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Medicated Feed Mill Establishment RegistrationField Label Style
Reason for Submission

Note: If you need to register your establishment/facility as a food facility, please see information on this web page. If you need to submit a medicated feed mill license application, please send in this form.

What do you intend to do?
What do you intend to do?
Initial Registration
Annual Registration
De-Registration
Resume Saved Work

Note: If you have previously registered electronically, and you do not have your previously submitted Establishment Registration SPL document, you should have received it attached to your registration reminder email. If you cannot find the registration reminder email you may request a copy by sending a message to spl@fda.hhs.gov.

Select your previous registration sent to you in your reminder email.
Select your previous registration sent to you in your reminder email.

Note: On Chrome and Firefox you can drag and drop your previous registration right from your email attachment to this file selection field.

Select the previously saved file.
Select the previously saved file.

Note: On Chrome and Firefox you can drag and drop your previously saved file onto this file selection field.

De Registration

Note:If you need to de-register your medicated feed mill, please contact FDA at spl@fda.hhs.gov for assistance.

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Document Metadata
Document Id
Set Id
Version Number
Registrant (Owner/Operator)

Note: There should be a unique DUNS Number assigned for each of a registrant’s physical locations (i.e. a corporate headquarters should have a different DUNS Number than each of its mills).

Business Name of the Registrant (Owner/Operator)
What is the business name of the registrant (owner/operator) of your medicated feed mill(s)?
Field cannot be empty.

Note: Business Name is a feed mill and not a person (ex. Blue Bird Feed Mill)

DUNS Number of the Registrant (Owner/Operator) (9-digits, no spaces or hyphens)
What is the registrant’s nine-digit (no spaces or hyphens) Dun and Bradstreet (D&B) Data Universal Number System (DUNS) Number?
Field cannot be empty.
Must be 9-digits, without spaces or hyphens.

Note: If you do not have or do not know the DUNS Number for the registrant, please use the information on this web page to request the DUNS Number.

First and Last Name of the Contact Person for the Registrant
What is the first and last name of the contact person for the registrant?
Field cannot be empty.
There should be at least a first and a last name.
This doesn't seem to be a valid name.
Address of the Registrant Contact
What is the address of the registrant contact?
Street Addres Line
Street Address Line
Field cannot be empty.
City
City Name
Field cannot be empty.
Please use proper capitalization, do not use all caps.
Country
Country
State
State Name
US state must be selected.
State or Province Name
State or Province Name
ZIP Code
ZIP Code
Field cannot be empty.
ZIP code is 5 digits with optionally a hyphen followed by 4 numbers.
Postal Code
Postal Code
Telephone number for the Contact Person
What is the telephone number for the contact person for the registrant?
+-- Extension:
Fields cannot be empty.
Fields contains digits only (the local number part of international numbers may contain hyphens).
E-mail Address for the Contact Person
What is the e-mail address for the contact person?
Field cannot be empty.
This doesn't seem to be a valid email address
Manufacturing Site (Establishment) ()Delete

Note: If an owner/operator has more than one feed mill to register, additional facilities can be added later.

The Registrant is also the Manufacturing Site
If you self-register, then your manufacturing site is the same as the registrant. Click "yes" if you want to use the same data.
Yes
Legal Business Name of Manufacturing Site
What is the manufacturing site legal business name?
Field cannot be empty.
Address of the Manufacturing Site
What is the address of the manufacturing site?
Use the same address as for the Registrant Contact
Does the manufacturing site have the same address as the contact person of the registrant?
Yes
Street Address Line
Street Address Line
Field cannot be empty.
City
City Name
Field cannot be empty.
Please use proper capitalization, do not use all caps.
Country
Country Name
State
State Name
US state must be selected.
State or Province Name
State or Province Name
ZIP Code
ZIP Code
Field cannot be empty.
ZIP code is 5 digits with optionally a hyphen followed by 4 numbers.
Postal Code
Postal Code
DUNS Number of the Manufacturing Site (9-digits, no spaces or hyphens)
What is the medicated feed mill’s nine-digit (no spaces or hyphens) Dun and Bradstreet (D&B) Data Universal Number System (DUNS) Number?
Field cannot be empty.
Must be 9-digits, without spaces or hyphens

Note: If you do not have or do not know the DUNS Number for the registrant, please use the information on this web page to request the DUNS Number.

