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<p  style="font-size:13px;"><table width=60%><tr valign="top"><td align="left"><font size="3">U.S. Consumer Product Safety Commission</font><br><font size="2">4330 East West Highway, Bethesda, MD 20814</font></td><td align="right"><font size="3">CPSC Form #223</font></td></tr></table></p>

<H3>Consumer Product Conformity Assessment Body  (Testing Laboratory)</H3>

<p  style="font-size:13px;"><b>Registration Form</b></p>

<p><b>This registration form and all related materials (certificate, scope documents, and training<br>materials, if required) must be submitted electronically and in the English language.</b></p>

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</div>
<div align=center>
<br style="font-size: 3pt;">
<p  style="font-size:13px;">Please capitalize only the first letter of words and names (except for abbreviations) when filling out this form.  Thank you!</p>
<table width=65% bgcolor="#EFF7FF">
<tr><td> &nbsp;&nbsp;1. <label for="Legal_Name">Legal name of the laboratory:</label><br><span id="ctl01" style="color:Red;visibility:hidden;"><b><font size=+1> *</span></font> <input name="Legal_Name" type="text" id="Legal_Name" class="textbox" size="99" /><br><br></td></tr>

<tr><td> &nbsp;&nbsp;2. Full address of the laboratory:
<br><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Address1">Address (Line 1)</label><span id="ctl02" style="color:Red;visibility:hidden;"><b><font size=+1> *</font></span></b> <input name="Address1" type="text" id="Address1" class="textbox" size="78" /><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Address1">Address (Line 2)</label> &nbsp;&nbsp;&nbsp;&nbsp;<input name="Address2" type="text" id="Address2" class="textbox" size="78" /><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="City">City</label><span id="ctl03" style="color:Red;visibility:hidden;"><b><font size=+1> *</font></span></b> <input name="City" type="text" id="City" class="textbox" size="40" /> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="state">State/Province:</label><span id="ctl04" style="color:Red;visibility:hidden;"><b><font size=+1> *</font></span></b> <input name="state" type="text" id="state" class="textbox" size="24" /><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Country">Country or Administrative Area</label><span id="ctl05" style="color:Red;visibility:hidden;"><b><font size=+1> *</font></span></b> <select name="Country" id="Country" class="textbox">
	<option value="Please Select">Please Select</option>
	<option value="Afghanistan">Afghanistan</option>
	<option value="Albania">Albania</option>
	<option value="Algeria">Algeria</option>
	<option value="Andorra">Andorra</option>
	<option value="Angola">Angola</option>
	<option value="Antigua and Barbuda">Antigua and Barbuda</option>
	<option value="Argentina">Argentina</option>
	<option value="Armenia">Armenia</option>
	<option value="Australia">Australia</option>
	<option value="Austria">Austria</option>
	<option value="Azerbaijan">Azerbaijan</option>
	<option value="Bahamas, The">Bahamas, The</option>
	<option value="Bahrain">Bahrain</option>
	<option value="Bangladesh">Bangladesh</option>
	<option value="Barbados">Barbados</option>
	<option value="Belarus">Belarus</option>
	<option value="Belgium">Belgium</option>
	<option value="Belize">Belize</option>
	<option value="Benin">Benin</option>
	<option value="Bhutan">Bhutan</option>
	<option value="Bolivia">Bolivia</option>
	<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
	<option value="Botswana">Botswana</option>
	<option value="Brazil">Brazil</option>
	<option value="Brunei">Brunei</option>
	<option value="Bulgaria">Bulgaria</option>
	<option value="Burkina Faso">Burkina Faso</option>
	<option value="Burma">Burma</option>
	<option value="Burundi">Burundi</option>
	<option value="Cambodia">Cambodia</option>
	<option value="Cameroon">Cameroon</option>
	<option value="Canada">Canada</option>
	<option value="Cape Verde">Cape Verde</option>
	<option value="Central African Republic">Central African Republic</option>
	<option value="Chad">Chad</option>
	<option value="Chile">Chile</option>
	<option value="China">China</option>
	<option value="Colombia">Colombia</option>
	<option value="Comoros">Comoros</option>
	<option value="Congo (Brazzaville)">Congo (Brazzaville)</option>
	<option value="Congo (Kinshasa)">Congo (Kinshasa)</option>
	<option value="Costa Rica">Costa Rica</option>
	<option value="Cote d'Ivoire">Cote d'Ivoire</option>
	<option value="Croatia">Croatia</option>
	<option value="Cuba">Cuba</option>
	<option value="Cyprus">Cyprus</option>
	<option value="Czech Republic">Czech Republic</option>
	<option value="Denmark">Denmark</option>
	<option value="Djibouti">Djibouti</option>
	<option value="Dominica">Dominica</option>
	<option value="Dominican Republic">Dominican Republic</option>
	<option value="East Timor (see Timor-Leste)">East Timor (see Timor-Leste)</option>
	<option value="Ecuador">Ecuador</option>
	<option value="Egypt">Egypt</option>
	<option value="El Salvador">El Salvador</option>
	<option value="Equatorial Guinea">Equatorial Guinea</option>
	<option value="Eritrea">Eritrea</option>
	<option value="Estonia">Estonia</option>
	<option value="Ethiopia">Ethiopia</option>
	<option value="Fiji">Fiji</option>
	<option value="Finland">Finland</option>
	<option value="France">France</option>
	<option value="Gabon">Gabon</option>
	<option value="Gambia, The">Gambia, The</option>
	<option value="Georgia">Georgia</option>
	<option value="Germany">Germany</option>
	<option value="Ghana">Ghana</option>
	<option value="Greece">Greece</option>
	<option value="Grenada">Grenada</option>
	<option value="Guatemala">Guatemala</option>
	<option value="Guinea">Guinea</option>
	<option value="Guinea-Bissau">Guinea-Bissau</option>
	<option value="Guyana">Guyana</option>
	<option value="Haiti">Haiti</option>
	<option value="Holy See">Holy See</option>
	<option value="Honduras">Honduras</option>
	<option value="Hong Kong">Hong Kong</option>
	<option value="Hungary">Hungary</option>
	<option value="Iceland">Iceland</option>
	<option value="India">India</option>
	<option value="Indonesia">Indonesia</option>
	<option value="Iran">Iran</option>
	<option value="Iraq">Iraq</option>
	<option value="Ireland">Ireland</option>
	<option value="Israel">Israel</option>
	<option value="Italy">Italy</option>
	<option value="Jamaica">Jamaica</option>
	<option value="Japan">Japan</option>
	<option value="Jordan">Jordan</option>
	<option value="Kazakhstan">Kazakhstan</option>
	<option value="Kenya">Kenya</option>
	<option value="Kiribati">Kiribati</option>
	<option value="North Korea">North Korea</option>
	<option value="South Korea">South Korea</option>
	<option value="Kosovo">Kosovo</option>
	<option value="Kuwait">Kuwait</option>
	<option value="Kyrgyzstan">Kyrgyzstan</option>
	<option value="Laos">Laos</option>
	<option value="Latvia">Latvia</option>
	<option value="Lebanon">Lebanon</option>
	<option value="Lesotho">Lesotho</option>
	<option value="Liberia">Liberia</option>
	<option value="Libya">Libya</option>
	<option value="Liechtenstein">Liechtenstein</option>
	<option value="Lithuania">Lithuania</option>
	<option value="Luxembourg">Luxembourg</option>
	<option value="Macau">Macau</option>
	<option value="Macedonia">Macedonia</option>
	<option value="Madagascar">Madagascar</option>
	<option value="Malawi">Malawi</option>
	<option value="Malaysia">Malaysia</option>
	<option value="Maldives">Maldives</option>
	<option value="Mali">Mali</option>
	<option value="Malta">Malta</option>
	<option value="Marshall Islands">Marshall Islands</option>
	<option value="Mauritania">Mauritania</option>
	<option value="Mauritius">Mauritius</option>
	<option value="Mexico">Mexico</option>
	<option value="Micronesia">Micronesia</option>
	<option value="Moldova">Moldova</option>
	<option value="Monaco">Monaco</option>
	<option value="Mongolia">Mongolia</option>
	<option value="Montenegro">Montenegro</option>
	<option value="Morocco">Morocco</option>
	<option value="Mozambique">Mozambique</option>
	<option value="Namibia">Namibia</option>
	<option value="Nauru">Nauru</option>
	<option value="Nepal">Nepal</option>
	<option value="Netherlands">Netherlands</option>
	<option value="Netherlands Antilles">Netherlands Antilles</option>
	<option value="New Zealand">New Zealand</option>
	<option value="Nicaragua">Nicaragua</option>
	<option value="Niger">Niger</option>
	<option value="Nigeria">Nigeria</option>
	<option value="North Korea">North Korea</option>
	<option value="Norway">Norway</option>
	<option value="Oman">Oman</option>
	<option value="Pakistan">Pakistan</option>
	<option value="Palau">Palau</option>
	<option value="Palestinian Territories">Palestinian Territories</option>
	<option value="Panama">Panama</option>
	<option value="Papua New Guinea">Papua New Guinea</option>
	<option value="Paraguay">Paraguay</option>
	<option value="Peru">Peru</option>
	<option value="Philippines">Philippines</option>
	<option value="Poland">Poland</option>
	<option value="Portugal">Portugal</option>
	<option value="Qatar">Qatar</option>
	<option value="Romania">Romania</option>
	<option value="Russia">Russia</option>
	<option value="Rwanda">Rwanda</option>
	<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
	<option value="Saint Lucia">Saint Lucia</option>
	<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
	<option value="Samoa">Samoa</option>
	<option value="San Marino">San Marino</option>
	<option value="Sao Tome and Principe">Sao Tome and Principe</option>
	<option value="Saudi Arabia">Saudi Arabia</option>
	<option value="Senegal">Senegal</option>
	<option value="Serbia">Serbia</option>
	<option value="Seychelles">Seychelles</option>
	<option value="Sierra Leone">Sierra Leone</option>
	<option value="Singapore">Singapore</option>
	<option value="Slovakia">Slovakia</option>
	<option value="Slovenia">Slovenia</option>
	<option value="Solomon Islands">Solomon Islands</option>
	<option value="Somalia">Somalia</option>
	<option value="South Africa">South Africa</option>
	<option value="South Korea">South Korea</option>
	<option value="Spain">Spain</option>
	<option value="Sri Lanka">Sri Lanka</option>
	<option value="Sudan">Sudan</option>
	<option value="Suriname">Suriname</option>
	<option value="Swaziland">Swaziland</option>
	<option value="Sweden">Sweden</option>
	<option value="Switzerland">Switzerland</option>
	<option value="Syria">Syria</option>
	<option value="Taiwan">Taiwan</option>
	<option value="Tajikistan">Tajikistan</option>
	<option value="Tanzania">Tanzania</option>
	<option value="Thailand">Thailand</option>
	<option value="Timor-Leste">Timor-Leste</option>
	<option value="Togo">Togo</option>
	<option value="Tonga">Tonga</option>
	<option value="Trinidad and Tobago">Trinidad and Tobago</option>
	<option value="Tunisia">Tunisia</option>
	<option value="Turkey">Turkey</option>
	<option value="Turkmenistan">Turkmenistan</option>
	<option value="Tuvalu">Tuvalu</option>
	<option value="Uganda">Uganda</option>
	<option value="Ukraine">Ukraine</option>
	<option value="United Arab Emirates">United Arab Emirates</option>
	<option value="United Kingdom">United Kingdom</option>
	<option value="United States">United States</option>
	<option value="Uruguay">Uruguay</option>
	<option value="Uzbekistan">Uzbekistan</option>
	<option value="Vanuatu">Vanuatu</option>
	<option value="Venezuela">Venezuela</option>
	<option value="Vietnam">Vietnam</option>
	<option value="Yemen">Yemen</option>
	<option value="Zambia">Zambia</option>
	<option value="Zimbabwe">Zimbabwe</option>

