NAC Forms
Accreditation Application Form
(FR-089)
(ISO/IEC 17065 Accreditation Application Form for Product Sertification Body)
As an inspection body, explained below, in accordance with ISO/IEC 17065, we apply for;
Initial Accreditation
The Extension of Accreditation
The Change of Accreditation Scope
The Re-accreditation
Accreditation for Notification Purposes
Note 1: fill in Table-1
Note 2: fill in Table-2
Note 3: This option must only be marked for processes of Accreditation for Notification Purposes Processes that are carried out according to “K-009 Accreditation Guideline for Conformity Assessment Bodies Which Are Candidates For Being Certified Notified Bodies”
Information of the Product Certification body
Name-Identity
Address
State/City
Code
Country
Phone (incl.area code)
Fax
e-mail
Website
Tax office
Tax Number-if applicable
Head of the Product Certification body
Name & Surname
Deputy Head
Phone
Fax
E-mail
Contact person of the Inspection body
Name & Surname
Position
Mobile phone
Phone
Fax
E-mail
Note 4 : Authorized contact person by the product certification body
Legal status of the certification body
Public Body
Foundation
Association
Corporation
Limited Company
Other (Specify)
Owner of the certification body
Number of Personnel
Number of Full time personnel
Number of Provisional contracted personnel
Is the Product Certification body part of another legal entity?
Yes
No
(If yes)
Name of the legal entity
Address
Company registration number-if applicable
Number of Personnel
Full time personnel
Provisional contracted personnel
Please state the Product Certification Body’s relationship with the legal entity given above
Since which date the quality management system in accordance with ISO/IEC 17065 has been applied (first issue date of Quality Manual and management system procedures)?
Has been any Product Certification activity in the application scope(s)?
Yes
No
If yes
Number of reports/ certificates provided (for each requested scope)
If no
Information about the work done and infrastructure established in the requested scopes, until now.
Does the certification body have other places/ branches in which it operates key activities? (including overseas offices/ branches/ locations)
Yes
No
If yes
Sites of the Inspection Body in which it operates key activities and information about key activities operated in these sites):
1 - Address
1 - P.Code
1 - State/City
1 - Key activities operated
2 - Address
2 - P.Code
2 - State/City
2 - Key activities operated
3 - Address
3 - State/City
3 - P.Code
3 - Key activities operated
Note 5
Key activities, in general, include: policy formulation, process and/or procedure development and, as appropriate, contract review, planning conformity assessments, review, approval and decision on the results of conformity assessments
Key activities specifically for product certification bodies include
-policy formulation and approval,
-process and/or procedure development and approval,
-initial assessment of competence, and approval of technical personnel and subcontractors,
-control of the monitoring process of competence of personnel and subcontractors and its outcomes,
-contract review including technical review of applications and determining the technical requirements for certification activity in new technical areas or areas of limited sporadic activity,
-decision on certification including technical review of evaluation tasks
Does the certification body accredited by another accreditation body including foreign accreditation bodies?
Yes
No
Has the inspection body applied to another accreditation body?
Yes
No
Name of the accreditation body
Date of application
Date of accreditation
Accredited conformity assessment areas or the areas applied for accreditation
Other approval and recognition certificates that the certification body owns
Does the certification body perform testing of products in the accreditation scopes?
Yes
No
Are the laboratories of the certification body accredited?
Yes
No
If yes, accredited by which accreditation body
Testing area(s)
Does the certification body perform surveillance for the products certified by itself?
Yes
No
If no, (the certification body does not perform the surveillance by itself which subcontractors) does the certification body assign
Which laboratories are used by the certification body?
#
Name
Testing reports
Accredited by
1
2
3
4
5
6
7
8
9
10
Table -1 (Certification Field for Which Product Accreditation is Requested)
#
(Product Group/Product)
(Standard/Specification)
1
2
3
4
5
6
7
8
9
10
Table -2 (Accreditation for Notification Purposes)
#
(Product family, product/intended use/product range)
(Function of the CAB/Technical Specifications)
1
2
3
4
5
6
7
8
9
10
