Visit Request Form

Request a Visit

This form may be submitted by persons who wish to request a local visit from the USDA Food Safety Discovery Zone .

Submission of this form is NOT a guarantee of availability and does not commit USDA to attending the event.

After you submit this form, a member of the FSIS Food Safety Education Staff will contact you for further information. Fields marked with an * are required.
If you are outside the continental United States, send an email to foodsafetymobile@fsis.usda.gov rather than submitting this form.
Email questions to foodsafetymobile@fsis.usda.gov, or call (301) 344-4755.


Requestor Information

Name*
Organization*
Title
Address*
Address
City*
State*

Zip*
Phone Number*
Fax Number
Email Address*
Confirm Email Address*

Event Information

Start Date of Event
End Date of Event
Time of Event
Name of Event
Location of Event*
Description of Event*	</label> </td></tr><tr><td rowspan="1" height="5" colspan="1"></tr><tr><td rowspan="1" align="left" width="107" height="28" class="BodyTextBlack" colspan="1">How Did You Hear About the Mobile?</td><td rowspan="1" height="22" class="BodyTextBlack" colspan="1"> <label> <textarea cols="30" rows="3" name="howdidyouhear" tabindex="18"> </label> </td></tr><tr><td rowspan="1" height="5" colspan="1"></tr><tr><td rowspan="1" align="left" width="107" height="28" class="BodyTextBlack" colspan="1">Comments & Questions</td><td rowspan="1" height="22" class="BodyTextBlack" colspan="1"> <label> <textarea cols="30" rows="3" name="comments" tabindex="19"> </label> </td></tr><tr><td rowspan="1" height="5" colspan="1"></tr><tr><td rowspan="1" align="center" height="28" class="BodyTextBlack" colspan="1"> </td><td rowspan="1" align="center" height="28" class="BodyTextBlack" colspan="1"> <table cellspacing="0" width="110" border="0" cellpadding="0"><tr><td rowspan="1" align="center" width="70" colspan="1" valign="top"> <input value="Submit" src="/wps/wcm/myconnect/2d93a1a0-1202-4db2-a6a8-dcdc84f021ab/button-cancel-11.gif?MOD=AJPERES&CACHEID=2d93a1a0-1202-4db2-a6a8-dcdc84f021ab" alt="Submit" type="image" border="0"> </td><td rowspan="1" colspan="1"> <form method="get" enctype="application/x-www-form-urlencoded" name="extranet"> <a shape="rect" href="java%20script:document.extranet.reset();%20return%20false"> <input value="Reset" src="/wps/wcm/myconnect/388ad278-19aa-4f7f-9088-12408e09289d/button-clear.gif?MOD=AJPERES&CACHEID=388ad278-19aa-4f7f-9088-12408e09289d" alt="Reset" type="image" border="0"> </a> </form> </td></tr></table> </td></tr></table> </td></tr><!-- OMB Statement --><tr><td rowspan="1" class="BodyTextBlack" colspan="1"> <br clear="none"> <strong>OMB Control Number.</strong> According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. 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id="componentActionMenuTemplate" class="wpthemeMenu" data-positioning-handler="verticallyCenteredRightHand"> <div class="wpthemeMenuBorder"> <!-- define the menu item template inside the "ul" element. only "css-class", "description", and "title" are handled by the theme's sample javascript. --> <ul class="wpthemeMenuDropDown wpthemeTemplateMenu" role="menu"> <li class="${css-class}" role="menuitem" tabindex="-1"><span class="wpthemeMenuText">${title}</span></li> </ul> <div class="verticalMenuPointer pointer"></div> </div> <!-- Template for loading --> <div class="wpthemeMenuLoading wpthemeTemplateLoading">${loading}</div> <!-- Template for submenu --> <div class="wpthemeAnchorSubmenu wpthemeTemplateSubmenu"> <div class="wpthemeMenuBorder wpthemeMenuSubmenu"> <ul id="${submenu-id}" class="wpthemeMenuDropDown" role="menu"> <li role="menuitem" tabindex="-1"></li> </ul> </div> </div> </span><span id="inlineEditMenuTemplate" class="wpthemeMenu lotusui30" data-positioning-handler="horizontallyCenteredBelow"> <div> <ul role="menu" class="wpthemeMenuInlineList wpthemeTemplateMenu"> <li tabindex="-1" role="menuitem" class="${css-class}"><span class="wpthemeMenuText">${title}</span></li> </ul> <div class="horizontalMenuPointer pointer"></div> </div> <div class="wpthemeMenuLoading wpthemeTemplateLoading">${loading}</div> </span> <div class="iw-iWidget mumHiddenWidget iw-Standalone" id="newPage"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/NewPageDialog.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"></a> <span class="iw-ItemSet" title="attributes"> <a class="iw-Item" href="#controller">ibmCfg.controllers.navigation</a> <a class="iw-Item" href="#showFriendlyURL">true</a> <a class="iw-Item" href="#showMakePrivate">true</a> <a class="iw-Item" href="#showPageTemplate">true</a> </span> </div> <div class="iw-iWidget mumHiddenWidget iw-Standalone" lazyLoad="true" id="sharePage"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/accessControl.