Quote Request Form Looking to get SQF Certified?Click Here Looking for BRC & BRC IoP Certification?Click Here Quote Request Form 1 Contact Information2 Organization Representative3 Services4 Locations, Shifts, and Employee Counts5 Scope and Activities6 Translator and Use of Consulting Services7 Service Delivery Timeframe Welcome to DQS Inc.! Thank you for this opportunity to serve you. The following series of questions should take you approximately 5 minutes to complete. Required information is identified with an asterisk*. If the question or item does not apply to your facility, please enter NA. Feel free to contact us at 1 800-285-4476 or [email protected]Organization Name:*Address* Street Address Address Line 2 City AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country State / Province / Region*Please type the full name.Zip Code*Does your organization do business under any other name?*YesNoPlease indicate the alternate name:*Is your organization part of a larger organization, such as a holding company?*YesNoPlease indicate the name of the holding company:* Organization Representative Name:*Title:*Main contact phone number:*Email:* Do you currently have registrations to any other standards?*YesNoPlease identify the standards:*Please select the program(s) to which you are seeking registration (please select all that apply):* Aviation/Space/Defense Parts Manufacturer - AS 9100 Aviation/Space/Defense Parts Manufacturer- AS9100 Revision C Aviation/Space/Defense Parts Manufacturer- AS9100 Revision D Aviation/Space/Defense Retail Suppliers - AS 9120 Aviation/Space/Defense Retail Suppliers- AS9120 Revision A Aviation/Space/Defense Retail Suppliers- AS9120 Revision B Automotive Management Systems - ISO/TS 16949 Automotive Management Systems- ISO/TS 16949:2009 Automotive Management Systems- IATF 16949:2016 Electrostatic Discharge - ANSI/ESD S20.20 Telecommunications - TL 9000 Telecommunications- TL-9000 Release 5.5 Telecommunications- TL-9000 Release 6.0 Quality Management - ISO 9001 Quality Management- ISO 9001:2008 Quality Management- ISO 9001:2015 Food Safety Systems Certification - ISO 22000/FSSC 22000 Business Continuity - ISO 22301 Capability Maturity Model Integration - CMMI IT Service Management - ISO/IEC 20000-1 Information Security - ISO 27001 eSCM Medical Devices - ISO 13485 Medical Devices- ISO 13485:2003 Medical Devices- ISO 13485:2016 Environmental Management - ISO 14001 Environmental Management- ISO 14001:2004 Environmental Management- ISO 14001:2015 Energy Management - ISO 50001 Occupational Health and Safety - OHSAS 18001 Responsible Care - RC 14001 Responsible Care- RC 14001:2013 Responsible Care- RC 14001:2015 Responsible Care Management System - RCMS For ISO 27001 ONLY - Please attach a copy of the current Statement of Applicability (SOA):*Accepted file types: doc, docx, pdf, jpg, png, jpeg, gif.Are there people within your organization whose native language is not English?*YesNoWhat Languages?*LanguageNumber of EmployeesProcess(es) where they work Non-Registration and Other Services Gap Assessments Internal Audits Supplier Assessments Training Services Other Services If you are seeking services other than registration, please select from the list above. Please note, some of these services cannot be offered in conjunction with registration services. Check all that apply. How many shifts are there?*1234 or moreTotal number of employees (include temporary employees):*For Aviation/Space/Defense - If you have an existing registration, when does it expire? How many locations will be involved?*If you are requesting a quote for more than one location, please complete the remaining questions for the main site and use the template below to include information for additional locations.In order to register more than one location, please download this form, complete it by including information for all locations involved in the proposed scope of registration, and upload it here. For Aviation/Space/Defense quotes, use the AS-specific form.*Accepted file types: doc, docx, pdf.General Multisite Form Download | AS-Specific Multisite Form DownloadIs your organization responsible for design, including subcontracted design?*YesNoNumber of employees in design roles:*Describe your primary activities (Check all that apply, but limit to major functions):* Assembly Administrative Headquarters Corporate Headquarters Distribution Center Energy Distribution Energy Generation Kitting and Packaging Manufacturing Repair Service Sterilization Transportation Warehousing Other If other, please describe:*If a warehouse, please identify square footage:*What are the key production and/or service processes that apply to the manufacturing, service, design, or design technology processes? (Examples include: molding, welding, and/or forming)Do you have any outsourced processes, activities, product, and/or services that are in the proposed scope of registration?*YesNoPlease describe:*Does any work take place on customer premises for which your organization is responsible?*YesNoPlease describe:*What is the scope you are proposing for your management system?* Is there a need for written and/or spoken language skills other than English?*Yes, we have a need for spoken and written language skills other than English in our facilityNo, we do not have a need for spoken and written language skills other than English in our facilityPlease specify language(s):*Are you currently using a consultant?*YesNo What is the requested date of your first service?* (i.e. gap assessment, training service)What is the requested date of your certification assessment?* Your Sales Representative*UncertainJeff SpizucoMorgan BlueRandy SpiveySteve PinterScott AdamsErnie CummingLiam KelleherBrad McGuireToday's Date (Date Completed)*mm/dd/yyyyAdditional Comments: Once you submit the form, you will receive an email with your responses that you can print for your records.