Chapul Insect Farm Supplier Application
Please note that all responses will be held in confidence and will not be shared with any party outside of Chapul, without expressed written consent from the applicant.
Applicant Full Name
Years in business
Primary Insect Species Farmed
Area/size of farm (please include units)
What product do you sell?
Average Monthly Production (please include units)
Amount of product immediately available to Chapul
Please describe the feed you use in as much detail as possible
FDA Registration Number (if available)
List certifications, if any (ex: SQF, USDA, etc)
Please select what information you have available for your products. Send all relevant documents to
• Ingredient Statement (please include particle size )
• Nutritional Statement
• MSDS (if applicable)
• Allergen Statement
• Product Guarantee
• Lot Code description/declaration
• Country of Origin
• IP or Non-GMO statement (if applicable)
• GRAS statement
• 3rd party audit certificate
• CA Prop 65 statement (when applicable)
• Sample of a CofA for this item
• MOQ and Price per lb
Other insects farmed (include production and price info)
Please list any environmental certifications (1% For the Planet, B Corp, Regenerative, etc) or list sustainability implementations at your farm.
Additional information you would like to share
Thanks for submitting the application. We will get back to you shortly.
Never submit passwords through Google Forms.
This form was created inside of Chapul Cricket Protein.