Fsis form 5200 15-2025

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The document outlines the requirements for submitting a request for official inspection operation hours to the U.S. Department of Agriculture's Food Safety and Inspection Service, in accordance with the Paperwork Reduction Act of 1995. It includes sections for applicant information, requested inspection hours for two shifts, and approval signatures from both the applicant and district manager.

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Click ‘Get Form’ to open fsis form 5200 15 in the editor.
Begin by entering your name in the 'NAME OF APPLICANT' field, followed by the 'DATE OF REQUEST'.
Fill in the 'DISTRICT / IID-HEADQUARTER OFFICE' and provide your 'MAILING ADDRESS'. Choose whether this is a new request or an update.
For each shift, specify the 'HOURS OF OFFICIAL INSPECTION OPERATIONS REQUESTED'. Fill in the days of the week along with start times, lunch breaks, and end times.
Complete the signature section by signing as the applicant and printing your name.
Finally, ensure that a district manager signs and dates the form at the bottom.

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