NAC Forms
Accreditation Application Form
(FR-055)
(ISO/IEC 17025 Accreditation Application Form for Testing Laboratories)
Initial accreditation
Extension of accreditation scope
The change of accreditation scope
The re-accreditation
Request accreditation and to be evaluated as a “notified laboratory” according related APAC documentation.
Information of the testing laboratory
Name-Identity
Address
State/City
Postal Code
Country
Telephone (incl.area code)
Fax
E-mail
Website
Tax office
Tax no
Information of head of the testing laboratory
Name and Surname
Telephone
Mobile Telephone
E-mail
Information of contact person of the testing laboratory
Name and Surname
Telephone
Mobile Telephone
E-mail
Legal status of the testing laboratory
Information of owner of the testing laboratory
Name and Surname
Address
Legal representatives of the owners
Number of testing laboratory employee
Does the testing laboratory carry out internal) tests?
Yes
No
Name of Carried out internal tests
How long is quality system being operated?
0-3 Months
3-6 Months
More than 6 months
Was the internal audit conducted ?
Yes
No
Was management review conducted ?
Yes
No
Does the testing laboratory operate at several sites?
Yes
No
If yes, fill in the "site of testing laboratory" section below. If there are more sites, please use areas given in Annex.
Site of testing laboratory
Name-Identity
Address
City
Code
Country
Telephone
Name and Surname of Head of the site testing laboratory
Name and Surname of contact person of the site testing laboratory
Telephone of the contact person
Mobile telephone of the contact person
E-mail of the contact person
Number of the site testing laboratory employee
Does the site testing laboratory carry out internal tests?
Yes
No
Name of Carried out internal tests
Please give the testing scopes for which the accreditation is requested in tables. If testing laboratory has sites, the applications scopes must be given separately for every site.
As the applicant testing laboratory, we hereby declare that the NAC Accreditation Procedures and NAC Rules are understood by us and all costs that will be invoiced consistent with NAC Service Fees Guide (K-001) will be paid by our testing laboratory. (Official Stamp)
Place
Date
Autorized Person’s Name-Surname-Signature
Reminder
FR-034 “Conformity Assessment Body Representing Person Declaration for Accreditation Services Form” and FR001 “Accreditation Contract” (2 copies) shall be filled, signed by authorized person and attached to this application form.
After receiving the application form and annexes, your application will be uploaded to NAC Information System. Following this process, applicant testing laboratory should upload requested documents to NAC Information System.
Testing scopes for which accreditation is requested. (Measurand Quantity will be filled according to K-22 and K-23 Guidelines)
#
Measurand Quantity Tested Instrument
Range
Measurement Requirements
Testing and Measurement Capability (CMC)
Remarks
1
2
3
4
5
6
7
8
9
10
Site of testing laboratory (Annex A)*
Name-Identity
Address
City
Code
Country
Telephone
Name and Surname of Head of the site testing laboratory
Name and Surname of contact person of the site testing laboratory
Telephone of the contact person
Mobile telephone of the contact person
E-mail of the contact person
Number of site testing laboratory employee
Does the testing laboratory carry out internal tests?
Yes
No
Name of Carried out internal tests
Site of testing laboratory (Annex B) **
Name-Identity
Address
City
Code
Country
Telephone
Name and Surname of Head of the site testing laboratory
Name and Surname of contact person of the site testing laboratory
Telephone of the contact person
Mobile telephone of the contact person
E-mail of the contact person
Number of site testing laboratory employee
Does the testing laboratory carry out internal tests?
Yes
No
Name of Carried out internal tests
Postscript
* If there are three sites, please use area which is given at Annex-A
** If there are four sites, please use area which is given at Annex-B
