PAC | Pennsylvania Accreditation Centre

Apply For Accreditation

All Applicants shall fill Part I & Part III while Part II will be filled according to each of their specific scheme eg. ISO/IEC 17025, 17020, 17065, 17043, 17024... etc.

Part I : General Information

LOGIN CREDENTIAL

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INSTRUCTIONS:

1. Your application cannot be processed unless attached with the required document in soft(pdf/docs/jpg/png) copies.
									2.	Additional advice or information may be obtained by contacting the relevant PAC accreditation manager as displayed on PAC website or by emailing us on info@pacofusa.org.
									3.	Granting accreditation will be subject to the applicant entity fully complying with the accreditation criteria, PAC accreditation requirements and PAC regulation.
									4.	The applicant is specifically advised to read relevant PAC information pack before applying for accreditation.
									5.	If the applicant does not receive an Acknowledgement of receipt of this form, please contact PAC relevant accreditation manager by emailing us on info@pacofusa.org.

A) INFORMATION ABOUT CAB

CAB Full Name

CAB Address

City/State

PO Box/Zip Code

Country

Website (URL)

Email ID

Phone/Mobile No.

Contact Person Name

Designation

Phone/Mobile No

Email ID

B) PLEASE COMPLETE THE BELOW INFORMATION REGARDING CAB

CAB Key Location: Entities performing and/or managing key management system certification activities, on behalf of accredited certification bodies, which are wholly or partly owned or employed by the CAB.

YES

Subcontractor Key Location: Entities performing and/or managing key management system certification activities, on behalf of accredited certification bodies, which are not wholly or partly owned or employed by the CAB.

YES

Subcontractor: Entities performing and/or managing processes related to management system activities, on behalf of accredited certification bodies, which are not wholly or partly owned or employed by the CAB (processes include; marketing, communications, outreach, etc. This list is not all-inclusive; any non-key activity related to the accredited CB's certification program is applicable.)

YES

C) Information About Ownership (Legal status of your organization)
Please tick the appropriate box.

Owned by an Individual	Part of an Academic Institution
Owned by a Private Company / Partnership	Part of Learned / Technical Institution
Owned by a Public Body / Nationalized Industry	Owned by Public Limited Company
National / Governmental Organization	Other
(*) Attach Support Document (pdf only)

D) OTHER DESCRIPTION OF THE THE ORGANIZATION SEEKING ACCREDITATION

Total no. of Employees
(in Digit)

Number of Employees involved in area(s)
seeking Accreditation (in Digit)

(*) Attach an organization chart indicating the
structure of the areas to be accredited (pdf only)

Name and position (Director level) of person authorizing this application

Title

Name

Position

Technical/Scheme Manager

Name

Technical Qualifications

Position within the organization

Quality Manager

Name

Qualifications

Position within the organization

E) INDICATE EXACTLY HOW THE NAME OF YOUR CAB APPEARS ON THE ACCREDITATION CERTIFICATE

F) INTERNAL AUDIT AND MANAGEMENT REVIEW

Last Internal Audit Report (*)

Last Management Review Report (*)

G) LOCAL REGULATION
Please mention the current regulation / law that related to your organization activities.

Name of the Regulation/Law	Issue Date	Item(s) related to the applied scope

H) OTHER ACCREDITATION/CERTIFICATIONS (INCLUDING PAC ACCREDITATION)

Are you currently accredited or have you been accredited within the past five years.

YES

If YES, please provide the name of Accreditation body and the current expiration date of accreditation. If no longer accredited, provide the approximate end date of accreditation.
Please note below if your accreditation has ever been Suspended/Cancelled
Suspended	Cancelled	Not Suspended/Cancelled
Please provide the approximate date of Suspension/Cancellation
Reason For Suspension/Cancellation
Was your Accreditation fully reinstated after the Suspension/Cancellation	Yes	No	Not Applicable

I) APPLICANT OUTSIDE USA
Applicants from outside country will be processed according to ILAC-G21(Cross-Frontier Accreditation Principles for Cooperation), IAF MD12 (Accreditation Assessment of Conformity Assessment Bodies with Activities in Multiple Countries)

Considering the questions above, what are the reasons for choosing PAC instead of the local accreditation body?

J) NAME(S) OF COUNTRIES WHERE CAB INTENDS TO PROVIDE PAC ACCREDITED CERTIFICATIONS

K) RELATIONSHIP AND SISTER CONCERN RELATED INFORMATION

Other activities of CAB	Details
Relationship in a larger entity if any, addresses of all its physical location(s) and, information on activities conducted at all locations including virtual site(s)	Not Applicable
Related Bodies of CAB's top management (Please include complete details of all BODs & share holders)	Not Applicable
Activities executed by the related bodies	Not Applicable
Requirement for preliminary visit prior to the commencement of assessment process	Not Applicable

Is there a local accreditation body?	Yes No
Is the local accreditation body a signatory to the arrangement of ILAC, IAF?	Yes No
Does the local accreditation body offer the required scope?	Yes No
Do you permit:
That PAC informs the local accreditation body about your application and the development of the accreditation process?	Yes No
That the local accreditation body may send an observer to join the assessment?	Yes No
That the local accreditation body may send (an) assessor/s (joint assessment for a dual accreditation)?	Yes No