Assured Audits NZ Verification Services Enquiry

Please complete the below to enable us to create a verification proposal for you.

Date of enquiry*

Name of Business Owner*

Contact Person*

Please state the FIRST and LAST name of the contact person

Contact persons position in the business*

Company Legal Name*

Trading Name

Number of staff (Including Owner/s)*

PHYSICAL Address*

This is the site/premises address of your food business. If you trade at a market, this will be your home address or shared kitchen address. If you are a manufacturer this is where food products are made. If you store and distribute food this is the location of where the food is stored.

PHYSICAL Address Post Code*

POSTAL Address*

Email*

Mobile*

Name/Position and email for invoicing*

Business Location - I operate my business from:*

Home

Commercial Premises

Process Type*

ONLY Check those that apply

Food Importer - Import food products/ingredients

Manufacturer/Processor - Make food/beverages

Foodservice e.g. caterer, takeaway, home delivery, eat in premises (cafe/restaurant), service station

Storage and/or transport (warehouse/distribution)

Growing and packing (e.g. vegetables, sprouts, nuts)

Mobile Business (e.g. food truck, coffee cart, market stall)

Export

Other - PLEASE PROVIDE FURTHER INFORMATION BELOW

Other Processes/Business Type

Food and Beverage products made/sold*

Details of what food/beverage products your business makes and/or sells . Include products made by you and/or products that you sell that are made by other businesses.

Food Act Registration

Are you requesting a change in verification agency (to Assured Audits)*

By selecting YES you are indicating that your business has already been verified by a verification agency and this enquiry is for CHANGING verification agencies.

Yes

Are you applying for a multisite registration?*

Yes

Type of Programme

Please select only ONE programme you will be registering under, or if you are unsure please select the 'Unsure of the programme you need' box.

Programme Type 1. Custom Food Control Plan (FCP) or MPI My Food Plan. ONLY select this option if this programme type is relevant to your business otherwise select N/A.

N/A

Custom FCP

My Food Plan

OR

Programme Type 2. National Programme. ONLY select this option if this programme type is relevant to your business otherwise select N/A.

N/A

National Programme 1

National Programme 2

National Programme 3

OR

Programme Type 3. Template FCP. ONLY select this option if this programme type is relevant to your business otherwise select N/A.

Unsure of the programme you need?

If you are not sure what type of programme you need to register under please check the box below and we will call you to discuss further

Thank you for your details.

We will contact you soon with a verification proposal or if we require any further details.

Privacy Statement

We collect personal information from you, including information about your business name and contact information, interactions with us, and billing information. We collect your personal information in order to provide food safety and regulatory services. Besides our staff and affiliated contractors, we may share this information with debt collection agencies (if required). For regulatory evaluation or verification services we may share this information with the relevant Registration Authority (MPI, Council), as required under the Food Act 2014. We keep your information safe by using password protected software, and only allowing certain staff to access it. If you choose not to provide the requested information, we may not be able to offer our services. You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us directly - phone 09 846 8492 or shane@assuredaudits.co.nz.

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