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Certification and Testing Application Form
* required fields
1. Type of Product:
2. Company Name:
Address:
Telephone No:
Fax No:
Contact Name:
Email Address:
Hours of Operation:
3. Plant Facility:
4. Standard Required:
Section:
Date Published:
5. Please describe the equipment/products to be Certified:
6.a) For products certified by organizations other than CSA International, please indicate certification organization:
b) Is the full test data available to submit to CSA International for review? Yes No
7. Once this Form has been submitted, a certification specialist will contact you to help you complete the PMI form.
If you prefer to send a printed copy of this form to the CSA International office in Arnhem, the Netherlands, the mailing address and fax number are as follows:
CSA International Utrechtseweg 310, 6812 AR Arnhem P.O. Box 1142, 6801 BC Arnhem the Netherlands
Tel: +31 (0) 26 356 2856 Fax: +31 (0) 26 445 3033 Email: csa.Europe@csa-international.org
8. I agree to provide CSA with all pertinent documentation required to accurately access the Product for certification. I understand that in order for my products to become CSA certified and bear the CSA Mark, I will be required to sign a CSA Product Service Agreement. I will also inform CSA if any changes occur in the manufacturing of the product during and after the certification process.
Purpose of Collection: The information collected in this online form will be used for the purpose of gathering the necessary information to evaluate your Certification and Testing application. Disclosure: This information might be shared with CSA's partners in order to evaluate your Certification and Testing request.
