Labeling Application Form

Labeling Application Form

Applicant Name:    Service Provider Name:

WHEREAS

WHEREAS, Applicant is engaged in the manufacture, marketing or distribution of the product identified below and seeks approval for labeling and associated artwork that will be affixed to or accompany that product;

WHEREAS, Service Provider administers labeling review, proofreading, compliance verification and artwork production services and is willing to perform such services for Applicant in accordance with the terms of this application and the agreement set forth herein;

WHEREAS, the parties desire to set forth the scope of services, payment terms, confidentiality obligations and applicable governing law for labeling services provided pursuant to this application and any ensuing service agreement.

Application Details

Food    Cosmetic    Medical Device    Dietary Supplement    Other:

Label sample (PDF/artwork)    Safety Data Sheet    Supporting claim evidence    Other:

Scope of Work

The Service Provider shall perform labeling review, compliance assessment, proofreading, artwork preparation and one round of approved revision as described below. Applicant requests and authorizes the Service Provider to perform the tasks checked and described in the scope area.

Payment Terms

Applicant agrees to pay the Service Provider the fees specified below in respect of the labeling services to be provided.

All fees are due in accordance with the payment schedule. Applicant acknowledges that work may be suspended for non-payment following written notice and applicable cure period.

Term and Termination

This application and any resulting service agreement commences on Start Date and continues until End Date unless earlier terminated in accordance with the terms below.

Either party may terminate for material breach if the breach remains uncured after the notice period specified above. Termination shall not relieve Applicant of obligation to pay for services performed and expenses incurred prior to termination.

Confidentiality

Each party shall maintain in confidence all non-public information received from the other party in connection with this application and any services provided. Confidential Information does not include information that is or becomes publicly available through no fault of the receiving party or is independently developed by the receiving party without use of the disclosing party's Confidential Information.

Recipient shall use Confidential Information solely for the purpose of performing its obligations under this application and any resulting agreement and shall restrict disclosure to employees, contractors or advisors who have a legitimate need to know and are bound to confidentiality obligations at least as protective as those herein.

Applicant and Service Provider acknowledge and agree to the confidentiality provisions set forth above.

Governing Law

This application and any resulting agreement shall be governed by and construed in accordance with the laws of the state of , without regard to conflict of laws principles.

Entire Agreement

This application, together with any exhibits or attachments expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior or contemporaneous representations, promises or agreements, whether written or oral. No amendment shall be effective unless in writing and signed by authorized representatives of both parties.

Declarations & Certifications

Applicant certifies that, to the best of its knowledge, the information provided in this application and attachments is true, accurate and complete, and that labels submitted do not contain false or misleading statements. Applicant agrees to provide additional substantiation upon request and to indemnify Service Provider for claims arising from Applicant's false statements or omissions.

I certify the above statements and accept the terms and conditions of this application.

Sign Now