Validated onagainst validation document versionwith status-

Overview of Validation Errors

INSTRUCTIONS

An item followed by an asterisk (*) denotes a required field. Omit all punctuation.
Successfully validated form can be submitted to FDA in different ways: Using Pragmatic ESG after validation on this form, Electronic Submissions Gateway (ESG) and Cosmetics Direct.
Visit SPL Xforms for troubleshooting help and other advisories. For questions on FDA SPL Xforms, contact spl@fda.hhs.gov. For additional information, see Registration & Listing of Cosmetic Product Facilities and Products.

SECTION I – DOCUMENT TYPE

DOCUMENT TYPE*
INITIAL
CHANGES TO REGISTRATION

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 cosmetic facility registration, please insert the correct Document Metadata details and proceed.

Show Document Metadata. Please click the blue Next arrow to advance.
Do you wish to examine the document metadata (This is normally not required.)? Please click the blue Next arrow to advance.
Document Metadata
Document Id
Set Id
Version Number

SECTION II – REGISTRATION

IS THIS A FACILITY REGISTRATION FOR A SMALL BUSINESS (optional registration)?
BRAND NAMES OF COSMETIC PRODUCTS MANUFACTURED OR PROCESSED IN THIS FACILITY*RESPONSIBLE PERSON NAME*

(As listed on label)

PRODUCT CATEGORY CODE(S)*

(See references on page 3)

Action
+
+
SECTION III – U.S. AGENT CONTACT INFORMATION
SECTION IV – CONFIRMATION STATEMENT

The data and information in this submission have been reviewed and, to the best of my knowledge, are certified to be true and accurate. I agree to report changes to this information as required under section 607 of the FD&C Act.

WARNING:A willfully false statement is a criminal offense, U.S. Code, Title 18, Section 1001.

SECTION V – ADDITIONAL CONTACT INFORMATION FOR AUTHORIZED AGENT

REFERENCES

Product category code examples:
02B (Bubble baths)
06A2 (Hair conditioners; Rinse-off)
10E (Nail polishes and enamels)
15B3 (Indoor tanning preparations; Spray applications)
How to request an FEI number or determine if an entity already has an FEI number:
https://www.accessdata.fda.gov/scripts/feiportal/index.cfm?action=portal.login

DEFINITIONS

MANUFACTURING OR PROCESSING OF A COSMETIC PRODUCT— means engaging in one or more steps in the making of any cosmetic product by chemical, physical, biological, or other procedures, including manipulation, sampling, testing, or control procedures applied to the product.
OPERATOR— means a person, as defined in section 201(e) of the FD&C Act (21 U.S.C 321(e)),who has management authority over an establishment.
OWNER— means a person, as defined in section 201(e) of the FD&C Act (21 U.S.C. 321(e)), who has an ownership interest in an establishment.
RESPONSIBLE PERSON— as defined in section 604(4) of the FD&C Act, means the manufacturer, packer, or distributor of a cosmetic product whose name appears on the label of such cosmetic product in accordance with section 609(a) of the FD&C Act or section 4(a) of the Fair Packaging and Labeling Act.
SMALL BUSINESSES— as defined in section 612 of the FD&C Act, means responsible persons, and owners and operators of facilities, whose average gross annual sales in the U.S. of cosmetic products for the previous 3-year period is less than $1,000,000, adjusted for inflation, and who do not engage in the manufacturing or processing of certain cosmetic products described in section 612(b) of the FD&C Act. A small business is exempt from the registration and listing requirements.
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.
Press the button below to validate your submission

Note:If there are any errors, you will be transported directly to the page where the error occurred. Correct your data and review the rest of the form, then come back here and validate again.

Your SPL file has been Successfully Validated.

If you would like to submit the form to FDA using Pragmatic ESG, click on next arrow button.

To save your work click on "Download" button.

Submit

This document is not eligible to be submitted through the Pragmatic Regulatory Submission - Transmission Service because of missing details. Ensure the following information is complete:

  • Registrant DUNS number
  • Registrant contact (additional contact)
  • Signature

The person signing and registrant contact should be the same, and the same and that is the person who has an approved application for the Pragmatic Regulatory Submission - Transmission Services.

Note: you are submitting data to the federal government.

I am the authorized agent for the responsible person for this facility registration and I certify that the statements made in this facility registration, which I have entered and reviewed are true.

Yes

Submission Result

The result of the submission action will appear here.

This document has been successfully submitted.

Downloadto save your work.
... Processing ...