Pre-Development Request Pre-Development Request Form Contact Your first and last name ? * Your first and last name ? First First Last Last Your LHS team ? * Marketing and Pre-Sales teamSales Representative teamLabo R&D BlagnacCDMORegulatory teamNRC MontréalScientific AffairsProduction PlantLallemand FoodOther Your LHS team ? Your email address ? * To whom would you like to send your request ? * Charline ALLONNEAU Patricia AMARAL Chloé SCHOENENBERGER Sarah COUREAU Sana BOUDJEMA Emilie Fabre Benjamin Calmejane Jinjin Gautier Josée-Anne Nantel Legault Emilie Joncas OrderLHS OtherOther (For the "OTHER" options - please enter email addresses separated by a , ) Nature of the Pre-Development Request Project name * Which type of request is it ? * ! Internal only ! - Transfer between plants (Strains, Ingredients) Samples for customer (In case of a new product project) Only laboratory R&D test(s) request (feasibility, compatibility...) Both samples and laboratory R&D test(s) for New product (feasibility, compatibility...) Show PDR Number and SR Number Who is the final customer ? * In which country the final product will be sold? * For which purpose samples will be used? * Do we have to wait for cost approval before production ? * Yes, wait for approval No, you can produce Non Applicable Additional comments Internal request - Samples specificationsPlease list below your needs : Strains, ingredients or products names * Strains, ingredients or products codes * Quantity required (e.g. 10x50g) * CFU desired * What you have in stockAround 200-400BAround 400-600BWrite your batch number desired CFU desired plus1 Add minus1 Remove (REMINDER : defaults quantities at our plants are 50g or 10kg) Select below which information are needed on the label : * Product name Product code (Harmonized for strains) Manufacture date Expiry date Batch number OtherOther Shipping address : * Labo Blagnac : 19 Rue des Briquetiers, 31702 Blagnac Cedex HA1 : 17975 Rue des Gouverneurs, Mirabel QC, J7J 2K7 HA2 : 12035 Rue Arthur-Sicard, Mirabel QC, J7J 0E9 14 Saint-Simon : 4, Chemin du bord de l'eau, 15130 Saint Simon NRC : 6100 Royalmount, Montreal QC, H4P 2R2 OtherOther Shipping conditions : * Room temperature Ice packs Custom clearance : * DAP (Delivered at Place)-The client pays customs fees DDP (Delivered Duty Paid)-LHS pays customs fees Does not apply to shipments in Europe or France What documents are required to clear customs? (Note: if we anticipate, the parcel will be dispatched more quickly) Commercial request - Samples specificationsWhat is the quantity required and the dosage form ? Product name to put on the label * Product code (only if existing) Dosage forms (below lab options) * Bulk powder (R&D fab)Sachets (R&D fab)Caps (R&D fab)Tablets (R&D fab)Other Dosage forms (below lab options) Quantity (e.g. 3x50g) * Packaging desired for sending Boxe(s)Laminated bag(s)Bottle(s)Other Packaging desired for sending plus1 Add minus1 Remove (REMINDER : If there is an existing product code - please check before the availability with the plant. If the product is available, please directly make a PO) Select below wich information are needed on the label : * Product Name Product code Manufacture date Expiry date Batch number OtherOther Customer shipping information Recipient (Contact Name) * Name of the company where delivery is to be made * Country where delivery is to be made * Customer's Address * Recipient's phone number * Recipient's email address * Shipping conditions * Room Temperature Ice packs Custom clearance * DDP (Delivered Duty Paid)-LHS pays customs fees DAP (Delivered at Place)-The client pays customs fees Does not apply to shipments in Europe or France List of the document required to clear customs & additional comments (country, risk of high temperature and impact on the product, key account...) Certificate of Analysis details Do you need a CFU count ? No Yes Do you need a COA for internal purpose ? No Yes Choose your COA : * Supplier COA & LHS QC COA LHS QC COA Do you need a COA ? No Yes Choose your COA : * Standard external lab COA (add one week delay) LHS QC COA (⚠ WARNING : add three more weeks minimum delay) Indicate any further analysis to be conducted Do you need the recommended Method Of Analysis ? (for the bacteriological count = CFU) No Yes R&D laboratory test request Type of R&D laboratory tests : * Powder characterization test (density, flowability...) R&D pilot production Organoleptic test Test of analytical methods Internal stability study on prototypes Compatibility test with other ingredient CFU count analysis OtherOther For which purpose do you want to do these tests? Attachments and confirmation Please attach at least one copy of the requested formula. If possible the Costing Tool / the quote. Excel, JPEG, PDF, Word allowed. Add document Drop a file here or click to upload Choose File Maximum file size: 33.55MB Thanks for adding the Maestro link if available : 1st formula Thanks for adding the Maestro link if available : 2nd formula if necessary PDR Number Not editable SR Number Not editable Send the request If you are human, leave this field blank.