School Lunch Program Label Approval Form
School Name
Contact Person
Phone Number
Email Address
Product Name
Manufacturer
Product Description
Ingredients
Nutritional Information
Nutrient
Amount per Serving
Calories
Total Fat (g)
Saturated Fat (g)
Trans Fat (g)
Cholesterol (mg)
Sodium (mg)
Total Carbohydrate (g)
Dietary Fiber (g)
Sugars (g)
Protein (g)
Allergens
Serving Size
Crediting (Meal Component Contribution)
Additional Comments
Signature
Date
Approver Signature
Date