DCA Certification Formal Submission Form

DCA Certification Formal Submission Form

This form should only be completed by the Assessment Firm appointed by the client to act on their behalf. The form should only be submitted to to DCA once a site assessment has been conducted and all the required documentation is ready to be uploaded to this submission form.
Form Type
Type a Assessment/audit Service applicable to this submission*

Year 1 Full DCA Data Centre CertificationYear 2 Annual Surveillance AuditYear 3 Annual Surveillance AuditUnscheduled Interim Audit
Section 1 - Details of the Approved DCA Assessment Firm submitting this appliation of behalf of their client
Unique Reference Code:*
Please provide the unique reference code provided to the client by the DCA in relation to this application submission. Please note each individual data centre undergoing DCA Certification must have its own unique reference code.
DCA Approved Assessment Firm*
Organisations Name
Primary Point of Contact*

PrefixFirst NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number

SECTION 2 - Details of the Data Centre this summission relates to
Business Name of Client*
Please specify the name of the organisation requesting to have its data centre DCA Certified
Name of Data Centre*
Please specify the name used by the client to identify the data centre facility wishing to undergo DCA Certification
Geographic Location of Facility*
For example Postcode or nearest Town/City
Please confirm if you have been officially retained by the client as their DCA Approved Assessment Firm ?*

YesNo
Applications will only be accepted if the Approved Assessment Firm has been offically retained by the client. If this is not the case the Approved Assessment Firm will need to obtain this prior to completing this application.
Please confirm if you have the authority from the client to act on their behalf to submit this application for the data centre facility listed above ?*

YesNo
Applications will only be accepted if the Approved Assessment Firm has been given the authority from the cleint to act on their behalf. If this is not the case the Approved Assessment Firm will need to obtain this prior to completing this application.

SECTION 3 - Documentation Upload Facility
Full Assessment Report *

Browse Files
This is a copy of the Full Assessment Report produced by the Assessment Firm following site inspection Cancelof
DCA Assessment Summary Report*

Browse Files
This is a copy of the DCA Summary Report (Template can be downloaded from https://dca-global.org/client-datacentre-assessment Cancelof
Supporting Documentation

Please upload any remaining documention in support of this application
Supporting Document 1-

Browse Files

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Supporting Document 2-

Browse Files

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Supporting Document 3-

Browse Files

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Supporting Document 4-

Browse Files

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Supporting Document 5-

Browse Files

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Supporting Document 6-

Browse Files

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SECTION 4 - Signature Section

Please note: We require both the clients signature and a countersigned signature by the Approved Assessment Firm prior to submission of this application
Clients Name*

First NameLast Name
Date*

MonthDayYear
Date
Clients Signature*
Assessment Firm Name*

First NameLast Name
Date*

MonthDayYear
Date
Assessment Firm Signature*

Before pressing the submit button, please complete the following Pre-Submission Checklist*

	Checked
Unique Ref Code Provided ?
DCA Certification Fees have been paid ?
Full Assessment Report uploaded ?
DCA Summary Report uploaded ?
Submission signed by Client ?
Submission signed by Assessing Firm ?

Please Note: Unless all the required tasks listed above have been completed you will be unable to submit this application.
Please verify that you are human*
Should be Empty: