Private Intake Page

Elusive Beauty Client Portal

Lash Adhesive Compliance Review Intake

Please complete this intake form to begin your Lash Adhesive Compliance Review. This submission helps gather the documentation, claims, and product details required to assess your adhesive from a compliance and product transparency perspective.

All information is handled confidentially. NDA requests are available upon request.

Section 1 — Company Information

Countries of Sale

□ Canada
□ USA
□ UK / EU
□ Other

Section 2 — Social Media + Online Presence

Section 3 — Product Identification

Lash Adhesive for Eyelash Extensions

Adhesive Classification

□ Ethyl Cyanoacrylate
□ Butyl Cyanoacrylate
□ Polyacrylate / “CA-Free”
□ Hybrid
□ Unknown

Product Color

□ Black (Carbon Black)
□ Clear
□ Other

Section 4 — Documentation Submission

Please provide the following if available:

□ Full INCI Ingredient List
□ Safety Data Sheet (SDS)
□ Product Label
□ Packaging Images
□ Technical Data Sheet
□ Manufacturer Information

Section 5 — Physical Product Submission

Are you sending a physical product as part of this review?

□ Yes
□ No

Section 6 — Label + Claims

Which of the following claims are currently being used?

□ Medical grade
□ Hypoallergenic
□ Formaldehyde-free
□ Sensitive
□ Low fume
□ Professional use only
□ Other

Section 7 — Manufacturing + Traceability

Do you have a batch / lot tracking system?

□ Yes    □ No    □ Unsure

Is an expiry date assigned to this product?

□ Yes    □ No    □ Unsure

Is the manufacturing date recorded?

□ Yes    □ No    □ Unsure

Do you have GMP documentation or evidence of manufacturing standards?

□ Yes    □ No    □ Unsure

Section 8 — Safety + Testing

Has this adhesive undergone stability testing?

□ Yes    □ No    □ Unsure

Has this adhesive undergone irritation or sensitization testing?

□ Yes    □ No    □ Unsure

Has this adhesive undergone fume or exposure assessment?

□ Yes    □ No    □ Unsure

Has this adhesive undergone performance or retention testing?

□ Yes    □ No    □ Unsure

Section 9 — Intended Use + Instructions

Section 10 — Compliance Goals

What are you hoping to gain from this review?

□ Full compliance validation
□ Ingredient safety review
□ Labeling and documentation audit
□ Claim verification
□ Risk identification
□ Preparation for market launch
□ Other

Section 11 — Confidentiality

Do you require a Non-Disclosure Agreement (NDA)?

□ Yes
□ No

Final Acknowledgment

I confirm that the information provided is accurate to the best of my knowledge. I understand that this review is based on submitted documentation, product access, and/or links provided for assessment.