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"></a> </div> <div class="iw-iWidget mumHiddenWidget iw-Standalone" lazyLoad="true" id="viewMorePage"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/viewMorePage.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"></a> </div> <div class="iw-iWidget iw-Standalone" id="sharedPagesDialogDisplayer"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/displayHelper.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"> </a> <span class="iw-ItemSet" title="attributes"> <a class="iw-Item" href="#sharePage">sharePage</a> <a class="iw-Item" href="#viewMorePage">viewMorePage</a> </span> </div> <div class="iw-iWidget mumHiddenWidget iw-Standalone" id="templateSelect"> <a class="iw-Definition" href="/wps/themeModules/modules/pagebuilder/xml/TemplateSelectDialog.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"></a> <span class="iw-ItemSet" title="attributes"> <a class="iw-Item" href="#controller">ibmCfg.controllers.navigation</a> </span> </div> <div class="iw-iWidget mumHiddenWidget iw-Standalone" lazyLoad="true" id="reorderPage"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/reorderPageWidget.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"></a> </div> <div class="iw-iWidget iw-Standalone" id="movePagesDialogDisplayer"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/displayHelper.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"> </a> <span class="iw-ItemSet" title="attributes"> <a class="iw-Item" href="#reorderPage">reorderPage</a> </span> </div> <div class="iw-iWidget iw-Standalone" id="theme-toolbar-widget"> <a class="iw-Definition" href="/wps/themeModules/modules/pagebuilder/xml/universalToolbar.xml"></a> <span class="iw-ItemSet" title="attributes"> <a class="iw-Item" href="#rootID">theme-toolbar</a> <a class="iw-Item" href="#shelfRootID">utb-shelf</a> </span> </div> <div class="iw-iWidget mumHiddenWidget iw-Standalone" lazyLoad="true" id="wireInterface"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/wireInterfaceWithSettings.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"></a> <span class="iw-ItemSet" title="attributes"> <a class="iw-Item" href="#displaySettings">true</a> <a class="iw-Item" href="#displayPortletsAndWidgetsWarningMessage">true</a> </span> </div> <div class="iw-iWidget mumHiddenWidget iw-Standalone" id="autoWiringManager"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/autoWiringManager.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"></a> </div> <div class="iw-iWidget iw-Standalone" id="wiringDialogDisplayer"> <a class="iw-Definition" href="/wps/mccbuilder.v3001/widget-catalog/displayHelper.xml?pragma=cache&max-age=1209600&cache-scope=public&vary=none&user-context=false"> </a> <span class="iw-ItemSet" title="attributes"> <a class="iw-Item" href="#wireInterface">wireInterface</a> <a class="iw-Item" href="#autoWiringManager">autoWiringManager</a> </span> </div></div> <script> $(document).foundation(); $("#navButtonMobile").bind('click', function () { $('#mobile-SideContent').removeClass('navHiddenInitially'); $('#mobile-SideContent').toggleClass('navHidden').toggleClass('navVisible'); $('#mainDisabledOverlay').toggleClass('overlayIsHidden').toggleClass('overlayIsVisible'); $('#mainContent').toggleClass('mainShrunk').toggleClass('mainExpanded'); $('#mobile-HeaderSearchBarContainer').toggleClass('hidden') }); </script> <script type="text/javascript" src="/foresee/foresee-trigger.js"></script> <script> //external site in a new window $(document).ready(function(){ hostname = new RegExp(location.host); // Act on each link $('a',$('#layoutContainers')).each(function(){ // Store current link's url var url = $(this).attr("href"); if(url != undefined){ //Test if current link is a document, add target '_blank' if(url.slice(url.length -3, url.length) == "pdf" \|\| url.slice(url.length -3, url.length) == "xlsx" \|\| url.slice(url.length -3, url.length) == "doc" \|\| url.slice(url.length -3, url.length) == "ppt" \|\| url.slice(url.length -4, url.length) == "xlsx" \|\| url.slice(url.length -4, url.length) == "docx" \|\| url.toLowerCase().indexOf(".pdf") >=0 ) { $(this).attr('target','_blank'); } // Test if current host (domain) is in it if(hostname.test(url)){ //local do nothing } else if(url.slice(0, 1) == "?" \|\| url.slice(0, 1) == "/" \|\| url.slice(0, 1) == "#" \|\| url.slice(0, 11) == "http://fsis" \|\| url.slice(0, 15) == "http://www.fsis"){ //portal local } else if(url.slice(0, 4) == "http"){ // a link that does not contain the current host if($(this).find('img').length == 0){ if($(this).attr("class") !="footerLink") { $(this).addClass('external'); } } $(this).attr('target','_blank'); } } }); }); </script> </body> </html>

FSIS

Food Safety and Inspection Service

United States Department of Agriculture

Web Content Viewer (JSR 286)

Web Content Viewer (JSR 286)

Web Content Viewer (JSR 286)

Web Content Viewer (JSR 286)

Web Content Viewer (JSR 286)

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