FDA-3613revclean copy for OMB rvw indd 2026

1. Click ‘Get Form’ to open the FDA-3613revclean copy in the editor.
2. Begin by filling out the 'Requestor Information' section. Enter your name, address, firm, telephone number, FAX number, and Firm Tax ID code accurately.
3. If your billing address differs from the requestor's, complete the 'Billing Address' section with the necessary details.
4. In the 'Shipping Account Number and/or Label' field, provide any relevant shipping information to facilitate mailing supplies.
5. For 'Manufacturer Information', enter details for each firm involved. Ensure that you include their registration numbers and last FDA inspection dates.
6. Complete the 'Product Information' section by providing trade names, proper names, marketing status, and product codes as applicable.
7. Indicate if any products were recalled and provide necessary details if applicable.
8. List countries for which certificates are requested and specify what product information should appear on the certificate.
9. Finally, ensure that all required signatures are included in the 'Exporter’s Certification Statement' before submitting your form.

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