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Sample Inspection Request Form

Requested By

Enter your details as the person requesting the Sample Inspection
Your Contact Name
Create your own reference or case number for your request.
Please include Phone Number Country Code
Address

Samples Supplied From

Email of Sample Supplier
Please Include Phone Number Country Code
Address

Sample Information

Describe the sample and upload an image of it if necessary.
Drag & Drop Files, Choose Files to Upload
Max file size: 8MB. Should be an image file. Preferably a .jpg file. Allowed formats are .jpg, .jpeg, .png, .pdf, .docx

Level 1 - Basic Evaluation Request

Please fill in the form below with as much detail as possible. There is an additional inspection point section for you to include your own check topics or you can edit the ones already listed as they are only a guide to get you started.
*Note: You can add additional inspection points at the bottom of this form.

Level 2 Detailed Evaluation Request