Fsma compliance statement template 2026

1. Click ‘Get Form’ to open the fsma compliance statement template in the editor.
2. Begin with Section I, where you will enter the Applicant's name, EIN (do not use SSN), plan number, and plan name. Ensure this information is accurate as it appears on each page.
3. In Section II, describe any failures by listing them separately. If necessary, attach additional pages labeled accordingly. This section is crucial for outlining issues that need addressing.
4. Proceed to Section III to detail your proposed method of correction for each failure listed in Section II. Attach supporting documents if needed, ensuring clarity in your descriptions.
5. For Section IV, outline your procedures for locating and notifying former employees or beneficiaries affected by the failures. If none were affected, provide a clear affirmative statement.
6. In Section V, explain the proposed revisions to administrative procedures that will prevent future failures. This should include an analysis of how the failures occurred.
7. Finally, complete Section VI regarding requests related to excise taxes and ensure all attachments are included before submitting your compliance statement.

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