OWNER’S REF PREMISES’ REF VISIT DUE BY DATE STATUS [Boxes for office use only] The Veterinary Medicines Regulations Application for Approval of Premises for the manufacture of Schedule 5 products Please indicate the type of approval that you wish to apply for:Office Use FDA1 £70 FDN1 £1810 FDA2 £70 FDN2 £1090 Category Schedule 5 activity for which approval is required Fee Payable 1 As an establishment manufacturing a specified feed additive £1880 2 As an establishment manufacturing a premixture £1160 FDA3 £70 FDN3 £1090 3 As an establishment manufacturing feedingstuffs using specified feed additives and veterinary medicinal products directly at any concentration, or using premixtures or specified feed additive complementary feedingstuffs £1160 FDA4 £70 FDN4 £961 4 FDA5 £70 FDN5 £405 5 FDA6 £70 FDN6 £320 6 FDA6 £70 FDN6 £320 6F FDA7 £70 FDN7 £240 7 7R As an establishment manufacturing feedingstuffs for placing on the market using a veterinary medicinal product or premixture where the concentration of veterinary medicinal product in the feedingstuffs is 2kg per tonne or more As an establishment manufacturing feedingstuffs using premixtures or specified feed additive complementary feedingstuffs containing specified feed additives when the feedingstuffs are to be placed on the market As an establishment manufacturing feedingstuffs for the manufacturers own use using a veterinary medicinal product or premixture where the concentration of veterinary medicinal product in the feedingstuffs is 2kg per tonne or more As an establishment manufacturing feedingstuffs for fish for the manufacturers own use using a veterinary medicinal product or premixture where the concentration of veterinary medicinal product in the feedingstuffs is 2kg per tonne or more As an establishment manufacturing feedingstuffs using premixtures containing specified feed additives when the feedingstuffs are to be used by the person manufacturing the feedingstuffs As an establishment manufacturing feedingstuffs using complementary feedingstuffs containing specified feed additives, for feeding to the manufacturer’s own animals Veterinary Medicines Directorate Woodham Lane, New Haw, Addlestone, Surrey KT15 3LS Telephone +44 (0)1932 336911 Search for VMD on GOV.UK The Veterinary Medicines Directorate is an Executive Agency of the Department for Environment, Food and Rural Affairs Tick £1031 £475 £390 £390 £310 No Fee 1 Feedingstuffs Manufacturer’s Application Form PLEASE COMPLETE ALL RELEVANT SECTIONS OF THIS FORM IN BLOCK CAPITALS Section 1 Applicant’s Details Owner’s Reference Number [if known] Applicant’s Name Corporate Body/ Company Name Address ___________________________________ ___________________________________ ___________________________________ ___________________________________ Post Code: _________________________ Telephone No. . Mobile No. Fax No. E-mail address Website 2 Section 2 Premises Details [where activity will be carried out] Trading Name [if different from applicant’s/ corporate body or company name] Address [if different from applicant’s address] ________________________________ ________________________________ ________________________________ Post Code: ________________________ Telephone No. . Mobile No. Fax No. E-mail address Website CPH No. [where applicable] Additional Information e.g. Opening hours, specific biosecurity measures ____________________________________ ____________________________________ ____________________________________ Species of Animals Kept [delete where applicable] CATTLE/SHEEP/PIGS/POULTRY/OTHER Other: [give details] Medication to be used What mixing equipment is used Do you hold any other VMD approval(s)/authorisation(s) for this premises’? YES/NO If so, please provide the premises reference number 3 Section 3 Designated Persons [Responsible for Production] Title Dr/Mr/Mrs/Miss/Ms [delete where applicable] First Name(s) Surname Telephone No. . Mobile No. Title Dr/Mr/Mrs/Miss/Ms [delete where applicable] First Name(s) Surname Telephone No. . Mobile No. Section 4 Veterinary Practice Details Vet Name Practice Name ________________________________ ________________________________ ________________________________ Post Code: ________________________ Telephone No. Mobile No. Email address 4 Section 5 Declaration Please Note: A separate application form must be submitted for each premises’ for which approval is required. Declaration I confirm that I have read the requirements for approval as a manufacturer of Schedule 5 products under the current Veterinary Medicines Regulations, and hereby declare that the said premises, equipment and procedures meet the requirements [1] and are ready for inspection. On receipt of the application form a HACCP and documentation pack will be sent out for completion in time for the inspection Please note that once an application has been received and an approval inspection carried