Home-based Microprocessor Scheduled Process Form

Please fill in the form to draft a scheduled process for approval. All fields must be filled.

Product Name

Date

Farm Name

Name of person responsible for product

Address

City/State/Zip

Telephone/Fax

Email

Ingredient/Descriptors/Measurement or Weight - List the item, a descriptor, and weight or measurement.

Example: Tomatoes; peeled, chopped; six pounds or 8 cups

List items

Describe (list) all steps necessary to make your product.

Procedure

Canner type

Dial gauge

Weighted gauge OR

Water bath canner

Jar type and size - please select all sizes you wish to process.

half-pints

pints

quart