Request for Letter of Access invoice

Complete the application below to request an invoice for a Letter of Access for your chosen substances. Complete a separate application for each substance and for each legal entity registrant (including affiliates).

If you have any queries please look at the information on how to complete this application.


YOUR CONTACT DETAILS:
Please provide a contact in case of any queries regarding this application.
Name*:
E-mail*:
Phone*:
LEGAL ENTITY DETAILS:
Each application must relate to a single EU-based legal entity registrant.
EU legal entity registrant name*:

Registered address*:

REACH UUID number:

TVA/VAT number (if registered):
Have you been appointed as on Only Representative
(as defined in REACH) by a non-EU manufacture of the substance?
If ‘yes’ enter the full name and full address
of that non-EU manufacturer:

Do you wish to claim the SME reduction? Yes No

Note: The SME discount of 20% will be to the maximum value of 6000€ applied to the invoice when an independent statement of SME status is received
(look at the information on how to complete this application.)

SUBSTANCE:
LETTER OF ACCESS FOR REFERRAL PLUS TEMPLATE CSR
Each application must relate to a single substance and a single legal entity registrant.
SubstanceTonnage BandPrice

PLEASE NOTE : The next calculations will be carried out in 2020 with a reconciliation invoice or top-up fee to occur in 2020/2021. This will take into account all registrants and compliance check work/dossier updates carried out post 2018 deadline. All prices exclude VAT.  With regards to any new study demands from ECHA, contributions will no longer be collected retrospectively. All registrants will be informed about any new demands from ECHA's. MARA will then obtain and review testing quotes. A lab will only be contracted after SIEF members have contributed their respective shares.

DETAILS TO APPEAR ON INVOICE:
Company Name, Department and Address to receive invoice*:
Please enter full address here even if this is the
same as the Legal Entity address above

For the attention of: (optional)

Purchase Order / Budget Code: (optional)

Please click on the Submit button below to send your request for an invoice. You will receive an email with a summary of the information that you have provided.

If you have any queries please contact us.