Changes to Certificate

Changes to
Certificate

Form: Application for changes to Certification

Please fully complete sections 1 – 4 and all other relevant fields. Failure to provide all the information requested may result in a delay in issuing the revised certificates.

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

Type examination certificate number

Issue number

Issued to

In respect of:

Restrictions:

Do you require the certificate number to be added, deleted or amended to

Date from which the changes are required to be effective

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