out, fees are not refundable Signed: Date: Print Name: Position in Company: The completed application form, along with cheque payment for appropriate fee (made payable to Veterinary Medicines Directorate), should be returned to: Accounts Payable Veterinary Medicines Directorate Woodham Lane New Haw ADDLESTONE Surrey KT15 3LS [If you wish to pay by bank transfer, the details are as follows: Bank: Citi Direct Account No: 12265923 Account Name: GBS – Re DEFRA-VMD] Sort Code: 08-33-00 The Veterinary Medicines Directorate will use the information you have compulsorily provided to fulfil its statutory functions, which includes publishing the premises address in the Register of Approved/ Registered Feedingstuffs Manufacturers & Distributors. Otherwise, the information will not be disclosed to third parties without your consent. The information held is subject to current data protection legislation. [1]The summary of requirements for premises approval and registration can be found in Guidance for manufacturers and suppliers of veterinary medicines for incorporation into animal feedingstuffs (previously VMGN 17) on the .GOV.UK website https://www.gov.uk/guidance/manufacturing-and-supplying-veterinary-medicines-foranimal-feed or by contacting the Inspections Administration Team on: +44 (0)1932 338475 or email inspections@vmd.defra.gsi.gov.uk. Farmers manufacturing feedingstuffs using veterinary medicinal products, or premixtures containing veterinary medicinal products or specified feed additives, should also read the attached checklist. 5 Checklist for farmers mixing animal feedingstuffs containing Controlled Products Controlled Products In this checklist, Controlled Products refer to: Veterinary Medicinal Products (VMPs) authorised for mixing into animal feed; Specified Feed Additives (SFAs) i.e. coccidiostats and growth promoters; and Premixtures containing VMPs or SFAs. Premises & Equipment Ensure that all parts of the premises and equipment used for mixing feeds, including associated storage areas, are: □ □ □ □ □ □ In a good state of repair. Clean and tidy. Free from spillages, old packaging and obsolete equipment. Protected from the entrance and harbouring of pests, vermin and domestic animals. Well lit, ventilated and dry. Suitable to accurately mix feeds and protect feeds from contamination. Personnel Ensure that: □ There is a designated person responsible for feed production. □ Staff are trained and knowledgeable in handling Controlled Products and mixing feeds. □ Appropriate staff facilities and personal protective equipment are available. Production Ensure that procedures are in place so: □ Feed materials are sourced from appropriate suppliers and measures are taken to minimise the risk from contaminants and prohibited/undesirable substances. □ Feeds are mixed according to written formulations and instructions aimed at minimising crosscontamination during mixing, storage and transport. □ Veterinary medicines are only used in accordance with a valid Medicated Feedingstuff (MFS) prescription. □ Other Controlled Products are only used ’as labelled’. □ Waste material not suitable for feed is isolated and identified for disposal. 6 Storage & Transport Ensure that: □ Controlled Products are stored in their original packaging and in a secure location. □ Storage areas for feed materials and mixed feed are suitable to prevent contamination and pest damage. □ All feed materials and mixed feeds are labelled or otherwise clearly identifiable. □ Mixed feeds are transported in suitable vehicles or containers, which are cleaned as necessary to prevent cross-contamination. Quality Control Ensure that a Quality Control plan is drawn up which includes: □ □ □ □ □ Keeping samples of mixed feeds. Testing the efficiency of the mixer (homogeneity test). Testing samples of mixed feed for Controlled Products and other substances. Testing mixed feed for cross-contamination (carryover) where there is a risk. Monitoring feed materials and mixed feeds for harmful organisms and deleterious substances. Record-keeping Ensure that appropriate records are kept of the following: □ □ □ □ □ Controlled Products and feed materials purchased. Feeds mixed and details of the Controlled Products used (including batch numbers). MFS prescriptions to cover purchase and use of VMPs and medicated premixtures. Documented Procedures for feed production. Quality Control results: o mixer efficiency (homogeneity) tests o carryover (cross-contamination) tests o calibration of weighing/measuring equipment o analysis of mixed feeds and feed materials □ Cleaning and maintenance of premises, storage areas and equipment. □ HACCP plan. □ All records are kept for 5 years. Further guidance is available from: The Inspections Administration Team VMD Woodham Lane New Haw ADDLESTONE Surrey KT15 3LS Tel: +44 (0)1932 338475 E-mail: inspections@vmd.defra.gsi.gov.uk VMD website: www.gov.uk 7