Medicated Feed Mill License Application
This file contains the Medicated Feed Mill License Application required by the FDA for licensed feed manufacturers. It includes details on application requirements, compliance obligations, and certification statements. Properly filling out this form ensures adherence to federal regulations.
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How do I fill this out?
To fill out this application, start by providing the legal business name and address of the manufacturing site. Ensure all fields are accurately completed, especially sections requiring contact information. Finally, don't forget to sign and date the application before submission.

How to fill out the Medicated Feed Mill License Application?
1
Provide the manufacturing site's legal business name and address.
2
Complete contact details, including phone number and email address.
3
Select the type of application (Original or Supplemental).
4
Certify all statements made in the application.
5
Sign and date the application form.
Who needs the Medicated Feed Mill License Application?
1
Feed manufacturers need this file to apply for a medicated feed mill license.
2
Business owners must complete this application to ensure compliance with FDA regulations.
3
Veterinarians may require licensed mills to guarantee safe medicinal feeds for animal use.
4
Regulatory affairs professionals use it to maintain compliance with food and drug laws.
5
Quality control managers may need this document to verify compliance standards in their facilities.
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What are the instructions for submitting this form?
To submit the Medicated Feed Mill License Application, mail it to the U.S. Food and Drug Administration, CVM, Division of Food Compliance at MPN4, Room 176, 12225 Wilkins Avenue, Rockville, MD 20852. Alternatively, you can fax the completed form to the FDA through the designated fax number on the form. Ensure that the application is signed and dated – submissions without a signature cannot be processed.
What are the important dates for this form in 2024 and 2025?
The expiration date for this form is June 30, 2025. It is important to renew your license annually and submit updates as necessary. Compliance with all relevant deadlines ensures uninterrupted operation within the industry.

What is the purpose of this form?
The Medicated Feed Mill License Application serves as a crucial document for manufacturers in the animal feed sector, ensuring adherence to federal regulations. This form certifies that the feed mill operates under current good manufacturing practices and complies with the Federal Food, Drug, and Cosmetic Act. By completing this application, manufacturers commit to maintaining the quality and safety of medicated animal feeds.

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

- 1. Manufacturing Site Legal Business Name: The official name of the business applying for the license.
- 2. Address: Complete address including street, city, state, and zip code.
- 3. Type of Application: Indicates whether this is an Original or Supplemental application.
- 4. Signature of Responsible Individual: The signature of the individual who certifies the application.
- 5. License Number Issued: The unique identification number assigned to the license.
- 6. Contact Information: Details for phone, fax, and email to reach the manufacturer.
What happens if I fail to submit this form?
If the Medicated Feed Mill License Application is not submitted, manufacturers may face legal consequences and interruptions in their operations. Compliance with regulatory standards is crucial for business continuity in the animal feed industry.
- Regulatory Non-Compliance: Failure to submit the form may lead to penalties for operating without a valid license.
- Operational Interruptions: Missing out on licensing could disrupt production and distribution of animal feed.
- Legal Actions: Non-compliance could result in legal actions against the business or its operators.
How do I know when to use this form?

- 1. Initial License Application: To obtain a new medicated feed mill license from the FDA.
- 2. Annual Renewal: Required each year to maintain compliance and operational approval.
- 3. Change of Ownership: To update the FDA regarding any changes in ownership of the business.
Frequently Asked Questions
What is a Medicated Feed Mill License Application?
This application is required by the FDA for manufacturers producing medicated animal feeds, ensuring compliance with federal regulations.
Who needs to fill out this form?
Feed manufacturers, business owners, and quality control managers among others, are required to complete this application.
How do I fill out this application?
Start by entering your business details, complete all required fields, and ensure you sign and date the application.
Can I edit this PDF?
Yes, you can easily edit this PDF using PrintFriendly's editing tools before downloading it.
How do I submit this form?
The submission can be made via mail or fax as specified in the application instructions.
What happens if I fail to submit this form?
Failure to submit this application may result in non-compliance with food and drug regulations, affecting your business operations.
How can I share this PDF?
You can share your edited PDF through various email platforms or generate a shareable link via PrintFriendly.
What is the importance of this license?
This license ensures that your feed manufacturing practices comply with federal standards for safety and efficacy.
Is there a cost associated with this application?
While there may be fees associated with licensing, it is important to check the FDA's official guidelines for specific costs.
What should I do if my application is denied?
If your application is denied, you can review the feedback provided and reapply after addressing any issues raised.
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