Certification Request Form

Please Note: Completion of this form is not automatic acceptance of our engagement. Please ensure you provide your required timeline for this work. Your details and requirements will be reviewed and will be responded to within 5 working days. Term of Trade can be located on the Resources page.
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Add the company register number of the company or organisation (or sole trader) who owns the tank or site. If you are a contractor requesting certification on-behalf of the Owner. Please ensure you provide us with the correct legal entity of the Owner. This certificate will be issued to the Owner.
Owner of site or container being certified.
Email of the business or person at the site being audited.
For Billing
Your name.
Add a Purchase Order Number
Our Auditors are currently working to a four-week schedule. So, we would appreciate as much lead time as possible to accommodate your request. Thank you.
Add the name of the previous Certifier of this site if you know who it was.
Provide Classes, Substances, Number of Tanks and Quantities:
(if known)
Has this tank/site been previously Certified?
If Yes - Please upload by dragging and dropping into the field below
Click or drag files to this area to upload. You can upload up to 5 files.
If Yes - Please upload by dragging and dropping
Do you have Site Plans?
If Yes - Please upload by dragging and dropping into the field below
Click or drag files to this area to upload. You can upload up to 5 files.
If Yes - Please upload by dragging and dropping. ... If you require a new Site Plan which meets HSNO regulations use our "Site Plan" form.
Confirmation
Terms of Trade The terms of trade set out below govern all of the supplies of services from Envirohaz Limited (“Envirohaz Limited”, “Envirohaz”, “we”, “us”) to the customer (“you”, “the Client”). They will replace all earlier Envirohaz Limited standard terms of trade and any conditions contained in any document used by you and purporting to have contractual effect. Your acceptance of any services from Envirohaz Limited indicates your acceptance of these terms of trade. Payment Terms 20th of Month following invoice date. Late Payment of any amounts owing by (the customer) to Envirohaz shall constitute a default and the customer shall pay (Envirohaz’s) reasonable costs to recover the overdue amounts, including administration and legal costs (on a solicitor/client basis), or costs incurred should the matter be referred to a debt collection agency. Late payment of any amounts will also incur a $35.00 overdue payment fee. General Conditions: Envirohaz Limited reserves the right to change these terms of trade from time to time. If Envirohaz Limited fails to enforce any terms or to exercise its rights under these terms of trade at any time, Envirohaz Limited has not waived those rights. If any provision of these terms of trade is held to be invalid or unenforceable for any reason, the remaining provisions shall remain in force and effect and the parties shall adjust their respective rights and obligations in accordance with the spirit and intent of the parties as shown by the terms of trade. This agreement is governed by the laws of New Zealand and any dispute under it shall be subject to the exclusive jurisdiction of the Courts of New Zealand. Prices may be altered without notice We have sole discretion to determine the amount of credit we will extend to you at any time. You agree to pay for the services in full without deduction or setoff and to pay goods and services tax and any other government duties, levies or taxes in respect of the services.