Food Processing Variance Request Form
Use this form to request approval to deviate from standard food processing specifications or procedures. Please provide detailed information for review.
Requesting Department or Facility
*
Process Name or Area
*
Standard Specification or Procedure
*
Variance Requested
*
Reason for Variance
*
Potential Impact (Product, Safety, Compliance, etc.)
*
Date of Request
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested By (Name and Title)
*
Reviewer/Approver Name and Title
*
Approval Decision
*
Approved
Denied
Needs More Information
Submit Variance Request
Should be Empty: