Service request form- juvenile products



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SERVICE REQUEST FORM- JUVENILE PRODUCTS


Please enter text in grey cells:

Client Requesting SGS Service

Regular Service- 7 days

Rush Service: 2 day (100% Surcharge) 3 day (75% Surcharge)

SGS PO# / Payment Authorization:       Promo Code: America2018

Company Name:      

Check If JPMA Member

Invoice

Address:      


Report

Address (Report): same as billing address      

Contact Name:      

Contact Name:      

Telephone:      

Telephone:      

E-Mail:      

E-mail:      

Reqeust for Quotation Only:

Ready for Testing:




Sample Information:

Sample Description:      


Color:      

Sample/Style No:      

Countries of Sale: US EU CANADA

Labeled Age Grading:     

Special Instructions:      

Conduct Testing according to Protocol (please send copy with sample):



Re-test Sample: If yes, provide previous report number:      




SGS Service(s) Required: Please check appropriate box(es) below:

ASTM F404 – High chairs

ASTM F2167 – Infant bouncers

ASTM F406 – Non-full size cribs

ASTM F2194 – Bassinets and cradles

16 CFR 1220 – Non-full size cribs

16 CFR 1218 – Bassinets and cradles

ASTM F833 – Carriages and strollers

ASTM F2236 – Soft infant carriers

16 CFR 1227 – Carriages and strollers

16 CFR 1226 – Soft infant carriers

ASTM F834 – Toy chests

ASTM F2388 – Changing table

ASTM F977 – Walkers

ASTM F2549 – Frame child carriers

16 CFR 1216 – Walkers

16 CFR 1230 – Frame child carriers

ASTM F1169 – Full size cribs

ASTM F2613 – Children’s chairs and stools

16 CFR 1219 – Full size cribs

ASTM F2640 – Booster seats

ASTM F1004 – Expansion gates

ASTM F2670 – Infant bath tubs

ASTM F1235 – Hook-on chairs

ASTM F2710 – Commercial cribs

ASTM F1821 – Toddler beds

ASTM F2906 – Bedside sleepers

16 CFR 1217 – Toddler beds

16 CFR 1222 – Bedside sleepers

ASTM F1967 – Infant bath seats

ASTM F2907 – Infant sling carriers

16 CFR 1215 – Infant bath seats

16 CFR 1228 – Infant sling carriers

ASTM F2012 – Stationary activity center

ASTM F2951 – Baby monitors

ASTM F2050 – Hand-held infant carriers

16 CFR 1221 – Play yards

16 CFR 1225 – Hand-held infant carriers

ASTM F1917 – Infant Bedding

ASTM F2085 – Bed rails

ASTM F2933 – Crib Mattresses

16 CFR 1224 – Infant bed rails

ASTM F3084 – Infant / Toddler rockers

ASTM F2088 – Infant swings

ASTM F2057 – Clothing storage units

16 CFR 1223 – Infant swings

Health Canada – Applicable Juvenile Products Standard




Additional Testing:     

CPSIA and ASTM F963

California Prop 65

TPCH / CONEG (packaging materials)

TRIS (TCEP/TDCPP/TDCP/TCPP)

Other (List standards/requirements)

Photos Required


Other Reporting instructions:      





Sample Submission

SGS Customer Service Representative:      

SGS Sales Contact: Scott Nesson

SGS North America Inc.

291 Fairfield Avenue

Fairfield, NJ 07004

Phone: 1-800-777-8378

Fax: 973-575-7175

Return Sample immediately; if return please provide shipping account number:      

Destroy/Discard Sample after 45 days


Client Confirmation: We confirm that the above information is complete and understand that the performance of the services described is governed by the SGS General Conditions of Service (printed overleaf, or attached hereto, or available at http://www.sgs.com/terms_and_conditions.htm).
Authorized Signature:      Date:     

Form revision: 11/2014


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