Ethnic Cuisine Allergen Declaration Form
Restaurant/Caterer Name
Contact Person
Contact Email
Dish/Cuisine Name
Allergens Present in this Dish
Gluten
Crustaceans
Eggs
Fish
Peanuts
Soybeans
Milk
Nuts
Celery
Mustard
Sesame
Sulphites
Lupin
Molluscs
Special Notes (e.g., cross-contamination risk, ingredient sourcing, preparation details)
I declare that the information provided above is accurate and complete.
Date