Changes to Certificate

Section 1
Company requesting the certification changes:

Certificate to be amended:
Certificate number:

Section 2
Company Address

Section 3
Applicants name:

Position held in company:

Direct Line / Telephone Number:

Mobile Number:

Email:

Section 5: Change of name and address or other non-technical changes - £100
List the non-technical change's required

Section 6: Changes to Schedule of certification (to include/delete/amend Type Examination Certificates) - £200

Name

Supporting documents (eg. Type Examination Certificate, Authorisation Letter from Manufacturer)

Upload Documents (text to be provided)

In making this application I confirm that:

• The approved Quality Management System continues to be maintained.

• The application is supplied with evidence of the Type Examination Certificate’s holder permission to verify the instrument (if the owner is different to the applicant).

• The technical documents (2014/31/EU, Annex II, 1.3(c) and 2014/32/EU Article 18), technical support and replacement parts are available.

• I have the authority to request this certification service.

• The company has not lodged an application with another UKCA approved body

I confirm to the above