</select> &nbsp;&nbsp;&nbsp;&nbsp;<label for="Postal_Code">Postal Code:</label> &nbsp;&nbsp;&nbsp;&nbsp;</b> <input name="Postal_Code" type="text" id="Postal_Code" class="textbox" size="9" /><br><br></td></tr>

<tr><td> &nbsp;&nbsp;3. <label for="WebSite">Laboratory web site (optional):</label>&nbsp;&nbsp;&nbsp;<input name="WebSite" type="text" id="WebSite" class="textbox" size="66" /><br><br></td></tr>

<tr><td> &nbsp;&nbsp;4. Registration status (select one):<br><table id="RegistrationStatus" border="0">
	<tr>
		<td><input id="RegistrationStatus_0" type="radio" name="RegistrationStatus" value="New Registration" /><label for="RegistrationStatus_0">New Registration</label></td>
	</tr><tr>
		<td><input id="RegistrationStatus_1" type="radio" name="RegistrationStatus" value="Increase in scope from prior registration" /><label for="RegistrationStatus_1">Increase in scope from prior registration</label></td>
	</tr><tr>
		<td><input id="RegistrationStatus_2" type="radio" name="RegistrationStatus" value="Renewal" /><label for="RegistrationStatus_2">Renewal</label></td>
	</tr><tr>
		<td><input id="RegistrationStatus_3" type="radio" name="RegistrationStatus" value="Reinstatement" /><label for="RegistrationStatus_3">Reinstatement</label></td>
	</tr>
</table><span id="ctl06" style="color:Red;visibility:hidden;"><font size='1'>    <b>You must select one of the above</b></font></span></td></tr>

<tr><td> &nbsp;&nbsp;5. <label for="Listed_Name">Laboratory name as you wish it listed on the CPSC web site, if different than legal name (leave blank if same):</label><br> &nbsp;&nbsp;&nbsp;<input name="Listed_Name" type="text" id="Listed_Name" class="textbox" size="99" /><br><br></td></tr>

