Form Change Of Certificate Welcome to the Change to Certificate FormPlease note the * fields are mandatory. Organisation DetailsPlease confirm the information that CMI currently has on file for your organisation. This information will allow your request to be authorised and efficiently processed by our Team Members.Name of the Organisation*Current Point of Contact* First Last Current Email Address* Certificate DetailsScheme Applicable* Product Listing Future Friendly (ETV) Evaluation Report CertMark Type Test CodeMark Australia CodeMark New Zealand WaterMark Product Name*License Number*Request DetailsYour Request(s)* Change to clause/standard Updated Installation Manual Change to limitations Change to product description/intended use Product Brand name change New Supporting Evidence Organisation's Legal Name Office or Postal Address Contact Details (Website/Phone ect.) Technical Review Request Other If other, please detail the requested change*Changes and Supporting EvidenceChange Request*Insert specific details of the requested change.Supporting Documentation Drop files here or Accepted file types: pdf, doc, docx, xls, xlsx. Please upload all relevant documents. - Legal Name, Contact Details, Addresses and Product brand names are to be updated on all Technical Documentation, Installation Manuals and the organisation's website. - An ASIC or Business Register extract is required for changes to a Legal Name, Business or Company number. Allowed file types: pdf, doc, docx, xls, xlsx - Max 10 files, 1MB each.AcceptanceCertMark International reserves the right to correspond with existing authorised representatives and ask for further information as deemed necessary to confirm the information supplied. All change requests requires Supporting Documentation. This information will need to be reviewed as part of your change request. No work can commence without payment in full of the invoiced amount.Changes submitted on this form: - are to be reflected on technical documentation, manuals and the organisation's website. - require a change and re-issue of a certificate, that will incur a cost of $500/certificate AUD + GST - require a technical review of supporting evidence is charged at an hourly rate of $250/hr AUD + GST - dependent on the technical assessment additional on-site audits may also be required 1. The Applicant warrants all information supplied is true and correct. 2. The Applicant is authorised by the Organisation to submit these changes. 3. The Applicant agrees to adhere to CertMark International Terms & Conditions including Third Party Agreements. * I confirm that I have read and agree to the conditions set forth on this form as well as the CMI Terms and Conditions. Name* First Last By typing your Full Name you legally sign this document and agree to the above.Date* Date Format: DD slash MM slash YYYY CommentsThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.