Please fill out the below section if the contact person is a different person than the facility Owner / Operator. If the contact person is the same, leave this section blank.

You must provide information on the products you wish to list. Use the worksheet below. Download and fill in with your product information.

By submitting this information to Garg Law, LLC I certify that I am authorized to submit this information to Garg Law, LLC on behalf of the above-named cosmetic product(s); and that the data and information in this submission have been reviewed and, to the best of my knowledge, are certified to be true and accurate. I understand that the submission of any report that is false or misleading in any material respect is a violation of Section 301(q)(2), (21 U.S.C. 331(q)(2)) and may be a violation of 18 U.S.C 1001. I further agree and understand that Garg Law, LLC will not be responsible for submitting this registration and listing information to the U.S. Food and Drug Administration (FDA) unless and until full payment for this service is received by them, such that if payment is not transmitted within fifteen (15) days of the submission of this information, Garg Law, LLC may dispose of this information at its sole discretion. I also certify that I have read and accepted Garg Law, LLC’s the Terms and Conditions of Service.