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 Traceability@RSPCAassured.org.uk**

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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
Company Name *
Name of your company (and site name in brackets if relevant)
Your answer
Contact Details *
Please list your Contact Name, Job Title, Telephone No, Mobile, Email. (Press ENTER after each field)
Your answer
Membership No. *
Your Membership No. (XXXX.XXXX) or mark "N/A" if inapplicable
Your answer
RSPCA ASSURED PRODUCTS
Meat-Fish-Poultry-Dairy *
Which RSPCA Assured­ species will you be producing, processing, distributing, or supplying? (Check as many boxes as required)
Required
Membership *
Which membership are you applying for?
Required
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 Traceability@RSPCAassured.org.uk**
Your answer
What will you be doing / making? *
Please specify what you will be doing with the raw material
Your answer
Quarterly Volumes *
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 on a quarterly basis
Your answer
PRODUCT LIST
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 Traceability@RSPCAassured.org.uk, 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
Product Artwork Submission? *
Have you submitted your product artwork to Artwork@RSPCAassured.org.uk 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)
Your answer
CUSTOMERS
Types of Customer *
Will your customers of RSPCA Assured products be primary processors, secondary processors, packers, retailers, foodservice? (Check as many as required).
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)
Your answer
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).
Your answer
BRC / SALSA
BRC / SALSA Member? *
Are you a member of BRC or SALSA?
BRC No. *
List your number here or mark "N/A" if inapplicable
Your answer
SALSA No. *
List your number here or mark "N/A" if inapplicable
Your answer
Shared BRC Audit Report *
I have permitted 3rd party access so RSPCA Assured can view my BRC Report
DECLARATION
Declaration *
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 Traceability@RSPCAassured.org.uk).
Required
Digital Signature *
Your Contact Name and Job Title. (Press ENTER after each field)
Your answer
Date *
Today's date
MM
/
DD
/
YYYY
COMMENTS
Comments
Please list your comments here
Your answer
RSPCA ASSURED
Registered Office: Freedom Food Ltd, Wilberforce Way, Southwater, Horsham, West Sussex, RH13 9RS
www.RSPCAassured.org.uk Tel: 01403 800 141 Email: help@RSPCAassured.org.uk
Company No. 2723670 Charity Registered in England & Wales 1059879 and Scotland SC038199
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