Incident Report Form: Feed Withdrawls and Recalls
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Incident Report Form:
Feed Withdrawls and Recalls
The Trading Standards Service
Jubilee Stores, The Quay
Newport, Isle of Wight
PO30 2EH

Tel: 01983 823370 / Fax: 01983 823387 / email: [email protected]
This form is for feed businesses to report to The Isle of Wight Trading Standards Service a withdrawal or recall of feed that does not comply with the feed safety requirements of EC Regulation 178/2002. Completed forms are to be returned to The Trading Standards Service, contact details as above.

You will need to notify The Food Standards Agency separately.
To do so contact The Food Standards Agency on 02072 768448 (out of hours 0845 0518486)
or go to http://www.food.gov.uk/policy-advice/incidents/report   
Firm's Details
* Reporting Firm Name
Type of Business
* Building/house name/number
* Street address
* Town name
County
* Postcode
* Contact Name
* Tel number
(include area code)
Fax number
Email address
About the Problem
Home authoritys name and address
* Nature of Problem
* Type of Product
* Product Name
* Brand Name
* Batch Code(s)
* Description of Packaging
* Pack Size
* Durability Dates(s) or Code(s)
* Country of Origin
* UK Importer and Distributor (including contact details)
* Manufacturer
(including contact details)
* Has clinical illness occurred?
*If Yes, please provide details (type of illness, symptoms, numbers of consumers affected etc)
* Distribution Details (including EU and Third Countries)
* What action has taken place or planned?
Any Additional Information
Your Details
* Forename
Middle name/Initials
* Surname
* Date
* Job Title
For further information and/or guidance please contact:

The Trading Standards Service
Jubilee Stores, The Quay
Newport, Isle of Wight
PO30 2EH

Tel: 01983 823370 / Fax: 01983 823387 / email: [email protected]
Data Protection Act 1998

This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request.

The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy. Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest.

Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law.


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Date printed: 08/03/2013