Food additive submission checklist
Updated: October 2021
To facilitate the submission process, the checklist is available as a fillable PDF (Portable Document Format).
Please complete the PDF version of the checklist and include it as part of the submission package.
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A food additive submission checklist has been developed to assist petitioners as they assemble the components of a typical food additive submission. The checklist includes space for entering administrative information, such as, name, title, full address and other means of communication (telephone and e-mail address).
This electronically-available checklist does not replace the cover letter or any other required documents pertaining to the submission. It is an additional document summarizing both administrative and scientific/technical information that is meant to assist both the petitioner in the preparation of a submission as well as the Submission Management and Information Unit in verifying that the required information has been submitted. Although not a statutory requirement, it is requested that completed checklists be submitted with the submission and cover letter.
Food additive submission checklist
For use by Health Canada only:
Date of receipt
(DD/MM/YYYY)
Please complete the checklist electronically. Where appropriate, place checkmarks in the boxes to indicate the desired response. For submissions involving more than one food additive, please complete a separate submission checklist for each food additive.
We request that the completed checklist accompany the submission package. The package should be sent electronically through the Application Form for Pre-Market Submissions to the Food Directorate (Online Application Form) For additional information on submission preparation, please refer to A Guide for the Preparation of Submissions on Food Additives.
Type of food additive submission
Please place a checkmark in the appropriate box to indicate the nature of the submission:
- This is a submission for a new food additive, not approved for any use by Health Canada
- This is a submission requesting an extension of use to foods of an additive already approved by Health Canada for uses in other foods
- This is a submission requesting a change to the level of use in a food of an additive already approved for use by Health Canada
Petitioner information
Name of Petitioner (manufacturer, company, consultant, importer, etc.):
Full postal address (street, city, country, postal code):
E-mail:
Telephone No.: ()
Alternative name and address for correspondence:
Description of the submission
Title
Date of Submission
(DD/MM/YYYY)
Name of the Food Additive as commonly used (indicate also chemical, synonymous and trade names):
Chemical Identification of the substance (CAS No, Enzyme Commission No., other):
Is the food additive already listed in one of the lists of permitted food additives (published on Health Canada's website)?
- Yes
- No
- Do not know
If you answered positively to the previous question and were the petitioner of the previously approved submission, please list any current new studies or other elements not previously submitted with the earlier submission.
Is the food additive subject to the New Substances Notification Regulations (NSNR), and if yes, do you intend to notify under the NSNR? If you do not intend to notify, please provide a rationale:
Checklist of enclosed information and data pursuant to section B.16.002
- Cover letter
- Yes N/A
- Specifications, Chemistry (B.16.002 a)
- Yes N/A
- Intended Use, Proposed Levels of use (B.16.002 b)
- Yes N/A
- Analytical method of the food additive detection (B.16.002 c)
- Yes N/A
- Technological justification (B.16.002 d)
- Yes N/A
- Safety-related data (B.16.002 e)
- Exposure
- Yes N/A
- Toxicological Safety
- Yes N/A
- Microbiological Safety
- Yes N/A
- Nutritional Safety
- Yes N/A
- Exposure
- Amounts of the additive remaining in/on food if level of use consistent with GMP (B.16.002 f)
- Yes N/A
- Proposed maximum limit for residue of the food additive in /upon the finished (if different from B.16.002 b), B.16.002 g
- Yes N/A
- Proposed labelling (B.16.002 h)
- Yes N/A
A sample of the food additive (B.16.002 i)
This is not required at the time of providing your submission package but you should be prepared to provide a sample upon request.
If you check marked "N/A" for any items listed above, please provide a rationale for not providing that information.
Summary of the submission
Please succinctly summarize the components of this submission, including, for example; the food additive's technical function and its intended use; if the additive is part of a preparation that includes other ingredients, full identification of the components and their proportions must be provided; the proposed use levels in the food or food categories; the estimated exposure to (intake of) the food additive; if known, the status of the food additive in other countries or according to the international Codex Alimentarius, including any internationally-established Acceptable Daily Intake (ADI) and/or other toxicological reference values; the advantages the additive provides over approved additives that have the same technological function; and any other important information.
Contact information
If you have any questions, please send an e-mail to the Submission Management and Information Unit at smiu-ugdi@hc-sc.gc.ca.
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