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Non-Medicinal Ingredients Labelling Attestation Letter Template
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[Instructions: 1) Please use the format provided in this letter; 2) please reproduce one letter for product(s) attested for using your company's letterhead]
Date : yyyy-mm-dd
Subject: Non-Medicinal Ingredient Labelling for (Product Name)
I, the undersigned, attest that the labelling of the non-medicinal ingredients listed on the outer label of products listed in the table below and marketed by (Company Name) meets:
- The current regulatory requirements in provision C.01.004 of the Food and Drug Regulations and;
- The emerging regulatory requirement stipulated in Canada Gazette II, published on May 26, 2010 Vol. 144, No. 11 (Registration SOR/2010-105 May 13, 2010).
Company Name:
This attestation is applicable to the following products (please add additional rows as necessary):
| Product Name | Drug Identification Number (DIN) | Effective Date of Compliance | OR Expected Date of Compliance |
|---|---|---|---|
| XYZ | 1 2 3 4 5 6 7 8 | yyyy-mm-dd | yyyy-mm-dd |
Name of the responsible officer of the Company certifying the accuracy of this document [Signature]
