Change Request to Certification
Please complete all that apply.
Company Name
*
Client ID
Point of Contact
*
Contact Email Address
*
example@example.com
Change in Ownership
Changes to Company Name or address
If you are requesting a Change of Address for Certification, please upload supporting documentation confirming the new registered address. Acceptable forms of evidence include: A PDF printout from a business entity search showing the company name and updated address. A copy of a government-issued registration document reflecting the new address. A formal notification letter from a regulatory body or legal authority confirming the change
Change of Address for Certification (address on your certificate)
Change in name of the Company
If more than one address needs to be updated please use the "Please add additional information if needed" at the end of the form
Supporting Documents
Browse Files
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of
Change is scope of registration (please type the proposed scope change)
Change in Statement of Applicability (Expansion or reduction in controls)
Change in Scope (Products, Services, Activities, or Risk Profile
Increase or decrease in locations (opening / closing of site etc)
Please indicate if any of the following apply to the change:
Changes to activity/ activities of the current certification;
Changes in related information security risks related to the activity/activities;
Changes in the number of controls relevant to the extension;
Please add additional information if needed
Name of Reviewer
First Name
Last Name
Review of Changes Requested
Does the request require conducting a special Visit?
Review Complete
Please Select
Yes
No
Submit
Should be Empty: