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Sample company (fictional) · Allergen Sign-OffDraft generated Oct 30, 2026

Allergen matrix

Sep 30, 2026

Record

CompanySample company (fictional)
TradeAllergen Sign-Off
Sign-offSep 30, 2026

Location

NameAvery Lund
Address120 Foundry Rd, Springfield
Location44.05, -123.09

Dish

DishMenu sectionOn the menuMajor allergens in the dishWhich fish, shellfish or nutsShared fryer, grill or board with
Avery LundMenu section 1On the menuMilkWhich fish, shellfish or nuts 1Milk
Jordan PikeMenu section 2SpecialMilkWhich fish, shellfish or nuts 2Milk
Sam OkaforMenu section 3Off the menuMilkWhich fish, shellfish or nuts 3Milk
Riley MorenoMenu section 4On the menuMilkWhich fish, shellfish or nuts 4Milk
Casey BrandtMenu section 5SpecialMilkWhich fish, shellfish or nuts 5Milk
Morgan TateMenu section 6Off the menuMilkWhich fish, shellfish or nuts 6Milk
Quinn HalvorsenMenu section 7On the menuMilkWhich fish, shellfish or nuts 7Milk
Drew CastellanMenu section 8SpecialMilkWhich fish, shellfish or nuts 8Milk
Avery LundMenu section 9Off the menuMilkWhich fish, shellfish or nuts 9Milk
Jordan PikeMenu section 10On the menuMilkWhich fish, shellfish or nuts 10Milk
Sam OkaforMenu section 11SpecialMilkWhich fish, shellfish or nuts 11Milk
Riley MorenoMenu section 12Off the menuMilkWhich fish, shellfish or nuts 12Milk
Casey BrandtMenu section 13On the menuMilkWhich fish, shellfish or nuts 13Milk
Morgan TateMenu section 14SpecialMilkWhich fish, shellfish or nuts 14Milk
Quinn HalvorsenMenu section 15Off the menuMilkWhich fish, shellfish or nuts 15Milk
Drew CastellanMenu section 16On the menuMilkWhich fish, shellfish or nuts 16Milk
Avery LundMenu section 17SpecialMilkWhich fish, shellfish or nuts 17Milk
Jordan PikeMenu section 18Off the menuMilkWhich fish, shellfish or nuts 18Milk
Sam OkaforMenu section 19On the menuMilkWhich fish, shellfish or nuts 19Milk
Riley MorenoMenu section 20SpecialMilkWhich fish, shellfish or nuts 20Milk
Casey BrandtMenu section 21Off the menuMilkWhich fish, shellfish or nuts 21Milk
Morgan TateMenu section 22On the menuMilkWhich fish, shellfish or nuts 22Milk
Quinn HalvorsenMenu section 23SpecialMilkWhich fish, shellfish or nuts 23Milk
Drew CastellanMenu section 24Off the menuMilkWhich fish, shellfish or nuts 24Milk
Avery LundMenu section 25On the menuMilkWhich fish, shellfish or nuts 25Milk
Jordan PikeMenu section 26SpecialMilkWhich fish, shellfish or nuts 26Milk
Sam OkaforMenu section 27Off the menuMilkWhich fish, shellfish or nuts 27Milk
Riley MorenoMenu section 28On the menuMilkWhich fish, shellfish or nuts 28Milk
Casey BrandtMenu section 29SpecialMilkWhich fish, shellfish or nuts 29Milk
Morgan TateMenu section 30Off the menuMilkWhich fish, shellfish or nuts 30Milk
Quinn HalvorsenMenu section 31On the menuMilkWhich fish, shellfish or nuts 31Milk
Drew CastellanMenu section 32SpecialMilkWhich fish, shellfish or nuts 32Milk
Avery LundMenu section 33Off the menuMilkWhich fish, shellfish or nuts 33Milk
Jordan PikeMenu section 34On the menuMilkWhich fish, shellfish or nuts 34Milk
Sam OkaforMenu section 35SpecialMilkWhich fish, shellfish or nuts 35Milk
Riley MorenoMenu section 36Off the menuMilkWhich fish, shellfish or nuts 36Milk
Casey BrandtMenu section 37On the menuMilkWhich fish, shellfish or nuts 37Milk
Morgan TateMenu section 38SpecialMilkWhich fish, shellfish or nuts 38Milk
Quinn HalvorsenMenu section 39Off the menuMilkWhich fish, shellfish or nuts 39Milk
Drew CastellanMenu section 40On the menuMilkWhich fish, shellfish or nuts 40Milk

Rules this record is kept under

In Illinois, the permit holder tells consumers in writing which major food allergens are in unpackaged food it serves.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
For reference
Illinois accepts a menu notation, table tent, placard, brochure, label, deli case notice or QR code as written notice.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
For reference
In Illinois a QR code counts as written notice; the FAQ suggests physical copies for guests who ask.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
For reference
In Illinois, depending on the method, dishes with major allergens can be listed together, as in one allergen chart.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
For reference
A dish on the menu needs a notice method. Illinois requires written notice for menu items with any of the nine.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
Warned at save
A special needs a notice method too. In Illinois, specials use the same written notice as regular menu items.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
Warned at save
A dish marked as needing no notice cannot list any of the nine major allergens.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
Warned at save
Federal law names nine major food allergens: milk, eggs, fish, crustacean shellfish, tree nuts, wheat, peanuts, soybeans and sesame.
21 U.S.C. 321(qq) major food allergen (Cornell LII) (https://www.law.cornell.edu/uscode/text/21/321), checked 2026-10-29
For reference
A highly refined oil made from one of the nine is not a major food allergen. Record the oil's source in the notes anyway.
Illinois Department of Public Health, allergen requirements FAQ (https://dph.illinois.gov/topics-services/food-safety/retail-food/allergen-requirements-faq.html), checked 2026-10-29
For reference