Chipotle: Supplier Request Form

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BECOMING A SUPPLIER

(Step 1 of 2)

If you have meat, vegetables or other ingredients and products that you would like to supply Chipotle, please review the criteria on this page and provide your information through the link below.

We will answer you with many thanks and send along your information to our purchasing team. Keep in mind that we have a certain set of ingredients on our menus and we may not be looking for additional suppliers at this point in time. We will however keep all of your information on hand as our needs grow in the future.

General Needs

Meat

Naturally Raised Beef, Chicken and Pork (certain cuts)

Dairy

Cheese and Sour Cream

Produce, Beans & Rice

Avocados, Beans (Black & Pinto), Bell Peppers, Cilantro, Jalapenos, Limes, Lemons, Red Onions, Rice (White & Brown), Romaine Lettuce, Tomatoes

Beverages

Paper & Packaging

Other Food Ingredients

Requirements

	Ability to follow the guidelines of our Food With Integrity program, which includes our requirements and goals for food safety, animal welfare, sustainability and social accountability
	Willingness to provide detailed information about the practices on your farm or ranch, and the practices in your production facilities
	Currently using processing facilities that have been registered and inspected by the USDA or FDA, and that have been inspected or certified for food safety by an accredited 3rd party (or the willingness and ability to switch to such a facility)
	Produce growers should also maintain a written food safety program that includes Good Management Practices (GMPs) or Good Agricultural Practices (GAPs), as well as a current GMP or GAP audit with a passing score
	Willingness to host periodic visits by our team to see your practices and facilities first hand
	Eagerness to improve your practices year over year

I have read the above guidelines and my product(s) meet the criteria.

Supplier Type

	Meat			Dairy
	Produce, Beans & Rice			Beverages
	Paper & Packaging			Other Food Ingredients

First Name*

Last Name*

Company Name*

Email Address*

Office Phone*

Mobile Phone

Country

Physical Address*

(of primary facility)

Address 2

City*

State/Province*

Postal Code*

Website

Before You Continue We want to let you know that our natural meat program is based on the following core criteria: No antibiotics No growth hormones 100% vegetarian feed Humane handling
Items you wish to supply (select all that apply)	BeefChickenPork
Are you an independent producer or grower?
Are you a processor, aggregator, co-op, alliance or branded program?
If your organization is not one of those types listed in the questions above, please describe your organization
If you are an independent producer or grower, are you associated with a specific processor, aggregator, co-op, alliance or branding program?
If yes, please list the name of the group(s)
If no, would you like our assistance in directing you to a branded program or aggregator currently working with Chipotle?
How many head do you or your group raise annually, on average?*
How many head per week do you harvest, on average?
When will your product first be available to Chipotle?*
Please list your current processing facilities (include city)*
Is your processing facility USDA inspected and 3rd party certified for food safety?
Are your animals predominantly grass fed, pasture raised or free range?
If yes, please describe

Items you wish to supply (select all that apply)	CheeseSour Cream
Are you an independent farmer or producer?
If you are an independent farmer or producer are you associated with a specific processor, co-op, or branding program?
If yes, please list the name of the group(s)
Are you a processor, aggregator, co-op, or branding program?
Are you currently producing 40 lb. blocks of White Cheddar or Monterey Jack cheese?
Are you currently producing sour cream?
If yes for either of the above, what is your weekly production capacity for each of these items, in pounds?
When will your product first be available to Chipotle?*
Please list your current processing facilities (include city)*
Are your facilities USDA inspected and 3rd party certified for food safety?

Are you an independent grower?
If you are an independent grower are you associated with a specific processor, packing house, co-op, or alliance?
If yes, please list the name of the group(s)
Are you a processor, packing house, co-op, or alliance?
If yes, how many growers will you routinely have access to in order to supply Chipotle?
Are your products organic?
If organic, are your products "USDA Certified" organic?
If organic, please provide the name of the certifying agency
How many pounds of produce, beans or rice are you able to provide to Chipotle?*
When will your product first be available to Chipotle?*
Please list your current processing and packing facilities, if any (include city)*

Items you wish to supply (list all that apply)*
Are you an independent producer or manufacturer?
If part of a larger company or corporation, please provide the name
How much of your product are you able to provide to Chipotle?*
When will your product first be available to Chipotle?*

Items you wish to supply (list all that apply)*
Are you a company-employed representative or an outside broker?
Is the company an independent manufacturer?
If part of a larger company or corporation, please provide the name
Does the company own its production or manufacturing facilities?
Please list the locations of the manufacturing facilities (include city and country)*
When will your product first be available to Chipotle?*
Has your paper or packaging been created from materials sourced from sustainable resources, or have your products been certified sustainable in any fashion?
If yes, please describe the source of the materials or the certification received

Items you wish to supply (list all that apply)*
Are you and independent producer, grower or manufacturer?
If part of a larger company or corporation, please provide the name
How much of your product are you able to provide to Chipotle?*
When will your product first be available to Chipotle?*

Please provide a brief description of your farm or facility, and why you feel you are a good fit for Chipotle and our Food With Integrity program*

Upload

Please feel free to upload any supporting documentation or marketing materials (5 MB limit)

Verification*

When complete, please type the characters from the image into the box below, and press submit.

NUTRITION QUESTIONS?

ALLERGY OR SPECIAL DIET NEEDS?

TALK TO US

FAQ

EMAIL US

GENERAL COMMENTS& QUESTIONS

FUNDRAISERS &DONATIONS

BECOMING ASUPPLIER

REAL ESTATEDEVELOPMENT

BECOMING A SUPPLIER

GENERAL COMMENTS
& QUESTIONS

FUNDRAISERS &
DONATIONS

BECOMING A
SUPPLIER

REAL ESTATE
DEVELOPMENT