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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:

      (Fill out a separate application for each facility.)

    Address:

    Telephone No:

    Fax No:

    Contact Name:

    Hours of Operation:

    4. Standard Required:

    Section:

    Date Published:

    5. Please describe the equipment/products to be Certified:

    *

    6.a) For products certified by organisations 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.

    You can send a copy of this form to your local CSA International office or network partner.

    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 will not be released to any third party except as required by law.

    Click here to review CSA Group's Privacy Clauses
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