Certification.

Instructions:

Please fill out the required information.
An explanation text is available in the placeholder for more information on what the field asks for.
Avoid writing in capital letters: Ex. BERRIES. Capitalize only the first letter when applicable.

Español:

Por favor, rellene la información requerida.
Hay un texto explicativo en el marcador de posición para más información sobre lo que pide el campo.
Evite escribir en mayúsculas: Ej. BERRIES. Escriba en mayúsculas sólo la primera letra cuando proceda.

Main Contact Person

First Name *

Last Name *

Email *

Phone *

Company Phone *

Contact Position *

Language *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Company Information

Company name *

Address *

City *

State *

Country *

Postal code *

Website

Second Contact Person

Full Name Secondary Contact *

Job Title *

Direct Line

Accounts Payable Contact

Accounts Payable Full Name *

Accounts payable Job Title *

Email *

Direct Line

Site's Specifics

Number of Employees *

Number of HACCPs *

Number of Shifts *

Timing of Shifts *

Total Area of Site (sqft) *

Do you require a Multi-Site Certification? (Minimun 20 sites)

Have you had an SQF Surveillance Audit? *

Do you require the Costco Addendum *

Do you require the McDonalds SQMS Addendum?

Do you require the FSMA Addendum?

Do you currently hold a Certificate *

Certificate issued by

Certificate’s expiry date:

Recertification audit date

Year of your last Unannounced Audit. (Mark N/A if not applicable) *

Are there any different activities performed on a specific shift?

Are any processes (related to your scope) being performed at a different address? *

Do you have an estimated date to have your audit performed? *

Scope of Certification

SQF Food Safety / Quality Code *

Food Sector Category 1 *

Food Sector Category 2

Food Sector Category 3

Food Sector Category 4

Food Sector Category 5

Additional Information

List the Product(s) to be covered by the Certification: (As you want them to appear in the Certificate) *

Brief Description of your Processes Operations *

Is there additional information you need to share with us regarding the processes or products covered by the Certification?