Get Application: Contact Information Form

This guide provides a comprehensive approach to completing the Application: Contact Information Form online. Follow the steps carefully to ensure all required information is provided accurately and efficiently.

Follow the steps to successfully complete the contact information form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the DEQ Laboratory Accreditation Program Identification Number in section A. This number is for office use only.
3. In section B, provide the name of your laboratory or facility in the designated text fields. Ensure to include all relevant details.
4. Next, include the area code and telephone number along with the telefax number in the same section.
5. For section C, fill in the contact person’s name and title. This person will be responsible for the laboratory accreditation communication.
6. In section D, accurately enter the street address where your laboratory is located in the designated area.
7. Complete section E by entering the city, state, and zip code corresponding to the laboratory address.
8. If your mailing address differs from the laboratory address, provide the alternative mailing address in the next entry. Complete this with the city, state, and zip as well.
9. In section F, indicate if the billing address is the same as the street address. If not, provide the billing address details.
10. Complete the latitude and longitude information as prompted, and specify the days and times of operation.
11. Provide the EPA Laboratory Identification Number, email address, and website in the appropriate fields.
12. If the billing address is different, fill in the address in the space provided, along with the attention name and title.
13. In section I, check all analytes parameters you are requesting for accreditation from the list provided.
14. Indicate your laboratory type in section J by checking one of the two options: commercial or industrial.
15. For additional contact information in section K, provide any relevant details that were not covered in previous sections.
16. Finally, ensure to review the verification section, certifying that all information is true and complete. Sign and date the application.
17. After completing all the sections, you can save changes, download the form, print it, or share it as needed.

Begin completing your Application: Contact Information Form online today!