<tr><td> &nbsp;&nbsp;6. Laboratory's authorized representative (to be displayed on the CPSC web site):
<br><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Rep_Last_Name">Family name(s):</label> &nbsp;&nbsp;&nbsp;<input name="Rep_Last_Name" type="text" id="Rep_Last_Name" class="textbox" size="26" /> &nbsp;&nbsp;&nbsp;<label for="Rep_First_Name">First (Given) name:</label> &nbsp;&nbsp;&nbsp;<input name="Rep_First_Name" type="text" id="Rep_First_Name" class="textbox" size="25" /><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Rep_Title">Title:</label> &nbsp;&nbsp;&nbsp;<input name="Rep_Title" type="text" id="Rep_Title" class="textbox" size="37" /> &nbsp;&nbsp;&nbsp;<label for="Rep_Email">E-mail:</label> &nbsp;&nbsp;&nbsp;<input name="Rep_Email" type="text" id="Rep_Email" class="textbox" size="37" /><span id="repemailvalidate" style="color:Red;display:none;"> Invalid; please reenter</span><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Rep_Phone">Telephone #:</label> &nbsp;&nbsp;&nbsp;<input name="Rep_Phone" type="text" id="Rep_Phone" class="textbox" size="29" /> &nbsp;&nbsp;&nbsp;<label for="Rep_Fax">Fax #:</label> &nbsp;&nbsp;&nbsp;<input name="Rep_Fax" type="text" id="Rep_Fax" class="textbox" size="29" /><br><br></td></tr>

<tr><td><br> &nbsp;&nbsp;7. Applicant Information (Point of contact for registration questions.  Not for CPSC web site display.  Leave blank if same as above):
<br><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="App_Last_Name">Family name(s):</label> &nbsp;&nbsp;&nbsp;<input name="App_Last_Name" type="text" id="App_Last_Name" class="textbox" size="26" /> &nbsp;&nbsp;&nbsp;<label for="App_First_Name">First (Given) name:</label> &nbsp;&nbsp;&nbsp;<input name="App_First_Name" type="text" id="App_First_Name" class="textbox" size="25" /><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="App_Title">Title:</label> &nbsp;&nbsp;&nbsp;<input name="App_Title" type="text" id="App_Title" class="textbox" size="37" /> &nbsp;&nbsp;&nbsp;<label for="App_Email">E-mail:</label> &nbsp;&nbsp;&nbsp;<input name="App_Email" type="text" id="App_Email" class="textbox" size="37" /><span id="appemailvalidate" style="color:Red;display:none;"> Invalid; please reenter</span><br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Submission_Date">Current Date:</label> &nbsp;&nbsp;&nbsp;<input name="Submission_Date" type="text" value="05/26/2010" id="Submission_Date" class="textbox" size="10" /> (mm/dd/yyyy) 
<span id="subdate" style="color:Red;visibility:hidden;">Must be mm/dd/yyyy</span> </td></tr>

<tr><td><br> &nbsp;&nbsp;8. Ownership / Type of Laboratory:

<p style="margin-left:17px;"><b>A. Definitions:</b>

<p style="margin-left:17px;"><b>Third Party Laboratory:</b> A testing laboratory that does not have a 10 percent or greater ownership interest by a manufacturer or private labeler of a product subject to the safety requirements for which you are applying and also is not owned or controlled, in whole or in part, by a governmental entity (as defined below for Governmental Laboratory).</p>

<p style="margin-left:17px;"><b>Firewalled Laboratory:</b> Ownership of the applicant laboratory of 10% or more by manufacturers or private labelers of children’s products:</p>

<blockquote>Registration as a firewalled conformity assessment body (firewalled laboratory) is required if there are ownership interests in this laboratory of 10% or more by manufacturers or private labelers of children's products subject to the safety requirements for which you are applying. These owners must be identified in the boxes below.</blockquote>

<p style="margin-left:17px;"><b>Governmental Laboratory:</b> Ownership or control, in whole or in part, by a governmental entity:</p>

<blockquote>Ownership or control, in whole or in part, of this conformity assessment body by a governmental entity requires registration as a governmental conformity assessment body. If this conformity assessment body is owned or controlled in part or in whole by a government, the governmental entity(s) must be named in the boxes below. This includes indirect ownership or control through governmental ownership of interests in any partners of this conformity assessment body.

<p>The phrase “governmental entity” in this document refers to any governmental entity in your country or administrative area, whether national, provincial, territorial, local, etc., and includes state-owned entities even if those entities do not carry out governmental functions.</blockquote>

<p style="margin-left:10px;"><span id="ctl07" style="color:Red;visibility:hidden;"><b><font size=+1> *</font></b></span><b>B. Type of Laboratory (select one):</b><br><table id="Registered_Body" border="0">
	<tr>
		<td><input id="Registered_Body_0" type="radio" name="Registered_Body" value="Third Party Conformity Assessment Body" /><label for="Registered_Body_0">Third Party Laboratory (see attestation)</label></td>
	</tr><tr>
		<td><input id="Registered_Body_1" type="radio" name="Registered_Body" value="Firewalled Conformity Assessment Body" /><label for="Registered_Body_1">Firewalled Laboratory</label></td>
	</tr><tr>
		<td><input id="Registered_Body_2" type="radio" name="Registered_Body" value="Governmental Conformity Assessment Body" /><label for="Registered_Body_2">Governmental Laboratory</label></td>
	</tr>
</table><span id="ctl08" style="color:Red;display:none;"><font size='1'>    You must select one of the above.</font></span>

<p style="margin-left:17px;"><b>C. Registration (select one):</b>

<p style="margin-left:30px;"><b>Third Party Laboratory:</b>

<p style="margin-left:30px;">If Third Party Laboratory is selected, the laboratory representative attests that the laboratory does not have an ownership interest of 10 percent or more by a manufacturer or private labeler of a product subject to the safety requirements for which you are applying and the laboratory also is not owned or controlled, in whole or in part, by a governmental entity (as defined above for governmental laboratory).</p>

<p style="margin-left:26px;"><span id="chtpcheckbox" Type="Integer" style="color:Red;display:none;"> <b><font size=+1> *</font></b></span><span id="CheckBox0"><span class="noborder"><input id="CheckBox0_0" type="checkbox" name="CheckBox0$0" /></span></span>&nbsp;&nbsp;Check this box and submit your name below to confirm third party laboratory attestation.
<span id="chtpcheckboxnull" Type="Integer" style="color:Red;display:none;"> <b><font size=-2>This box must be unchecked unless you are registering as a third party laboratory</font></b></span></p>

<p style="margin-left:30px;"><span id="chtpattest" Type="Integer" style="color:Red;display:none;"> <b><font size=+1> *</font></b></span><label for="Attestation">Name of Lab Representative making attestation that applicant is a third party laboratory. <b>If attestation is completed, skip to Section 9.</b></label> <input name="Attestation" type="text" id="Attestation" class="textbox" size="30" /> <span id="chtpattestnull" Type="Integer" style="color:Red;display:none;"> <b><font size=-2>This box must be blank unless you are registering as a third party laboratory</font></b></span></p>

<p style="margin-left:30px;"><b>Firewalled  Laboratory:</b>

<p style="margin-left:30px;">Registration as a firewalled conformity assessment body (firewalled laboratory) is required if there are ownership interests in this laboratory of 10% or more by manufacturers or private labelers of children's products subject to the safety requirements for which you are applying.  <b>These owners must be identified in the boxes below.</b><br><br></p>

<table width=100%><tr valign="bottom"><td> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Name of Owner<br><br></td><td align="middle">Percent Owned<br>(Do not use "%")<br></td></tr>

