Sample Product Formulation Statement (Product Analysis) For Meat/meat Alternate (M/ma) Products
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2Sample Product Formulation Statement (Product Analysis) for Meat/Meat Alternate (M/MA)
Products
Child Nutrition Program operators should include a copy of the label from the purchased product carton
in addition to the following information on letterhead signed by an official company representative.
Product Name:____________________________________ Code No.:_______________
Manufacturer:____________________________Case/Pack/Count/Portion/Size:________
I. Meat/Meat Alternate
Please fill out the chart below to determine the creditable amount of Meat/Meat Alternate
Description of Creditable
Ounces per Raw
Multiply
FBG Yield/
Creditable
Ingredients per
Portion of Creditable
Servings
Amount *
Food Buying Guide (FBG)
Ingredient
Per Unit
X
X
X
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A. Total Creditable M/MA Amount
*Creditable Amount - Multiply ounces per raw portion of creditable ingredient by the FBG Yield Information.
II. Alternate Protein Product (APP)
If the product contains APP, please fill out the chart below to determine the creditable amount of APP. If
APP is used, you must provide documentation as described in Attachment A for each APP used.
Description of APP,
Ounces
Multiply
% of
Divide by
Creditable
manufacture’s name,
Dry APP
Protein
18**
Amount
and code number
Per Portion
As-Is*
APP***
X
÷ by 18
X
÷ by 18
X
÷ by 18
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B. Total Creditable APP Amount
C. TOTAL CREDITABLE AMOUNT (A + B rounded down to
nearest ¼ oz)
*Percent of Protein As-Is is provided on the attached APP documentation.
**18 is the percent of protein when fully hydrated.
***Creditable amount of APP equals ounces of Dry APP multiplied by the percent of protein as-is divided by 18.
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Total Creditable Amount must be rounded down to the nearest 0.25oz (1.49 would round down to 1.25 oz meat
equivalent). Do not round up. If you are crediting M/MA and APP, you do not need to round down in box A (Total
Creditable M/MA Amount) until after you have added the Total Creditable APP Amount from box B to box C.
Total weight (per portion) of product as purchased ____________________________
Total creditable amount of product (per portion) _____________________________
(Reminder: Total creditable amount cannot count for more than the total weight of product.)
I certify that the above information is true and correct and that a _____ ounce serving of the above
product (ready for serving) contains _____ ounces of equivalent meat/meat alternate when prepared
according to directions.
I further certify that any APP used in the product conforms to the Food and Nutrition Service Regulations
(7 CFR Parts 210, 220, 225, 226, Appendix A) as demonstrated by the attached supplier documentation.
_________________________________________
______________________________
Signature
Title
_________________________________________
_______________ ____________
Printed Name
Date
Phone Number
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