Recycled Content Application

The information provided in this Application will help SCS Global Services to determine eligibility and scope of service. No charges will be incurred or work conducted until a Work Order is executed.

Section 1: General Info

Company Name

Main Phone

Country

Street address

City

State

Zip code

Website

VAT / Identification Number

Check this box if billing company is the same as Requestor Company

Billing Information

Legal Company Name (as needed for billing)

Billing Company Phone

Billing Company Website

Country

Section 2: Contact Info

Primary Contact Person

First Name

Last Name

Title

Phone

Email

Check this box if you want to add a Secondary Contact Person

Secondary Contact Person

First Name

Last Name

Title

Direct Phone

Email

Billing Information

Billing Portal (if used)

Check this box if Billing Contact is the same as Primary Contact

First Name

Last Name

Title

Phone

Email

Section 3: Product Information

Please provide the following information for the products you would like to have assessed for certification. Product lines may be listed to help summarize an extensive scope of products.

Product Name	Product Category	Recycled Material Type(s)	Expected Recycled Content Claim %	APR	Waste Stream Source	Production Time Period	Recycling Process	Manufacturing Site(s)	Uniform Formulation?	Separate Certificates?	Operations
Product Name	Product Category	Recycled Material Type(s)	Expected Recycled Content Claim %	APR	Waste Stream Source	Production Time Period	Recycling Process	Manufacturing Site(s)	Uniform Formulation?	Separate Certificates?

Does the applicant own the product formulation and specification for any of the product(s) listed above?

If no, please provide product name here

Section 4: Facility Information

Please identify all manufacturing facilities that you would like to have assessed for certification.

Name	Address	Country	Contract Facility?	Recycling Processor?	Recycling Process	Contact Name	Email	Phone	Operations
Name	Address	Country	Contract Facility?	Recycling Processor?	Recycling Process	Contact Name	Email	Phone

Section 5: Additional Information

Section 6: Assessment Planning

Desired date/time frame for on-site assessment

Desired date/time frame for achieving certification

Nearest major airport

Distance from your project

Unit of Measurement

Additional Information or Comments

Section 7: Affirmation

I affirm that the information provided herein is true and correct to the best of my knowledge, and that I am duly authorized to sign this application. Should our company decide to pursue certification, I agree to supply any information that is deemed necessary for the audit of the operation and/or products to be certified.

Print Name

Title

Date

Please review the information in this form and click 'submit' when you are ready to proceed.

By submitting this application, I authorize SCS Global Services to provide me a non-obligatory quote for services.

Should our company decide to pursue certification, I agree to supply information and allow access to premises relevant to the scope of the evaluation, and to comply with the requirements for certification.

SCS Global Services will NOT sell your information.