Chemist Certification Function of myTTB

Voluntary Chemist Certification Program Applications, Notices, and Records

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Voluntary Chemist Certification Program Applications, Notices, and Records

OMB: 1513-0140

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Chemist Certification Program
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Chemist Certification Program

New Application

New Application
APPLICATION CYCLE: FALL 2023

(DRAFT) To apply to participate in the chemist certification program, enter the required information for TTB to review your eligibility. TTB
will send samples to your laboratory’s shipping address for you to conduct test analysis. If you have chemist certification questions,
please contact TTB.
Note: You can only submit one application per application cycle.

Applicant Details
All fields are mandatory unless stated otherwise.

(DRAFT) Please allocate sufficient time to enter all your test
results in one session. Any progress will be lost if you exit this
experience before submitting to TTB.
Name: John Doe
Email: [email protected]
(DRAFT) Note: Name and email information can be updated on
your My Profile page.

Enter Qualified Laboratory Details
(DRAFT) Enter your current laboratory information. Test sample kits are mailed to this location.
Laboratory Name

This laboratory is ISO 17025-accredited

For more information refer to:
What if the laboratory I work at is ISO 17025-accredited?
(Item 6 of TTB Procedure)

Laboratory Manager
Shipping address line 1
Street address or P.O. box

Shipping address line 2 (optional)
Apt, suite, unit, building, floor, etc.

City
State
ZIP/Postal Code

Attach Supporting Documents
(DRAFT) A new verification of information statement is required to submit your application.

Verification of Information Statement
(DRAFT) Verification of Information Statement must
be updated and signed by both you and your
laboratory manager.
Download Verification of Information Statement Template
Attach Verification of Information Statement
Acceptable file types: PDF, DOCX, JPG, PNG
Valid characters for file name: A-Z a-z 0-9 . _Maximum file size: 15mb total

Drag file here or choose from folder

Applicant’s Diploma and Transcripts
(DRAFT) Applicants must meet the minimum educational requirements to be eligible for chemist certification.
To learn more about eligibility, please review How do I qualify to participate in the program?
(Item 5b of TTB Procedure)

Applicant’s Diploma(s)
Attach Applicant’s Diploma(s)

Acceptable file types: PDF, DOCX, JPG, PNG
Valid characters for file name: A-Z a-z 0-9 . _Maximum amount of files: 7
Maximum file size: 15mb total

Drag file here or choose from folder

Applicant’s Transcripts
Attach Applicant’s Transcripts

Acceptable file types: PDF, DOCX, JPG, PNG
Valid characters for file name: A-Z a-z 0-9 . _Maximum amount of files: 7
Maximum file size: 15mb total

Drag file here or choose from folder

Select Commodities
(DRAFT) Commodities you select on this application
cannot be changed during the current cycle.
(DRAFT) Select the commodity or commodities for which you are requesting certification:
Wine
Beer
Distilled Spirits

Perjury Statement
(DRAFT) “(Name of Applicant) declares, under penalties of perjury, that the information provided to TTB in this application is
true and correct.”
Review application

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Application Submission
Review your application information.
Application Details
Applicant name: John Doe
Applicant email: [email protected]

Qualified Laboratory Details
Laboratory name: ABC Labcorp
Is this lab ISO 17025-accredited: Yes
Laboratory manager: Jessica Newman
Shipping Address: 123 Front Street
City: Happyville
State: New York
Zip Code: 12345

Commodities
Requested Commodities: Wine

Supporting Documents
Uploaded supporting documents

John_Doe_Signed_Certification.jpg (2.3 MB)
John_Doe_Diploma.jpg (1.3 MB)
John_Doe_Transcripts.pdf (8.3 MB)

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File Modified2024-10-31
File Created2024-10-31

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