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?	Yes
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.
Substance	Tonnage Band	Price

PLEASE NOTE : The next calculations will be carried out in 2023 with a reconciliation invoice or top-up fee to occur in Q4 2023. 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)
Any additional information to facilitate prompt payment: (this will appear on the invoice)
Any additional remarks: (will not appear on invoice)
Please enter the code*:

By submitting the form you certify that the potential REACH Registrant is not in any trade collaboration with or affiliated to any Russian legal entity domicile in Russia or in the EU

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.