<tr><td><span id="chownership" Type="Integer" style="color:Red;display:none;"> <b><font size=+1> *</font></b></span> &nbsp;&nbsp;<label for="Entity1">a.</label> &nbsp;<input name="Entity1" type="text" id="Entity1" class="textbox" size="75" /><span id="chownershipnull" Type="Integer" style="color:Red;display:none;"> <b><font size=-2> The ownership box must be empty unless you are applying as a Firewalled Laboratory.</font></b></span></td><td align="middle"><input name="Owned1" type="text" id="Owned1" class="textbox" size="5" /> <span id="ownedvalid1" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Entity2">b.</label> &nbsp;<input name="Entity2" type="text" id="Entity2" class="textbox" size="75" /></td><td align="middle"><input name="Owned2" type="text" id="Owned2" class="textbox" size="5" /> <span id="ownedvalid2" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Entity3">c.</label> &nbsp;<input name="Entity3" type="text" id="Entity3" class="textbox" size="75" /></td><td align="middle"><input name="Owned3" type="text" id="Owned3" class="textbox" size="5" /> <span id="ownedvalid3" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Entity4">d.</label> &nbsp;<input name="Entity4" type="text" id="Entity4" class="textbox" size="75" /></td><td align="middle"><input name="Owned4" type="text" id="Owned4" class="textbox" size="5" /> <span id="ownedvalid4" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Entity5">e.</label> &nbsp;<input name="Entity5" type="text" id="Entity5" class="textbox" size="75" /></td><td align="middle"><input name="Owned5" type="text" id="Owned5" class="textbox" size="5" /> <span id="ownedvalid5" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Entity6">f.</label> &nbsp;&nbsp;<input name="Entity6" type="text" id="Entity6" class="textbox" size="75" /></td><td align="middle"><input name="Owned6" type="text" id="Owned6" class="textbox" size="5" /> <span id="ownedvalid6" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Entity7">g.</label> &nbsp;<input name="Entity7" type="text" id="Entity7" class="textbox" size="75" /></td><td align="middle"><input name="Owned7" type="text" id="Owned7" class="textbox" size="5" /> <span id="ownedvalid7" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Entity8">h.</label> &nbsp;<input name="Entity8" type="text" id="Entity8" class="textbox" size="75" /></td><td align="middle"><input name="Owned8" type="text" id="Owned8" class="textbox" size="5" /> <span id="ownedvalid8" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;&nbsp;<label for="Entity9">i.</label> &nbsp;<input name="Entity9" type="text" id="Entity9" class="textbox" size="75" /></td><td align="middle"><input name="Owned9" type="text" id="Owned9" class="textbox" size="5" /> <span id="ownedvalid9" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;&nbsp;<label for="Entity10">j.</label> &nbsp;<input name="Entity10" type="text" id="Entity10" class="textbox" size="75" /></td><td align="middle"><input name="Owned10" type="text" id="Owned10" class="textbox" size="5" /> <span id="ownedvalid10" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>
</table>

<p style="margin-left:30px;">You may request by checking the box below that the CPSC consider manufacturer or private labeler ownership information as confidential and exempt from public disclosure. This request of confidentiality does not relieve the applicant from the obligation to provide CPSC with the required ownership information.</p>

<p style="margin-left:27px;"><span id="CheckBox1"><span class="noborder"><input id="CheckBox1_0" type="checkbox" name="CheckBox1$0" /></span></span>&nbsp;Check this box if you claim that this information should be considered as confidential and exempt from public disclosure.</p>

</td></tr>

<tr><td><p style="margin-left:30px;"><b><br><br>Ownership or control, in whole or in part, by a governmental entity:</b><br><br>Ownership or control, in whole or in part, of this conformity assessment body by a governmental entity requires registration as a governmental conformity assessment body.  If this conformity assessment body is owned or controlled in part or in whole by a government, the governmental entity(s) must be named in the boxes below.  This includes indirect ownership or control through governmental ownership of interests in any partners of this conformity assessment body.

<br><br>Ownership or control by a governmental entity may not be considered as confidential and exempt from public disclosure.</p>

<table width=100%><tr valign="bottom"><td> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Name of Governmental Entity<br><br></td><td align="middle">Percent Owned<br>or Controlled<br>(Do not use "%")<br></td></tr>

<tr><td> <span id="chgownership" Type="Integer" style="color:Red;display:none;"> <b><font size=+1> *</font></b></span> &nbsp;&nbsp;<label for="Gentity1">a.</label> &nbsp;<input name="Gentity1" type="text" id="Gentity1" class="textbox" size="75" /><span id="chgownershipnull" Type="Integer" style="color:Red;display:none;"> <b><font size=-2>  The governmental ownership box must be empty unless you are applying as a Governmental Laboratory.</font></b></span></td><td align="middle"><input name="Gowned1" type="text" id="Gowned1" class="textbox" size="5" /> <span id="gownedvalid1" EErrorMessage=" &lt;b>&lt;font size=+1> *&lt;/font>&lt;/b># only" style="color:Red;display:none;"></span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Gentity2">b.</label> &nbsp;<input name="Gentity2" type="text" id="Gentity2" class="textbox" size="75" /></td><td align="middle"><input name="Gowned2" type="text" id="Gowned2" class="textbox" size="5" /> <span id="gownedvalid2" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Gentity3">c.</label> &nbsp;<input name="Gentity3" type="text" id="Gentity3" class="textbox" size="75" /></td><td align="middle"><input name="Gowned3" type="text" id="Gowned3" class="textbox" size="5" /> <span id="gownedvalid3" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Gentity4">d.</label> &nbsp;<input name="Gentity4" type="text" id="Gentity4" class="textbox" size="75" /></td><td align="middle"><input name="Gowned4" type="text" id="Gowned4" class="textbox" size="5" /> <span id="gownedvalid4" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>

<tr><td> &nbsp;&nbsp;<label for="Gentity5">e.</label> &nbsp;<input name="Gentity5" type="text" id="Gentity5" class="textbox" size="75" /></td><td align="middle"><input name="Gowned5" type="text" id="Gowned5" class="textbox" size="5" /> <span id="gownedvalid5" style="color:Red;display:none;"> <b><font size=+1> *</font></b># only</span> </td></tr>
</table></td></tr>

<tr><td><br> &nbsp;&nbsp;9. Laboratory Accreditation Information and Scopes for which you are applying:

<p style="margin-left:17px;">The laboratory must be accredited by an ILAC-MRA signatory accrediting body.  The accreditation must be to ISO Standard ISO/IEC 17025:2005--General Requirements for the Competence of Testing and Calibration Laboratories and the scope of the accreditation must expressly include testing to the CPSC safety requirements for which you are applying.

<p style="margin-left:17px;"><b>PLEASE NOTE: If you have scopes that are covered under different or multiple certificate numbers</b> (from the same or different ILAC-MRA member), please fill out the accreditation/certificate information for only those scopes covered under one ILAC-MRA member/certificate number.  Follow the instructions in Section 10, and Click “Submit” at the bottom of the form.  There will be an opportunity to fill in additional certificate information.

