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    External Specialist Request Form: Select A Service Type From The Drop Down

    Uploaded by

    Anil parmar

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    External Specialist Request Form: Select A Service Type From The Drop Down

    Uploaded by

    Anil parmar
    52 views2 pages

    Original Title

    Request-for-ABS-Recognition-as-External-Specialist.docx

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    52 views2 pages

    External Specialist Request Form: Select A Service Type From The Drop Down

    Uploaded by

    Anil parmar

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    External Specialist Request Form

    Please complete and send the signed request form to the nearest ABS port office

    I. Company Details
    Company Name
    Company Address
    (Physical location for audit)
    ABS Port Office

    ABS Worldwide Client Number

    II. Audit Request


    Type of
    Audit Initial Audit Renewal Audit
    Previous Certificate Number
    NOTE: For renewal audit, only documents that have been revised since the last audit need to be submitted.
    Select a service type from the drop down
    1
    Service 2
    Type(s)
    3
    4
    Approval from other IACS Societies/Flag Administration

    Has the company ever had its recognition canceled by any IACS Society? Yes No
    If the answer is yes, please attach the details of the cancellation.

    III. Contact Details for Display on the ABS Website


    Below details will be shown in the ABS Recognized Specialist Database available for public search

    Contact Person Mobile


    Telephone Fax
    Email Website

    IV. Contact Details for ABS Audits/Quality Management


    Certificate renewal reminders will be sent to the below email address

    Contact Person Email


    Telephone Mobile

    External Specialist Audits Request Form


    CLS-PRI-00114 CLS-JBA-00114 Rev.4 Page 1 of 2
    V. Acknowledgement

    I warrant that I am authorized by the above company to make this application and to the best of
    my knowledge the information provided above is correct.

    Company shall defend, indemnify, and hold harmless ABS and its affiliates from and against
    any and all third party claims and liabilities (including, without limitation, reasonable attorneys’
    fees and costs), regardless of the form of action, arising out of or in connection with a claim that
    the service(s) offered by Company for which Company has sought recognition from ABS,
    infringes, violates, or misappropriates a valid third party patent, copyright, or other proprietary
    right, provided that Company is promptly notified in writing of such claim, and ABS has not
    reached any compromise or settlement in such action or made any admissions in respect of the
    same.

    Print Name Date

    Applicant’s Signature

    If this is a request for recognition as a branch office under the ISO 9001 Certification of the
    Home Office, the Surveyor-in-Charge is to sign this form to indicate no objection to the company
    being recognized.

    Print Name Date

    Surveyor-in-Charge’s
    Signature

    External Specialist Audits Request Form


    CLS-PRI-00114 CLS-JBA-00114 Rev.4 Page 2 of 2

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