Distributor Registration Application - California
This file contains the Distributor Registration Application for the California Department of Food and Agriculture. It includes instructions for filling out the application and a list of required information. Ensure to provide valid contact details and compliance certificates.
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How do I fill this out?
To fill out this application, gather all required information beforehand. Ensure that you have a valid Certificate of Compliance for your facility. Carefully complete each section of the form to avoid any processing delays.

How to fill out the Distributor Registration Application - California?
1
Gather all required information, including contact details.
2
Complete the application form accurately, avoiding any mistakes.
3
Check the required boxes for covered products distributed.
4
Ensure you have a valid Certificate of Compliance attached.
5
Submit the completed application through the preferred submission method.
Who needs the Distributor Registration Application - California?
1
Food distributors who sell liquid eggs must register their operations.
2
Businesses dealing in whole veal meat need this form to comply with state regulations.
3
Companies distributing shell eggs must complete this application for licensing.
4
Food safety inspection agencies require this form for their certification processes.
5
New distributors entering the market must fill out this form to operate legally.
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What are the instructions for submitting this form?
To submit the completed application, you can email it to ANIMALCARE@CDFA.CA.GOV or fax it to (916) 900-5332. For postal submissions, send to Animal Care Program, 1220 N Street, Sacramento, CA 95814. In-person submissions are also welcome at the same address. Ensure that all sections are completed accurately.
What are the important dates for this form in 2024 and 2025?
This form is valid for submissions throughout 2024. Ensure your registration is renewed before its expiration date, which is 12 months from when the form is issued. Important submission deadlines may vary based on your specific situation.

What is the purpose of this form?
The purpose of this form is to register distributors of certain food products in California. This ensures compliance with local health and safety regulations for food distribution. Proper registration helps maintain the safety and quality of food products available to consumers.

Tell me about this form and its components and fields line-by-line.

- 1. Registration Type: Select either new application, renewal, or update.
- 2. Applicant Information: Provide business and personal contact information.
- 3. Covered Products: Indicate all applicable products being distributed.
- 4. Authorized Representative: Include information of the person acting on behalf of the business.
- 5. Compliance Certificate: Attach a valid Certificate of Compliance.
What happens if I fail to submit this form?
Failure to submit this form can lead to legal consequences for distributors. The lack of registration may prevent distribution of covered products. Businesses may also face penalties or operational delays.
- Legal Penalties: Distributing without registration may incur fines.
- Operational Delays: Licensing issues can halt distribution processes.
- Consumer Trust: Failure to comply can damage business reputation.
- Increased Scrutiny: Unregistered distributors may face more rigorous inspections.
- Loss of Business: Not compliant may result in loss of contracts or clients.
How do I know when to use this form?

- 1. New Registration: First-time food distributors must complete this application.
- 2. Renewal Process: Existing distributors should use the form for registration renewal.
- 3. Business Changes: Any updates to contact info or operations require submission of this form.
- 4. Compliance Update: Distributors must ensure they have updated compliance certificates on file.
- 5. Regulatory Compliance: Stay compliant with state regulations governing food distribution.
Frequently Asked Questions
What is the purpose of this application?
The application registers food distribution facilities in California.
How can I submit my completed application?
You can submit via email, postal mail, fax, or in-person.
What if I need to update my contact information?
Use the 'Update Contact Info' option in the application.
Is a Certificate of Compliance necessary?
Yes, a valid Certificate of Compliance is required for processing.
Can I edit the application PDF on your site?
Yes, you can easily edit the PDF using our PDF editor.
How do I know if my application is approved?
You will receive a confirmation email regarding the approval status.
What products are covered under this application?
Products include liquid eggs, shell eggs, veal meat, and pork meat.
How long does the registration last?
Registration expires after 12 months from the issue date.
Can I save my changes to the PDF?
You can download the edited PDF for your records.
What happens if I submit an incomplete application?
An incomplete application may lead to delays or denial of registration.
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