<p style="margin-left:17px;">After submitting, you will receive an application summary page that provides an opportunity to verify the application information.   Scroll down and put in the second certificate number (and different ILAC-MRA member, accreditation and expiration dates if appropriate), deselect the scopes from the first submission, select new scopes that are covered by the second certificate, and resubmit. You can repeat this process as needed for multiple accreditation certificates.

<p style="margin-left:17px;">You must select an ILAC-MRA member from the drop-down list.<span id="chaccreditor" style="color:Red;display:none;"> <b><font size=+1> *</font></b></span>
</p> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Accreditor">Name of ILAC-MRA member providing accreditation</label> &nbsp;&nbsp;&nbsp;<select name="Accreditor" id="Accreditor" class="textbox">
	<option value=" Please Select">Please Select</option>
	<option value="A2LA">A2LA (United States)</option>
	<option value="AAC Analitica">AAC Analitica (Russia)</option>
	<option value="ACCREDIA">ACCREDIA (Italy)</option>
	<option value="ACLASS">ACLASS (United States)</option>
	<option value="ASCLD/LAB">ASCLD/LAB (United States)</option>
	<option value="BELAC">BELAC (Belgium)</option>
	<option value="BLA-DSS">BLA-DSS (Thailand)</option>
	<option value="BLQS-DMSc">BLQS-DMSc (Thailand)</option>
	<option value="BMWA">BMWA (Austria)</option>
	<option value="BoA">BoA (Vietnam)</option>
	<option value="CAI">CAI (Czech Republic)</option>
	<option value="CALA">CALA (Canada)</option>
	<option value="CGCRE/INMETRO">CGCRE/INMETRO (Brazil)</option>
	<option value="CNAS">CNAS (China)</option>
	<option value="COFRAC">COFRAC (France)</option>
	<option value="COPA">COPA (Italy)</option>
	<option value="DAC">DAC (United Arab Emirates)</option>
	<option value="DACH">DACH (Germany)</option>
	<option value="DAkkS">DAkkS (Germany)</option>
	<option value="DANAK">DANAK (Denmark)</option>
	<option value="DAP">DAP (Germany)</option>
	<option value="DATech">DATech (Germany)</option>
	<option value="DGA">DGA (Germany)</option>
	<option value="DKD">DKD (Germany)</option>
	<option value="DSM">DSM (Malaysia)</option>
	<option value="ECA">ECA (Costa Rica)</option>
	<option value="EGAC">EGAC (Egypt)</option>
	<option value="ema">ema (Mexico)</option>
	<option value="ENAC">ENAC (Spain)</option>
	<option value="ESYD">ESYD (Greece)</option>
	<option value="FINAS">FINAS (Finland)</option>
	<option value="HKAS">HKAS (Hong Kong)</option>
	<option value="IA Japan">IA Japan (Japan)</option>
	<option value="IANZ">IANZ (New Zealand)</option>
	<option value="IAS">IAS (United States)</option>
	<option value="INAB">INAB (Ireland)</option>
	<option value="IPAC">IPAC (Portugal)</option>
	<option value="ISRAC">ISRAC (Israel)</option>
	<option value="JAB">JAB (Japan)</option>
	<option value="KAN">KAN (Indonesia)</option>
	<option value="KOLAS">KOLAS (South Korea)</option>
	<option value="L-A-B">L-A-B (United States)</option>
	<option value="NA">NA (Norway)</option>
	<option value="NABL">NABL (India)</option>
	<option value="NATA">NATA (Austrailia)</option>
	<option value="NLAB">NLAB (Egypt)</option>
	<option value="NVLAP">NVLAP (United States)</option>
	<option value="OAA">OAA (Argentina)</option>
	<option value="OGA">OGA (Guatemala)</option>
	<option value="ONARC">ONARC (Cuba)</option>
	<option value="PAO">PAO (Philippines)</option>
	<option value="PCA">PCA (Poland)</option>
	<option value="PJLA">PJLA (United States)</option>
	<option value="PNAC">PNAC (Pakistan)</option>
	<option value="RENAR">RENAR (Romania)</option>
	<option value="RvA">RvA (Netherlands)</option>
	<option value="SA">SA (Slovenia)</option>
	<option value="SAC">SAC (Singapore)</option>
	<option value="SANAS">SANAS (South Africa)</option>
	<option value="SAS">SAS (Switzerland)</option>
	<option value="SCC">SCC (Canada)</option>
	<option value="SINAL">SINAL (Italy)</option>
	<option value="SIT">SIT (Italy)</option>
	<option value="SLAB">SLAB (Sri Lanka)</option>
	<option value="SNAS">SNAS (Slovakia)</option>
	<option value="SWEDAC">SWEDAC (Swedan)</option>
	<option value="TAF">TAF (Taiwan)</option>
	<option value="TISI">TISI (Thailand)</option>
	<option value="TUNAC ">TUNAC (Tunisia)</option>
	<option value="TURKAK">TURKAK (Turkey)</option>
	<option value="UKAS">UKAS (United Kingdom</option>
	<option value="VLAC">VLAC (Japan)</option>

</select><br><br style="font-size:3pt;"> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Accred_Date">Date of accreditation to ISO/IEC 17025:2005</label> &nbsp;&nbsp;&nbsp;<input name="Accred_Date" type="text" id="Accred_Date" class="textbox" size="10" /> <INPUT type="image" align="absmiddle" src="/images/calendar.jpg" alt="Click here to display calendar" width = "21" height="16" border="0" onclick="PopupPicker('Accred_Date', 200, 200);return false;"> (mm/dd/yyyy) 
<span id="accreddate" style="color:Red;display:none;">Must be mm/dd/yyyy</span> 
<span id="rangeaccreddate" style="color:Red;display:none;">Must be valid date</span><br><br style="font-size:1pt;"> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Cert_Number">Certificate number</label><span id="ctl09" style="color:Red;visibility:hidden;"><b><font size=+1> *</font></span></b> <input name="Cert_Number" type="text" id="Cert_Number" class="textbox" size="30" /><br><br style="font-size:3pt;"> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<label for="Expiration_Date">Expiration date</label> &nbsp;&nbsp;&nbsp;<input name="Expiration_Date" type="text" id="Expiration_Date" class="textbox" size="10" /> <INPUT type="image" align="absmiddle" src="/images/calendar.jpg" alt="Click here to display calendar" width = "21" height="16" border="0" onclick="PopupPicker('Expiration_Date', 200, 200);return false;"> (mm/dd/yyyy) 
<span id="expirdate" style="color:Red;display:none;">Must be mm/dd/yyyy</span><span id="rangeexpirdate" style="color:Red;display:none;">Must be valid date</span> 

<p style="margin-left:17px;">The accreditation and certificate information above applies to the following scopes (check all that apply; if you have been accepted for one of them previously, please do not check it again):

<p style="margin-left:23px;"><font color="red"><b>The scope document for the laboratory seeking acceptance of its accreditation must include an explicit reference to each scope below for which it is applying.</b></font><br><br> 

 &nbsp;&nbsp;<span id="CheckBoxBH"><span class="noborder"><input id="CheckBoxBH_0" type="checkbox" name="CheckBoxBH$0" /></span></span>&nbsp;&nbsp;Bicycle Helmets, 16 CFR Part 1203<br>

