Form: Transfer of Accredited Certificate
Please fully complete sections 1 – 5.
Failure to provide all the documents and information requested may result in a delay in transfer of certification.
Section 1
Company Name and Address Company name
Address
Street Town County Postcode Country EnglandScotlandWales
Section 2
Certificate to be transferred Certificates Required: (please select relevant boxes)
NAWI Module DModule D1
Certificate number (NAWI): Issue number (NAWI):
MIR Module A2Module DModule D1Module E1
Certificate number (MIR): Issue number (MIR):
Weights & Measures Act Section 11A
Certificate number (W&M): Issue number (W&M):
ISO 9001 Certification ISO 9001:2015
Certificate number (ISO 9001): Issue number (ISO 9001):
Section 3
Applicant Contact details Applicants name: Position held in company: Direct Line / Telephone Number: Mobile Number: Email:
Section 4
Documents and Information required for transfer application
In making this application I confirm that I have submitted the following documents and information:
Copies of current certificates listed in section 2 including schedules:
The approved Quality Management System documents:
Copy of last audit report and confirm the audit covered: Choose AuditCertificationSurveillance 1Surveillance 2Re-certification
Confirm our current certification is issued by a UKAS or IAF recognised Conformity Assessment Body (CAB):
Section 5
Client Declaration
I have the authority to request this certification service and I certify that the information I have provided is correct and accurate.
The company has not lodged an application with another UKCA approved body
I also accept that for Section 11A there will be an additional charge by the Secretary of State representative to transfer of certification.
Name I confirm to the above