Voluntary Compliance

PART A: Business Information

Application for voluntary compliance under Part IV (Duties of Suppliers) of the Consumer Affairs Act No.13 of 2011.
Name of Business*
Full Name of Business
Business Address*

Street Address

Street Address Line 2

CityRegion

Region
Tel:
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Contact Person
Name and Designation
PART B: Compliance Checklist
Section #15: Information to Consumers

Are consumers provided with the following product information outlined in the table listed below?

Section #16: Measurement of Goods
Are measuring instruments available to facilitate rechecking for consumers?

YesNoN/A
Are measuring instruments verified by the relevant regulatory agency?

YesNoN/A
Section #17: Prices and Fees
Are prices for goods prominently displayed?

YesNo
If yes, are those prices current?

YesNo
Section #18: Receipts
Are receipts issued to consumers for purchases made?

YesNo
Are receipts legible?

YesNo

Do receipts contain the following information?

Rows	Yes	No
Actual price and related tax, separately
Purchase Date
Description of goods purchased

Section #19: Warranties
Are standard and explicit warranties provided to consumers?

YesNoN/A
What type of warranty is issued to consumers

Manufacturer's WarrantyLimited Supplier's WarrantyBothN/A
Section #20: Damages resulting from the use of goods
Do you accept liability for damages resulting from the use of goods sold?

YesNoN/A
Section #21: Return of Goods
Do you have a return policy for goods?

YesNo

If Yes, are the conditions consistent with the C.A.A?

Rows	Yes	No
7 Days period for returns
Returned goods must be unused
Must be returned in its original package
Maximum 10% restocking fee

Are you following notices posted?

If Other, please state
Section #28: Lay Away Purchase Sale
Do you provide a refund if a consumer cancels a lay away transaction?

YesNoN/A
What percentage of the amount paid is refunded to consumers?
PART C: Declaration
I/We First Name Last Name hereby declare that we are engaged in business practices in conformance with the requirements of Part IV - Duties of Suppliers of the Consumer Affairs Act No. 13 of 2011.

I/We hereby declare that the information provided is true and correct. I/We also understand that any wilful dishonesty may render refusal of the application.
Should be Empty:

PART A: Business Information