 &nbsp;&nbsp;<span id="CheckBoxLP"><span class="noborder"><input id="CheckBoxLP_0" type="checkbox" name="CheckBoxLP$0" /></span></span>&nbsp;&nbsp;Lead Paint, 16 CFR Part 1303<br>

 &nbsp;&nbsp;<span id="CheckBoxCB"><span class="noborder"><input id="CheckBoxCB_0" type="checkbox" name="CheckBoxCB$0" /></span></span>&nbsp;&nbsp;Clacker balls, 15 CFR Part 1500.86(a)(5)<br>

 &nbsp;&nbsp;<span id="CheckBoxDS"><span class="noborder"><input id="CheckBoxDS_0" type="checkbox" name="CheckBoxDS$0" /></span></span>&nbsp;&nbsp;Dive Sticks and other similar articles, 16 CFR 1500.86(a)(7) and (8)<br>

 &nbsp;&nbsp;<span id="CheckBoxSP"><span class="noborder"><input id="CheckBoxSP_0" type="checkbox" name="CheckBoxSP$0" /></span></span>&nbsp;&nbsp;Small Parts Regulation, 16 CFR Part 1501<br>

 &nbsp;&nbsp;<span id="CheckBoxEO"><span class="noborder"><input id="CheckBoxEO_0" type="checkbox" name="CheckBoxEO$0" /></span></span>&nbsp;&nbsp;Electrically operated toys, 16 CFR Part 1505<br>

 &nbsp;&nbsp;<span id="CheckBoxFS"><span class="noborder"><input id="CheckBoxFS_0" type="checkbox" name="CheckBoxFS$0" /></span></span>&nbsp;&nbsp;Full-Size Cribs, 16 CFR Part 1508<br>

 &nbsp;&nbsp;<span id="CheckBoxNF"><span class="noborder"><input id="CheckBoxNF_0" type="checkbox" name="CheckBoxNF$0" /></span></span>&nbsp;&nbsp;Non Full-Size Cribs, 16 CFR Part 1509<br>

 &nbsp;&nbsp;<span id="CheckBoxRA"><span class="noborder"><input id="CheckBoxRA_0" type="checkbox" name="CheckBoxRA$0" /></span></span>&nbsp;&nbsp;Rattles, 16 CFR Part 1510<br>

 &nbsp;&nbsp;<span id="CheckBoxPF"><span class="noborder"><input id="CheckBoxPF_0" type="checkbox" name="CheckBoxPF$0" /></span></span>&nbsp;&nbsp;Pacifiers, 16 CFR Part 1511<br>

 &nbsp;&nbsp;<span id="CheckBoxBI"><span class="noborder"><input id="CheckBoxBI_0" type="checkbox" name="CheckBoxBI$0" /></span></span>&nbsp;&nbsp;Bicycles, 16 CFR Part 1512<br>

 &nbsp;&nbsp;<span id="CheckBoxBB"><span class="noborder"><input id="CheckBoxBB_0" type="checkbox" name="CheckBoxBB$0" /></span></span>&nbsp;&nbsp;Children’s Bunk Beds, 16 CFR Part 1513<br>

 &nbsp;&nbsp;<span id="CheckBoxMJ"><span class="noborder"><input id="CheckBoxMJ_0" type="checkbox" name="CheckBoxMJ$0" /></span></span>&nbsp;&nbsp;<font color="black">Children’s Metal Jewelry, <a href="/about/cpsia/CPSC-CH-E1001-08.pdf">CPSC Test Method CPSC-CH-E1001-08 for Determining Total Lead in<br><span style="margin-left:32px;">Children’s Metal Products</a> <b>and/or</b>  the "Screening Test for Total PB Analysis" Section of the<br><span style="margin-left:32px;"><a href="/businfo/pbjeweltest.pdf">2005 CPSC Laboratory SOP for Determining Lead in Children's Metal Jewelry</span></font><br>

 &nbsp;&nbsp;<span id="CheckBoxMP"><span class="noborder"><input id="CheckBoxMP_0" type="checkbox" name="CheckBoxMP$0" /></span></span>&nbsp;&nbsp;<font color="black">Children’s Metal Products, <a href="/about/cpsia/CPSC-CH-E1001-08.pdf">CPSC Test Method CPSC-CH-E1001-08 for Determining Total Lead in<br><span style="margin-left:32px;">Children’s Metal Products</a> </span></font><br>

 &nbsp;&nbsp;<span id="CheckBoxNM"><span class="noborder"><input id="CheckBoxNM_0" type="checkbox" name="CheckBoxNM$0" /></span></span>&nbsp;&nbsp;<font color="black">Non-Metal Children’s Products, <a href="/about/cpsia/CPSC-CH-E1002-08.pdf">CPSC Test Method CPSC-CH-E1002-08 Standard Operating Procedure<br><span style="margin-left:32px;">for Determining Total Lead (Pb) in Non-Metal Children’s Products</a> </span></font><br>

<span id="checkscope" Type="Integer" style="color:Red;visibility:hidden;"> <b><font size=+1> * </font>You must check at least one of the boxes above</font></b></span>

<tr><td><br><p style="margin-left:30px;">10.<br><br>

<table cellspacing="0" cellpadding="5" border="1" width=87%><tr><td><b>All registrants must provide an English language copy of the laboratory accreditation certificate and relevant scope documents.<br><br>Please email these materials separately to <a href="mailto:labaccred@cpsc.gov?subject=Consumer%20Product%20Conformity%20Assessment">labaccred@cpsc.gov</a> and <b>be sure to include your Laboratory Name, Accreditation Certificate Number, and Scope (Regulation) in the subject line of your message and in the text of your email.<br><br>Please attach the full relevant scope document(s) to your application.  Do not attach only<br>sections of your scope document.<br><br>Your email should also include information on where to find the CPSC required scope references in your scope documents (e.g., page numbers).</b></td></tr></table><br></td></tr>

<tr><td><p style="margin-left:30px;"><table cellspacing="0" cellpadding="5" border="1" width=87%><tr><td><b>Firewalled conformity assessment bodies must also submit copies of their training materials.

<p>If any manufacturer or private labeler of children's products, subject to the safety requirements for which you are applying, holding ten percent or greater interest in this conformity assessment body is using this entity for the required testing of their products, the conformity assessment body must submit a copy of the firm's established materials used for training its employees on the process and means by which allegations of any attempt by the manufacturer, private labeler or other interested party to hide or exert undue influence over test results can be immediately and confidentially reported to the Commission.

