Form 2541 Food Canning Establishment Registration

FORM APPROVED: OMB No. 0910-0037; Expiration Date 10/31/2023. (See PRA statement on page 2.)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

1. TYPE OF SUBMISSION

FOR FDA USE ONLY

FOOD CANNING ESTABLISHMENT REGISTRATION

Initial Registration
Relocation (new registration required)
Change of Registration Information

FCE No.

Date Received by FDA

Enter Current FCE: (If applicable)
Enter Current FCE: (If applicable)

Specify Type of Change:

2. FOOD PROCESSING PLANT LOCATION

3. PREFERRED MAILING ADDRESS

Number and
Street
City and State
or Province
(or other Subdivision)
Zip (or other
Postal Code)

Number and
Street
City and State
or Province
(or other Subdivision)
Zip (or other
Postal Code)

Establishment
Name

Establishment
Name

Country (if other
than U.S.)

Telephone No.

Telephone No.

Telefax No.

Listing products produced at this location is not a process filing.

Country (if other
than U.S.)
Telefax No.

PLEASE NOTE THE FOLLOWING:

4. LOW ACID AND/OR ACIDIFIED FOODS PROCESSED AT THIS LOCATION
Food Product Name, Form or Style, and Packing Medium
(Do not list meat and poultry foods under the jurisdiction of the Food Safety and Inspection Service of the U.S.
Department of Agriculture.)

Same as Plant Location

• The requester hereby presents and acknowledges that the company is aware that in
making this request the company is subject to the terms and provisions of Title 18,
Section 1001, United States Code which makes it a criminal offense to falsify,
(Check One)
conceal, or cover up a material fact; make any false, fictitious, or fraudulent
Low-Acid Acidified
statement or representation; or make or use any false writing or document knowing
the same to contain any materially false, fictitious, or fraudulent statement or entry.
• Subject to the terms of 21 CFR 108.25 (c)(1) and (2) and 108.35 (c)(1) and (2), no
commercial processor shall engage in the processing of low-acid or acidified foods
until the completed forms FDA 2541 and 2541d, 2541e, 2541f or 2541g have been
filed with the FDA within the applicable time frames specified in these regulations.
• Forms, Instructions, regulations, and information can be secured online at http://
www.fda.gov/Food/GuidanceRegulation/
GuidanceDocumentsRegulatoryInformation/default.htm
• For more information, contact the LACF Registration Coordinator by e-mail at
[email protected]

Food and Drug Administration
LACF Registration Coordinator (HFS-303)
Center for Food Safety & Applied Nutrition
5001 Campus Drive
College Park, Maryland 20740-3835
5. ESTABLISHMENT CONTACT PERSON
Name of Contact and Business Address:
Position:

Owner

FAX Number:

FORM FDA 2541 (11/20)

Technologist

Manager

Director

President/Vice President

E-mail Address:
PREVIOUS EDITION IS OBSOLETE

Other Employee

Signature:

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Authorized Third Party

Phone Number:
Date:
PSC Publishing Services (301) 443-6740

EF

LACF Contact Information
For more information, contact the LACF Registration Coordinator by e-mail at [email protected] or phone: 240-402-2411.
For paper submissions, send completed forms to:
Food and Drug Administration
LACF Registration Coordinator (HFS-303)
Center for Food Safety and Applied Nutrition
5001 Campus Drive
College Park, MD 20740-3835

This section applies only to requirements of the Paperwork Reduction Act of 1995.
*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF ADDRESS BELOW.*
PAPERWORK REDUCTION ACT NOTICE
The time required to complete this collection of information is estimated to average 10 minutes per response,
including the time to review instructions, search existing data sources, gather and maintain the data needed and
complete and review the collection of information. Send comments regarding this burden estimate or any other
aspect of this information collection, including suggestions for reducing this burden, to:
FDA PRA Staff
Office of Operations
Food and Drug Administration
email to [email protected]
“An Agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB number.”

FORM FDA 2541 (11/20)

PREVIOUS EDITION IS OBSOLETE

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