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Nutritional Database Label Submittal Form

Contact Information
* = required fields

MWL Account # *

PO#

Company Name *

First Name *

Last Name *

Street Address

Apt / Suite / Other

City

State

Zip Code

Country

Email *

Phone Number *

Fax Number


Label Type *
 USDA Format Label
 NEW FDA Format Label

Label Format *
 PDF
 TIFF
 JPEG


Product Information

​Product Name *

Sample Type (Matrix) *

Serving Size Option 1 *

Servings Per Container Option 1 *

Serving Size Option 2

Servings Per Container Option 2

Tell us about your process. Is the sample cooked boiled, fried, etc. Please note depending on sample processing, we may need physical sample sent in for analytical testing to verify nutritional values.

Percent Moisture Loss (if known)

Percent Fat Loss (if known)

Amount of Added Sugar ¹ 

¹ Added sugars include, but are not limited to: sugar, syrups, fruit and vegetable juice concentrates, fructose, maltose, sucrose, honey, molasses, brown sugar, corn sweetener, corn syrup, dextrose, glucose, high fructose corn syrup, invert sugar, lactose, malt sugar raw sugar, turbinado, trealose, agava, evaporated cane juice.


List Each Ingredient & Amount 
(include brands if relevant)

 

or Upload Product Spec Sheet & Recipe file

 


We will need all specification sheets and recipes so we can accurately provide nutritional labels of your product. If you have additional specification sheets, questions about the submission process, or need us to sign an NDA, please email nutritionallabels@midwestlabs.com


For further help with getting started, contact us anytime:

 

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