Export Certificate Form
Worcestershire Regulatory Services is the Competent authority/Certifying body on behalf of the 6 district councils within Worcestershire:
- Bromsgrove District Council
- Redditch Borough Council
- Malvern Hills District Council
- Worcester City Council
- Wychavon District Council
- Wyre Forest District Council
The Export Certificate Form from the Food Standards Agency is below in a webpage format. This form is also available in a Word or PDF format. It should be read in conjunction with Notes for Guidance of Exporters which are also at the bottom of the Export Certificate Form below.
The form should be returned to enquiries@worcsregservices.gov.uk.
FOOD SAFETY ACT 1990 : FOOD SAFETY PREMISES ENDORSEMENT FOR EXPORT
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COUNTRY: UK |
Certificate Type: Original / Reissue |
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Consignor/Exporter: |
Certificate number: |
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Competent authority/Certifying body: Worcestershire Regulatory Services Wyre Forest House Finepoint Way Kidderminster DY11 7WF |
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Consignee/Importer:
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Products produced, processed or distributed: Provide level of detail to identify product
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Producer/Manufacturer |
If Approved Premises Approval number of Establishment
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DECLARATION: The official inspector hereby declares that the company business / premises specified above are inspected by the competent Food Authority on a regular basis to ensure they are operating in a manner, which complies with the requirements of the United Kingdom Food Safety Act 1990 and the Food Safety and Hygiene (England) Regulations 2013
REGULAR INSPECTIONS DETERMINE That the company continues to meet the necessary requirements of the above and of Regulations EC 852/2004 on the Hygiene of Foodstuffs including a suitable food safety management system and of Regulation 853/2004 laying down specific hygiene rules for Food of Animal Origin and continues to be approved under those regulations. (add if appropriate)
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NOTE: This declaration does not attest, nor does it imply that any food products have been individually inspected and declared as safe and fit for human consumption by the competent Food Authority.
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DECLARING OFFICER:
Name: Official position:
Signature: Date:
Address: Official Stamp:
Telephone: Email:
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Date issued: Please note that this declaration applies on The date of signature.
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The Certificate should be read in conjunction with the attached `NOTES FOR THE GUIDANCE OF EXPORTS AND IMPORTING COUNTRIES’
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Worcestershire Regulatory Services is the Competent authority/Certifying body on behalf of the 6 district councils within Worcestershire: Bromsgrove District Council, Redditch Borough Council, Malvern Hills District Council, Worcester City Council, Wychavon District Council and Wyre Forest District Council. |
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CERTIFYING OFFICER INITIALS |
2 of 2 |
CERTIFICATE NUMBER |
Notes for the Guidance of Exporters and Importing Countries
1. IMPORTANT
These notes provide guidance for exporters.
The notes should not be read as a standalone document but in conjunction with the attached
Food Safety Premises Endorsement for Export.
WE STRONGLY RECOMMEND THAT EXPORTERS SHOULD OBTAIN FULL DETAILS OF
REQUIREMENTS FROM THE IMPORTING COUNTRY, OR THEIR REPRESENTATIVES IN THE UK, INADVANCE OF EACH CONSIGNMENT.
2. SCOPE OF THE ENDORSEMENT
The Endorsement must be used only for the export of products for human consumption as
specified on the certificate.
3. CERTIFICATION BY AN OFFICIAL INSPECTOR
The certificate may only be signed by an Environmental Health Officer or a Food Safety Officer.
4. GENERAL CONSIDERATIONS RELATING TO COMPLETION OF THE CERTIFICATE
Amendments may only be made by the Official Inspector. These must be initialled and recorded
using any ink colour OTHER THAN BLACK.
Any authorised deletions that cannot be entered electronically or typed must be made using a ruler
and a fine black pen. Diagonal deletions must NOT be used. Each line to be deleted must be ruled
out providing an effect similar to that of typewritten deletions.
CERTIFICATE NUMBERING: Each certificate will be uniquely numbered when it is issued by the LA.
The Official Inspector’s signature should be in any ink colour OTHER THAN BLACK.
The Certificate should be stamped with the Official Inspector’s stamp in any colour OTHER THAN
BLACK.
Once a certificate has been issued the Official Inspector must keep a copy for his/her own records.
5. DISCLAIMER
This certificate is provided on the basis of information available at the time. It is the exporter’s
responsibility to check the certificate against any relevant import permit or any advice provided by
the competent authority in the importing county. If these do not match, the exporter should
contact the Local Authority without delay.