Nutritional Label Review Report Form
Submit your review and assessment of a product's nutritional label for compliance and accuracy.
Product Name
*
Product Category
*
Please Select
Beverage
Snack
Dairy
Cereal/Grain
Frozen Food
Condiment/Sauce
Other
Upload the Nutritional Label Image or Document
*
Upload a File
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of
Key Nutritional Information (as listed on the label)
*
Rows
Amount per Serving
% Daily Value
Calories
Total Fat
Saturated Fat
Trans Fat
Cholesterol
Sodium
Total Carbohydrate
Dietary Fiber
Total Sugars
Protein
Does the label meet regulatory and formatting requirements?
*
Yes
No
Partially
Reviewer Name
*
First Name
Last Name
Reviewer Email Address
*
example@example.com
Additional Comments or Recommendations
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