Request Form for Product Labels: All Countries

Products and Services

Request Form for Product Labels: All Countries

Please complete this form to request product labels. Fill in as much information as you have. We will confirm receipt of your request and commit to a delivery date within 24 hours. If you have questions, please send to functional mailbox fmdaid1@dow.com. Thank you.

Label Type

What type of label are you looking for?

What is the label form number (usually on the back)?

Label Data Input

What is the Product Name (if known)?

What is the GMID (if known)?

What is the Level 70 or Trade Product Code (if known)?

What is the Batch or Lot number (if applicable)?

What is the Net Weight (if applicable)?

What is the Gross Weight (if applicable)?

What is the Unit of Measure (if applicable)?

What is the Country of Origin (what country was the product made in)?

What is the Expiration Date (if applicable)?

Label Language

What country is the product destined for?

If label is for a European country - choose either a 3 language or 6 language label (if known):

Which 3 countries on the label?

Which 6 countries on the label?

Other

Label Size

What label size are you looking for?

Label - Other Considerations

List any other considerations required for the label (i.e. color of the tag, etc.)?

Distributor Information (if applicable)

What is the Distributor name?

What is the Distributor address?

What is the Distributor phone number?

(Include Country/Area Code)

Sales Organization (i.e. selling company if not Dow Chemical):

Label Requestor Information

Label requestor name?

Site or Outplant Location?

Email Address?^‡

Phone Number?

(Include Country/Area Code)

Date of Request?

Date labels needed?

Dow Cost Center (CC, PC, Cost Center)?

Dow Shipment Number?

Dow CSR or Zone Outplant Specialist?

Label Delivery

How do you want your label(s) delivered (i.e. emailed, by delivery vehicle, other)?

Printer Information (if requesting an electronic copy of the label):

What type of printer will be used (if applicable)?

Physical Label Delivery Information - we use FedEx (if requesting physical copy of the label):

Quantity of labels desired?

Need Date?

Ship to information:

Company Name:

Contact Name:

Contact Phone Number:

(Include Country/Area Code)

Address 1:

Address 2:

City

State/Province

Zip Code/Postal Code

Country

^‡ Required Field