Import/Export Food Allergen Declaration Template
Company Name
Product Name
Country of Origin
Manufacturer
Supplier Name
Date
Allergen
Present in Product
Present in Facility
Remarks
Peanuts
Tree Nuts
Milk
Eggs
Fish
Shellfish
Wheat / Gluten
Soybeans
Sesame
Sulphites
Lupin
Mustard
Celery
Authorized Signature
Position/Title
Additional Information