Request for Quote

Contact Information

Company Name
Address
City
State or Province
Zip/Code
Contact
Position
Telephone No.
FAX
Email
Web Page URL

Request Type

• Initial Registration
• Upgrade for Existing NQA Customer
• Transfer from Another Registrar
  
  Reason for seeking transfer:

Facilities

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 quality management system? Yes No

Are similar products/services provided by all sites? Yes No

Does HQ have oversight of management reviews, internal audits, 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

Employees

Total number of employees at main site:

Breakdown of employee count at main site:

• 1st
• 2nd
• 3rd

Click here if there are any activities on 2nd or 3rd shift which are not performed on 1st shift

Your Products

Responsible for design Yes No

Scope of Registration (description of process or service):

SIC code (if known)

Exclusions from Standard:

Outsourced Process:

  

Standards

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:

• ISO 9001 - Quality Management Systems - Requirements
• ISO 14001 - Environmental Management
• ISO 9001 & 14001 systems are:
  Integrated Partially Integrated Not Integrated 
• AS9100 - Aerospace
• AS9110 - Aerospace Repair Stations
• AS9120 - Aerospace Distributors
• AS9003 - Inspection and Test Quality System
• AC 00-56 - Aerospace Voluntary Industry Distribution Accreditation Program in IAW FA
• TS-16949 - Automotive Quality Management
• TL 9000 - Telecommunications Quality Management Systems
• Hardware Software Service
• ESD S20.20 - Electro Static Discharge
• OHSAS 18001 - Occupational Health and Safety
• ISO 13485 - Medical Devices
• Is the product a finished device? Yes No
• FDA Product Category
• Is it exported to Canada Yes No Europe Yes No
• Does your organization require CE Marking or CMDCAS Yes No
• ISO 22000 - Food Safety
• ISO 27001 - IT Security
• Supplier Audits

Other Information

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)

Name of your Consultant:   None

How did you hear about NQA, USA?

Consultant:

Internet: Search Directory NQA Client Site

Referred by:

Other: