Lehigh Valley Kashrut Commission
New Procedure / Ingredient / Equipment Request Form
PLEASE FILL OUT A SEPERATE FORM FOR EACH
NEW PROCEDURE/INGREDIENT/EQUIPMENT
Name of Business Requesting New Procedure / Ingredient / Equipment:
Please Select
JDS - Jewish Day School of the Lehigh Valley
Carvel Ice Cream
Giant @ Tilghman St. & Cedar Crest Blvd.
JCC of the Lehigh Valley
Manhattan Bagel
Menchies
Rita's Italian Ices
Weis Markets @ Cedar Crest Blvd. & Rt. 22
Person filling out Form:
E-mail Address:
NEW ITEM: (Please Choose One From the List Below, and then fill out the appropriate Section)
PRCEDURE - SECTION 1
INGREDIENT - SECTION 2
EQUIPMENT - SECTION 3
NEW PROCEDURE - SECTION 1
Please Describe the New Procedure you would like to include:
NEW INGREDIENT - SECTION 2
Name of New Ingredient:
Description of Ingredient:
Brand Name of Product:
Name of Manufacturing Company:
Kosher Certification & Kosher Identification Number:
Product New Ingredient is to be used in:
NEW EQUIPMENT - SECTION 3
New Equipment Name:
Description of New Equipment:
Please Describe Use for the Equipment:
Is Equipment going to be used for Ingredients that are Hot, Cold, or Both?
Hot
Cold
Both Hot & Cold
Submit
Should be Empty: