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Number of facilities in registration:
If more than one, please list facility locations, addresses, and employee counts:
If more than one facility do they:
Share a common quaility management system? Yes No
Are similar products/services provided by all sites? Yes No
Does HQ have oversight of management reviews, internal auduits, complaints and corrective actions? Yes No
Check here If you have 3 or more facilities would be interested in our multi-site cost reduction information
Total number of employees at main site:
Breakdown of employee count at main site:
Click here if there are any activities on 2nd or 3rd shift which are not performed on 1st shift
Caution: It is important you indicate the applicable standard(s) prior to submitting questionnaire Please complete the following and specify one or more as appropriate:
Responsible for design Yes No
Scope of Registration (description of process or service):
SIC code (if known)
Exclusions from Standard:
Outsourced Process:
Which accrediation do you desire? (Check all that apply)
Note: NQA will confirm that your scope is accredited in order to offer you ANAB, and/or UKAS accreditation.
Have you a specific program/time frame for attaining Registration?
My quality documentation will be ready for review by
I will be ready for assessment by
I desire a pre-assessment.
Please provide any additional information relevant to your registration (e.g. languages, regulatory/legal, Govt. classified)
I would like more information.
Name of your Consultant:   None
How did you hear about NQA, USA?
Consultant:
Internet: Search Directory NQA Client Site
Referral:
Other:
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