Editable template · MySafeMenu 3.2.7

Select a shaded field to edit it. Verify every declaration before using the menu. Then print or save as PDF. Edits are not retained in this file; keep the underlying ingredient records separately.

[Restaurant name]

[Location] · Reviewed [date]

This is an example, not a verified menu. Replace and verify every declaration before use.

Grilled chicken sandwich

Grilled chicken, lettuce and tomato on a buttered bun.

Contains:MilkWheat
May contain:Sesame

Shared preparation equipment.

[Next dish and variation]

[Description including sides, sauce, and garnish]

Not yet verified: [Name each unresolved allergen]

Allergen icon appendix

Milk
Egg
Fish
Crustacean shellfish
Tree nuts
Peanut
Wheat
Soy
Sesame

Apply the layout

Keep Contains and May contain separate. If applicable, name fish species, crustaceans, and individual tree nuts in the description. Include the labeled appendix at the end of the menu.

You may place Contains icons beside the item name without a Contains label. Keep May contain below the description in either layout.

Print at 100% scale: icons at least 6 mm, declaration text at least 12 pt, and 1 mm between declaration rows. For black-and-white printing, use grayscale icons and keep the labeled appendix.

Contains public sector information licensed under the Open Government Licence v3.0. Allergen artwork: Food Standards Agency, Crown copyright. https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

MySafeMenu Menu Standard 3.2.7 · September 22, 2026. Standard for presenting the nine major US food allergens on menus. Commercial use of the templates and specifications is permitted; see the artwork license for icon terms. mysafemenu.com