SCS Global Services | FloorScore – PRIVATE LABEL

Thepurpose ofthisApplicationistocollecttheinformationnecessarytodetermineeligibilityfor Private Label(PL)usage ofall SCSprogram-specificcertificationmarks/logos.Suchusagepermissionsmaybeissueduponcompletion of theApplication and an assessmentof the qualified products.

Section 1: Private Label Customer Information
1. COMPANY INFORMATION
Legal Company Name (to appear on SCS certificate):
Street:
City: / State/Province: / Postal Code:
Country:
Main Phone: / Website:
2. PRIMARY CONTACT PERSON
First Name: / Last Name: / Title:
Direct Phone: / Email:
Section 2: SCS Certified Manufacturer (Product Supplier)
1. COMPANY INFORMATION
Legal Company Name (as it appears on SCS certificate):
Other Company Names (if any):
2. PRIMARY CONTACT PERSON
First Name: / Last Name:
Direct Phone: / Email:
Section 3: Product Certification Information
Pleasecompletethetable below. Each row should include the manufacturer’s certified product name and, in the next column, the corresponding Private Label product name (as it should appear on the Private Label certificate). Please list one product per line and add additional lines as needed.
Manufacturer’s FloorScore Certificate Number / Manufacturer’s Certified Product Line Name / For the Private Label: Corresponding Product Line Name
Example: SCS-FS-01234 / Vinyl Tile 10mm / Majestic Tile

Please add additional rows as needed

Private Label Applicant Affirmation
I affirm that the information provided herein is true and correct to the best of my knowledge, and that I am duly authorized to sign this application. Should our company decide to pursue certification, I agree to supply any information that is deemed necessary for the audit of the operation and/or products to be certified.
Print Name:
Title:
Signature (electronic or typed accepted):
Date:
SCS Certified Company Affirmation
I affirm that the information provided herein is true and correct to the best of my knowledge, and that I am duly authorized to sign this application. Should our company decide to pursue certification, I agree to supply any information that is deemed necessary for the audit of the operation and/or products to be certified.
Print Name:
Title:
Signature (electronic or typed accepted):
Date:

Version 1-0 (March 2017) | © SCS Global Services Page 1 of 2