FDA Establishment Identifier (FEI) of the Manufacturing Site (7 or 10 digits)
What is the seven- or ten-digit FDA Establishment Identifier (FEI)?
Must be 7 or 10 digits, without spaces or hyphens
Contact Person for the Manufacturing Site ()

Note: The contact person for the manufacturing site should be the most responsible person for the site.

First and Last Name of the Contact Person
What is the first and last name for the most responsible individual at this manufacturing site?
Field cannot be empty.
There should be at least a first and a last name.
This doesn't seem to be a valid name.
Address of the Contact Person for the Manufacturing site
What is the address of the contact person for this medicated feed mill location?
Use the same Address as for the Manufacturing Site.
Does the contact person have the same address as the manufactuing site?
Yes
Street Address Line
Street Address Line
Field cannot be empty.
City
City Name
Field cannot be empty.
Please use proper capitalization, do not use all caps.
Country
Country Name
State
State Name
US state must be selected.
State or Province Name
State or Province Name
ZIP Code
ZIP Code
Field cannot be empty.
ZIP code is 5 digits with optionally a hyphen followed by 4 numbers.
Postal Code
Postal Code
Telephone Number for the Contact Person?
What is the telephone number for the contact person for this medicated feed mill location?
+-- Extension:
Fields cannot be empty.
Fields contains digits only (the local number part of international numbers may contain hyphens).
E-mail Address for the Contact Person
What is the e-mail address for the contact person?
Field cannot be empty.
this doesn't seem to be a valid email address
US Agent for theManufacturing Site ()
Company Name of the US Agent (a business name, not a person name)
What is the name (company, not person) of the US agent for this medicated feed mill?
Field cannot be empty.
DUNS Number of the US Agent
What is the US agent’s DUNS Number?
Field cannot be empty.
Must be 9-digits, without spaces or hyphens
Telephone number for the US Agent
What is the telephone number for the US Agent?
+-- Extension:
Fields cannot be empty.
Fields contains digits only (the local number part of international numbers may contain hyphens).
E-mail address for the US Agent
What is the e-mail address for the US Agent?
Field cannot be empty.
this doesn't seem to be a valid email address
Importer () for the Manufacturing Site ()Delete

Note: Importer means, for purposes of this part, a person in the United States that is an owner, consignee, or recipient, at the time of entry, of a foreign establishment’s drug, or an animal feed bearing or containing a new animal drug, that is imported into the United States.

Company Name of the Importer (a business name, not a person name)
What is the name (company, not person) of the Importer for this medicated feed mill?
Field cannot be empty.
DUNS Number of the Importer
What is the importer's DUNS Number?
Field cannot be empty.
Must be 9-digits, without spaces or hyphens
Telephone number for the US Agent
What is the telephone number for the importer?
+-- Extension:
Fields cannot be empty.
Fields contains digits only (the local number part of international numbers may contain hyphens).
E-mail address for the importer
What is the e-mail address for the importer?
Field cannot be empty.
this doesn't seem to be a valid email address
More Importers for the Manufacturing Site ()
Are there other importers for this foreign manufacturing site?
Are there other importers for this foreign manufacturing sites?
YesNo
More Manufacturing Sites?
Are there other manufacturing sites for this registrant?
Are there other manufacturing sites for this registrant?
YesNo
Review
Please review your data below.
Please review your data below.
Refresh View

A summary of your data will appear here.

Is your data correct?
Is your data correct?

If you find any discrepancies, please go back and make corrections on the appropriate page of the data form.

Validate
Validate your submission.
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Validate

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Submit

Note: you are submitting data to the federal government.

I am the authorized registrant for the establishments enclosed herein and I certify that the statements made in this registration, which I have entered and reviewed are true.
I am the authorized registrant for the establishments enclosed herein and I certify that the statements made in this registration, which I have entered and reviewed are true.
Yes
Submission Result
Submission Result

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