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Application for e-Stewards Certification

Application for e-Stewards Certification

General Company Information

Type of Facility (check all that apply)(Required)
Headquarters Address(Required)
Is your headquarters also a processing facility?(Required)
Please select the accredited e-Stewards Certification Body you are contracted with.(Required)

Processing and Ancillary Site Information

Please provide address and contact information for any additional processing sites or ancillary sites for your company. Here are the definitions in the e-Stewards Standard of these two terms:

Ancillary Sites: Sec 3.1 - Locations or operations owned, leased, or Controlled by the Organization, other than Processing facilities, which serve the Organization for managing Electronic Equipment by activities not covered by the term Processing. Ancillary Sites do not include sites owned by an Organization's customers or Downstream Providers.

Processing Facilities: They are defined by the function of processing, i.e. Sec 3.36 – for example - physical alteration, manipulation, or management of Electronic Equipment, leading to Direct Reuse and/or Materials Recovery. Also includes manual disassembly, mechanical size reduction, smelting, Repair, remanufacture, Repurposing, refining, End Processing, and/or harvesting of parts.
Are there multiple processing locations with the same name or doing business as another name within the same country as this facility?(Required)
Does your company have any ancillary sites?(Required)

Organizational Contact Information

Please provide the contact information for the following company contacts. The Owner, Signatory, and Accounts Payable will all be required for the e-Stewards License Agreement. These three names can all be the same, different, or a mix, depending on your organization.

Certification Contact

Please provide the information of the person within your company who will be the contact for the certification process.
Name(Required)

Owner/CEO Contact

Please provide the contact information for the individual who will be listed as Owner on the License Agreement.
Name(Required)

Signatory Contact

Please provide the contact information for the person who will sign the e-Stewards License Agreement.
Name(Required)

Accounts Payable

Please include the contact information for your Accounts Payable, who will receive any e-Stewards-related invoices.
Name(Required)

Other Information

Are you a tax exempt non-profit organization?(Required)
Max. file size: 256 MB.
Other Certifications Currently Held (check all that apply)
Types of Customers Served (check all that apply)
Products and Services Provided? (check all that apply)
Accepted Materials and Equipment (check all that apply)