<p>Please email these materials with your certificate and scope documents to <a href="mailto:labaccred@cpsc.gov">labaccred@cpsc.gov</a></b></td></tr></table><br></td></tr>

<tr><td colspan="2"><p style="margin-left:30px;"><table cellspacing="0" cellpadding="5" border="1" width=87%><tr><td><b>KNOWING AND WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR IN ANY OTHER SUBMITTED MATERIALS ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT FOR UP TO FIVE YEARS (U.S. Code, Title 18, Section 1001) AND/OR WITHDRAWAL OF CPSC ACCEPTANCE OF ACCREDITATION.</td></tr></table></td></tr>

<tr align="center"><td colspan=2><p  style="font-size:13px;"><br><input type="submit" name="ctl10" value="Submit" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl10&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, false))" /> <input type="submit" name="btnReset" value="Reset Form" id="btnReset" />

<p  style="font-size:13px;"><b><font color=purple>If you submit and nothing happens, look for a red asterisk(s) (<font color=red> * </font>) indicating a required<br>entry; please complete the entry by the asterisk and re-submit. If submission is<br>successful, you will get an immediate acknowledgment.</font></b>

<p align="left">CPSC<br>Revision 4c</p>
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<script type="text/javascript">
//<![CDATA[
var Page_Validators =  new Array(document.getElementById("ctl01"), document.getElementById("ctl02"), document.getElementById("ctl03"), document.getElementById("ctl04"), document.getElementById("ctl05"), document.getElementById("ctl06"), document.getElementById("repemailvalidate"), document.getElementById("appemailvalidate"), document.getElementById("subdate"), document.getElementById("ctl07"), document.getElementById("ctl08"), document.getElementById("chtpcheckbox"), document.getElementById("chtpcheckboxnull"), document.getElementById("chtpattest"), document.getElementById("chtpattestnull"), document.getElementById("chownership"), document.getElementById("chownershipnull"), document.getElementById("ownedvalid1"), document.getElementById("ownedvalid2"), document.getElementById("ownedvalid3"), document.getElementById("ownedvalid4"), document.getElementById("ownedvalid5"), document.getElementById("ownedvalid6"), document.getElementById("ownedvalid7"), document.getElementById("ownedvalid8"), document.getElementById("ownedvalid9"), document.getElementById("ownedvalid10"), document.getElementById("chgownership"), document.getElementById("chgownershipnull"), document.getElementById("gownedvalid1"), document.getElementById("gownedvalid2"), document.getElementById("gownedvalid3"), document.getElementById("gownedvalid4"), document.getElementById("gownedvalid5"), document.getElementById("chaccreditor"), document.getElementById("accreddate"), document.getElementById("rangeaccreddate"), document.getElementById("ctl09"), document.getElementById("expirdate"), document.getElementById("rangeexpirdate"), document.getElementById("checkscope"));
//]]>
</script>

