Form 3602 certification form-2026

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The document is a form (FDA Form 3602) for businesses in the United States to request certification as a small business under the Medical Device User Fee Amendments (MDUFA). It outlines the necessary information required from the business, including its name, taxpayer identification number, gross receipts, and details about any affiliates. The form also includes instructions for completion and submission, emphasizing the importance of accurate reporting to qualify for fee discounts. Additionally, it provides privacy notices and guidelines related to the Paperwork Reduction Act.

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Click ‘Get Form’ to open the form FDA 3602 in the editor.
Begin with Section I, providing the full legal name of your business as it appears on your U.S. Federal Tax Form.
Enter your Taxpayer Identification Number and Organization ID Number if applicable, ensuring accuracy to avoid processing delays.
Fill in the physical address of your business and contact details, including telephone number and email address for communication.
Indicate your relationship to the business and confirm whether all affiliates are listed in Section II.
Complete the certification statement by checking the appropriate box regarding gross receipts or sales, attaching necessary tax return documents.
Sign and date the form digitally or manually before saving it back to your device.
Finally, print the completed form and mail it along with supporting documentation to the specified FDA address.

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