Please tick the appropriate boxes whichever is applicable
Quotation Request Sample Re-submission (Application No.: ) Quotation Ref. No.: Q -
Please proceed application (no quotation is needed)ATTENTION: (DIVISION: )
.
Applicant (Company Name):
Chinese Name:
Address:
E-mail: CMA Member: Yes (CMA Membership No. ) No
Contact Person: Tel No.: Fax No.:
The name and address shown on the test report is different from that stated above:
Yes,Company Name: ______/ No
Address: ______
Sample Description:
/ Item No.: / PO No.: / No. of Sample(s) :
Test(s) Requested (Please tick appropriate boxes):
ASTM F963 - Physical & Mechanical Test
ASTM F963 - Flammability Test
ASTM F963 - Heavy MetalsAnalysis
ASTM F963 –Battery Operated Toys
CPSIA Lead Content
CPSIA Phthalates
CONEGToxics in Packaging
FCC Test
FCC Certification
EN71 - 1Physical & Mechanical Test
EN71 - 2 Flammability Test
EN71 - 3 Heavy Metals Analysis (19 elements)
IEC/ EN60825 for Toy LED
IEC/ EN62115 for Electric Toy Safety
EMC
R&TTE
Safety Assessment (2009/48/EC)
Declaration of Conformity (DOC) (2009/48/EC)
Technical Files Documentation Review (2009/48/EC)
Toxics in Packaging(94/62/EC) / MS ISO 8124 Part 1
MS ISO 8124 Part 2
MS ISO 8124 Part 3
AS/ NZS ISO 8124 Part 1
AS/ NZS ISO 8124 Part 2
AS/ NZS ISO 8124 Part 3
ISO 8124 Part 1
ISO 8124 Part 2
ISO 8124 Part 3
REACH Azo dye (Please specify fiber composition)
REACH Cadmium
REACH Organotin
REACH BPA
REACH Flame Retardants
REACH PAH
REACH Phthalates
REACH Nickel Release
REACH SVHC
REACH Lead
RoHS
18 PAH / CA Prop 65
16 CFR 1303 -
Lead in Paint (16 CFR 1303)
Canada - Physical & Mechanical Test
Canada - Flammability Test
Canada - Heavy MetalsTes
Canada- Total Lead Content
Canada- Phthalates (PVC)
ST Part 1
ST Part 2
ST Part 3
Japan Food Sanitation Law (Toys)
Japan Food Sanitation Law (Food Container)
Other Test (Please specify)
______
______
(If space is insufficient, please provide particular on separate sheet.)
Conclusion required: Yes NoBuyer (if applicable):
Country of Origin (if applicable): Country of Destination (if applicable):
Service Requested: Regular Express (40% surcharge) Double Express (100% surcharge)
^Do you need paper report? Yes (The cost for each paper report is HK$100 unless prior agreement) No
Paper report should be Collected by us atCMA Fo Tan / Central / Mongkok / Kwun Tong Office
*Sent to us by Surface / Air Mail / Courier
#Sent to: (Company: )
Remained sample will be Scrapped by CMA free of charge
Collected by us atCMA Fo Tan / Central / Mongkok / Kwun Tong Office
(Must be within one month after issuance of test report / certificate. Please notify CMA 3 working days before collection.)
*Return to us by Mail / Courier
^ Required to be filled in for reporting.
*Service charges may be applied (subject to size weight and destination).
# Please provide name, detailed address and contact details on separate sheet.
Invoice To (if different from the above): ______
We, with declaration to the truthiness and correctness of the above information, apply for the above tests/inspection and agree that all testing/inspection will be carried out subject to CMA Testing's scale of charges as set forth in its latest price list/quotation of which we have seen a copy (unless otherwise agreed by CMA Testing in prior writing). This document is issued subject to the latest CMA Testing General Terms and Conditions of Testing and Inspection Services, available on request or accessible at website This document shall not be reproduced except in full or with written approval by CMA Testing.
Signature and
Company Chop: Name: Date:
Remark: Deposit, as stated in quotation, should be submitted together with application form and corresponding quotation.
Payment should be in cash or crossed cheque and made payable to the “CMA Industrial Development Foundation Limited”.
FOR INTERNAL USE ONLY / REMARK:
Fees paidHK $ / Receipt No. / Date
BalanceHK $ / Receipt No. / Date
Report received by / Date
Requisition for Toys Testing Service
Ref: WF-BD-103 Update at 07 Jul 2017