RSPCA Assured New Members' Supply Chain Proforma
Thank you for your application. We look forward to welcoming you as a new member!
We need to ask you a few questions about your RSPCA Assured products and supply chain.
Please ensure you have all your information to hand as this form is unable to save partially completed versions.
**We request that itemised product lists are emailed separately to
* * * * * * * * * * * * * * * * * * * * *
Fish (meat, or poultry) processors who outsource processing/packing to 3rd parties or transport head on gutted (HOG) product as "TBA" MUST cross-reference the product sold with their sales teams. Full, accurate, and transparent sales information of any product identified as RSPCA Assured must be recorded and the levy paid.
YOUR COMPANY DETAILS
Name of your company (and site name in brackets if relevant)
Please list your Contact Name, Job Title, Telephone No, Mobile, Email. (Press ENTER after each field)
Your Membership No. (XXXX.XXXX) or mark "N/A" if inapplicable
RSPCA ASSURED PRODUCTS
Which RSPCA Assured species will you be producing, processing, distributing, or supplying? (Check as many boxes as required)
Which membership are you applying for?
Processor/Packer (includes Foodservice)
Intermediary (Wholesaler, Distributor, Retail)
RSPCA Assured Products
What will be your RSPCA Assured products? (Press ENTER after each line). **Please submit your itemised product list with Product Codes under separate cover to
What will you be doing / making?
Please specify what you will be doing with the raw material. E.g. cutting, deboning, processing, packing, storing, distributing etc.
Please specify in litres of milk, number of eggs, and kilograms of meat/ fish/ poultry/ liquid egg, how much you plan to produce/ process/ pack/ store/ distribute on a quarterly basis
Product List Submission?
Have you submitted your proposed product list? For traceability purposes, new applicants are required to send a copy of their itemised product list to
, highlighting each individual product line. E.g. [Brand name] Pack of 12 Tandoori Chicken Drumsticks for [Retailer] or [Brand name] 5kg Whole Honey Glazed Gammon Off The Bone for [Foodservice company]
Product Artwork Submission?
Have you submitted your product artwork to
for approval? Copies of packaging labels and foodservice menus displaying our registered name and certification mark are required for our records. Artwork must adhere to our brand guidelines and are available to download from our website.
RSPCA ASSURED SUPPLIERS
Suppliers, Membership No.'s, Products, & Quarterly Volumes
Please name each supplier listing their Membership No.'s (XXXX.XXXX), Site Name where relevant, Contact Name, Job Title, Telephone No, Mobile, Email, Products Supplied, Quarterly Volumes Required in KG/ number of eggs/ litres of milk. (Press ENTER after each entry, and leave a blank line between each supplier). **Note to Warehouse Storage/ Distributors: your suppliers are those who you store/ distribute RSPCA Assured products for.**
Types of Customer
Will your customers of RSPCA Assured products be primary processors, secondary processors, packers, retailers, foodservice? (Check as many as required).
Customers, Membership No's, Products, & Quarterly Volumes
Please name ALL customers who will be purchasing your RSPCA Assured product(s), listing membership numbers (XXXX.XXXX) where applicable, Products To Be Sold, and Expected Quarterly Volumes in KG/ number of eggs/ litres milk. (Press ENTER after each entry). [Retailers have no membership no.] **Note to Warehouse Storage/ Distributors: your customers are those who receive the RSPCA Assured products you store/ distribute.**
RSPCA ASSURED SUPPLY CHAIN
RSPCA Assured Supply Chain
Please list your complete RSPCA Assured supply chain(s) from start to finish with ALL company names and Membership No's. (Press ENTER after each entry, and insert an ">" between each stage of the supply chain. E.g. listing company names of each Producer > Livestock Haulier > Abattoir > Processor/Packer > Distributor > Foodservice). [Retailers have no membership no.]
BRC / SALSA
BRC / SALSA Member?
Are you a member of BRC or SALSA?
List your number here or mark "N/A" if inapplicable
List your number here or mark "N/A" if inapplicable
Shared BRC Audit Report
I have permitted 3rd party access so RSPCA Assured can view my BRC Report
I declare that the above information is true to the best of my knowledge and includes all RSPCA Assured products. I can confirm that the supply chain is complete and all members are aware of the traceability requirements. I will notify RSPCA Assured of any updates to our contact details and traceability. (Email updates to
Yes, I agree
Your Contact Name and Job Title. (Press ENTER after each field)
Please list your comments here
Registered Office: Freedom Food Ltd, Wilberforce Way, Southwater, Horsham, West Sussex, RH13 9RS
Tel: 01403 800 141 Email:
Company No. 2723670 Charity Registered in England & Wales 1059879 and Scotland SC038199
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of RSPCA Assured.