<script type="text/javascript">
//<![CDATA[
var ctl01 = document.all ? document.all["ctl01"] : document.getElementById("ctl01");
ctl01.controltovalidate = "Legal_Name";
ctl01.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl01.initialvalue = "";
var ctl02 = document.all ? document.all["ctl02"] : document.getElementById("ctl02");
ctl02.controltovalidate = "Address1";
ctl02.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl02.initialvalue = "";
var ctl03 = document.all ? document.all["ctl03"] : document.getElementById("ctl03");
ctl03.controltovalidate = "City";
ctl03.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl03.initialvalue = "";
var ctl04 = document.all ? document.all["ctl04"] : document.getElementById("ctl04");
ctl04.controltovalidate = "state";
ctl04.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl04.initialvalue = "";
var ctl05 = document.all ? document.all["ctl05"] : document.getElementById("ctl05");
ctl05.controltovalidate = "Country";
ctl05.evaluationfunction = "CompareValidatorEvaluateIsValid";
ctl05.valuetocompare = "Please Select";
ctl05.operator = "NotEqual";
var ctl06 = document.all ? document.all["ctl06"] : document.getElementById("ctl06");
ctl06.controltovalidate = "RegistrationStatus";
ctl06.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl06.initialvalue = "";
var repemailvalidate = document.all ? document.all["repemailvalidate"] : document.getElementById("repemailvalidate");
repemailvalidate.controltovalidate = "Rep_Email";
repemailvalidate.errormessage = " Invalid; please reenter";
repemailvalidate.display = "Dynamic";
repemailvalidate.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
repemailvalidate.validationexpression = ".*@.*\\..*";
var appemailvalidate = document.all ? document.all["appemailvalidate"] : document.getElementById("appemailvalidate");
appemailvalidate.controltovalidate = "App_Email";
appemailvalidate.errormessage = " Invalid; please reenter";
appemailvalidate.display = "Dynamic";
appemailvalidate.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
appemailvalidate.validationexpression = ".*@.*\\..*";
var subdate = document.all ? document.all["subdate"] : document.getElementById("subdate");
subdate.controltovalidate = "Submission_Date";
subdate.errormessage = "Must be mm/dd/yyyy";
subdate.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
subdate.validationexpression = "\\d{2}/\\d{2}/\\d{4}";
var ctl07 = document.all ? document.all["ctl07"] : document.getElementById("ctl07");
ctl07.controltovalidate = "Registered_Body";
ctl07.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl07.initialvalue = "";
var ctl08 = document.all ? document.all["ctl08"] : document.getElementById("ctl08");
ctl08.controltovalidate = "Registered_Body";
ctl08.display = "Dynamic";
ctl08.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl08.initialvalue = "";
var chtpcheckbox = document.all ? document.all["chtpcheckbox"] : document.getElementById("chtpcheckbox");
chtpcheckbox.display = "Dynamic";
chtpcheckbox.evaluationfunction = "CustomValidatorEvaluateIsValid";
var chtpcheckboxnull = document.all ? document.all["chtpcheckboxnull"] : document.getElementById("chtpcheckboxnull");
chtpcheckboxnull.display = "Dynamic";
chtpcheckboxnull.evaluationfunction = "CustomValidatorEvaluateIsValid";
var chtpattest = document.all ? document.all["chtpattest"] : document.getElementById("chtpattest");
chtpattest.display = "Dynamic";
chtpattest.evaluationfunction = "CustomValidatorEvaluateIsValid";
var chtpattestnull = document.all ? document.all["chtpattestnull"] : document.getElementById("chtpattestnull");
chtpattestnull.display = "Dynamic";
chtpattestnull.evaluationfunction = "CustomValidatorEvaluateIsValid";
var chownership = document.all ? document.all["chownership"] : document.getElementById("chownership");
chownership.display = "Dynamic";
chownership.evaluationfunction = "CustomValidatorEvaluateIsValid";
var chownershipnull = document.all ? document.all["chownershipnull"] : document.getElementById("chownershipnull");
chownershipnull.display = "Dynamic";
chownershipnull.evaluationfunction = "CustomValidatorEvaluateIsValid";
var ownedvalid1 = document.all ? document.all["ownedvalid1"] : document.getElementById("ownedvalid1");
ownedvalid1.controltovalidate = "Owned1";
ownedvalid1.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid1.display = "Dynamic";
ownedvalid1.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid1.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid2 = document.all ? document.all["ownedvalid2"] : document.getElementById("ownedvalid2");
ownedvalid2.controltovalidate = "Owned2";
ownedvalid2.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid2.display = "Dynamic";
ownedvalid2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid2.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid3 = document.all ? document.all["ownedvalid3"] : document.getElementById("ownedvalid3");
ownedvalid3.controltovalidate = "Owned3";
ownedvalid3.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid3.display = "Dynamic";
ownedvalid3.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid3.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid4 = document.all ? document.all["ownedvalid4"] : document.getElementById("ownedvalid4");
ownedvalid4.controltovalidate = "Owned4";
ownedvalid4.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid4.display = "Dynamic";
ownedvalid4.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid4.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid5 = document.all ? document.all["ownedvalid5"] : document.getElementById("ownedvalid5");
ownedvalid5.controltovalidate = "Owned5";
ownedvalid5.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid5.display = "Dynamic";
ownedvalid5.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid5.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid6 = document.all ? document.all["ownedvalid6"] : document.getElementById("ownedvalid6");
ownedvalid6.controltovalidate = "Owned6";
ownedvalid6.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid6.display = "Dynamic";
ownedvalid6.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid6.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid7 = document.all ? document.all["ownedvalid7"] : document.getElementById("ownedvalid7");
ownedvalid7.controltovalidate = "Owned7";
ownedvalid7.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid7.display = "Dynamic";
ownedvalid7.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid7.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid8 = document.all ? document.all["ownedvalid8"] : document.getElementById("ownedvalid8");
ownedvalid8.controltovalidate = "Owned8";
ownedvalid8.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid8.display = "Dynamic";
ownedvalid8.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid8.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid9 = document.all ? document.all["ownedvalid9"] : document.getElementById("ownedvalid9");
ownedvalid9.controltovalidate = "Owned9";
ownedvalid9.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid9.display = "Dynamic";
ownedvalid9.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid9.validationexpression = "\\d+(\\.\\d{0,5})?";
var ownedvalid10 = document.all ? document.all["ownedvalid10"] : document.getElementById("ownedvalid10");
ownedvalid10.controltovalidate = "Owned10";
ownedvalid10.errormessage = " <b><font size=+1> *</font></b># only";
ownedvalid10.display = "Dynamic";
ownedvalid10.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ownedvalid10.validationexpression = "\\d+(\\.\\d{0,5})?";
var chgownership = document.all ? document.all["chgownership"] : document.getElementById("chgownership");
chgownership.display = "Dynamic";
chgownership.evaluationfunction = "CustomValidatorEvaluateIsValid";
var chgownershipnull = document.all ? document.all["chgownershipnull"] : document.getElementById("chgownershipnull");
chgownershipnull.display = "Dynamic";
chgownershipnull.evaluationfunction = "CustomValidatorEvaluateIsValid";
var gownedvalid1 = document.all ? document.all["gownedvalid1"] : document.getElementById("gownedvalid1");
gownedvalid1.controltovalidate = "Gowned1";
gownedvalid1.display = "Dynamic";
gownedvalid1.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
gownedvalid1.validationexpression = "\\d+(\\.\\d{0,5})?";
var gownedvalid2 = document.all ? document.all["gownedvalid2"] : document.getElementById("gownedvalid2");
gownedvalid2.controltovalidate = "Gowned2";
gownedvalid2.errormessage = " <b><font size=+1> *</font></b># only";
gownedvalid2.display = "Dynamic";
gownedvalid2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
gownedvalid2.validationexpression = "\\d+(\\.\\d{0,5})?";
var gownedvalid3 = document.all ? document.all["gownedvalid3"] : document.getElementById("gownedvalid3");
gownedvalid3.controltovalidate = "Gowned3";
gownedvalid3.errormessage = " <b><font size=+1> *</font></b># only";
gownedvalid3.display = "Dynamic";
gownedvalid3.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
gownedvalid3.validationexpression = "\\d+(\\.\\d{0,5})?";
var gownedvalid4 = document.all ? document.all["gownedvalid4"] : document.getElementById("gownedvalid4");
gownedvalid4.controltovalidate = "Gowned4";
gownedvalid4.errormessage = " <b><font size=+1> *</font></b># only";
gownedvalid4.display = "Dynamic";
gownedvalid4.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
gownedvalid4.validationexpression = "\\d+(\\.\\d{0,5})?";
var gownedvalid5 = document.all ? document.all["gownedvalid5"] : document.getElementById("gownedvalid5");
gownedvalid5.controltovalidate = "Gowned5";
gownedvalid5.errormessage = " <b><font size=+1> *</font></b># only";
gownedvalid5.display = "Dynamic";
gownedvalid5.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
gownedvalid5.validationexpression = "\\d+(\\.\\d{0,5})?";
var chaccreditor = document.all ? document.all["chaccreditor"] : document.getElementById("chaccreditor");
chaccreditor.controltovalidate = "Accreditor";
chaccreditor.display = "Dynamic";
chaccreditor.evaluationfunction = "CompareValidatorEvaluateIsValid";
chaccreditor.valuetocompare = " Please Select";
chaccreditor.operator = "NotEqual";
var accreddate = document.all ? document.all["accreddate"] : document.getElementById("accreddate");
accreddate.controltovalidate = "Accred_Date";
accreddate.errormessage = "Must be mm/dd/yyyy";
accreddate.display = "Dynamic";
accreddate.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
accreddate.validationexpression = "\\d{2}/\\d{2}/\\d{4}";
var rangeaccreddate = document.all ? document.all["rangeaccreddate"] : document.getElementById("rangeaccreddate");
rangeaccreddate.controltovalidate = "Accred_Date";
rangeaccreddate.errormessage = "Must be valid date";
rangeaccreddate.display = "Dynamic";
rangeaccreddate.type = "Date";
rangeaccreddate.dateorder = "mdy";
rangeaccreddate.cutoffyear = "2029";
rangeaccreddate.century = "2000";
rangeaccreddate.evaluationfunction = "RangeValidatorEvaluateIsValid";
rangeaccreddate.maximumvalue = "12/12/2200";
rangeaccreddate.minimumvalue = "01/01/1900";
var ctl09 = document.all ? document.all["ctl09"] : document.getElementById("ctl09");
ctl09.controltovalidate = "Cert_Number";
ctl09.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl09.initialvalue = "";
var expirdate = document.all ? document.all["expirdate"] : document.getElementById("expirdate");
expirdate.controltovalidate = "Expiration_Date";
expirdate.errormessage = "Must be mm/dd/yyyy";
expirdate.display = "Dynamic";
expirdate.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
expirdate.validationexpression = "\\d{2}/\\d{2}/\\d{4}";
var rangeexpirdate = document.all ? document.all["rangeexpirdate"] : document.getElementById("rangeexpirdate");
rangeexpirdate.controltovalidate = "Expiration_Date";
rangeexpirdate.errormessage = "Must be valid date";
rangeexpirdate.display = "Dynamic";
rangeexpirdate.type = "Date";
rangeexpirdate.dateorder = "mdy";
rangeexpirdate.cutoffyear = "2029";
rangeexpirdate.century = "2000";
rangeexpirdate.evaluationfunction = "RangeValidatorEvaluateIsValid";
rangeexpirdate.maximumvalue = "12/12/2200";
rangeexpirdate.minimumvalue = "01/01/1900";
var checkscope = document.all ? document.all["checkscope"] : document.getElementById("checkscope");
checkscope.evaluationfunction = "CustomValidatorEvaluateIsValid";
//]]>
</script>


<script type="text/javascript">
//<![CDATA[

var Page_ValidationActive = false;
if (typeof(ValidatorOnLoad) == "function") {
    ValidatorOnLoad();
}

function ValidatorOnSubmit() {
    if (Page_ValidationActive) {
        return ValidatorCommonOnSubmit();
    }
    else {
        return true;
    }
}
        //]]>
</script>
</form>

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