Certification Application

You can get certified by completing the form below for your company and submitting a model for certification.
Application for Certification
COMPANY INFORMATON
COMPANY ADDRESS
COMPANY MAILING ADDRESS
PRODUCT INFORMATION
PRODUCTION FACILITY INFORMATION

Affidavit

By submitting this application I certify that I agree to comply with the applicable Gulf Coast Testing policies and ANSI/NSF Standards related to the use of the GCT mark. I am authorized by the company to agree that the company will pay for any charges billed for services rendered at the request of the company in the initial evaluation and/or testing of products for Certification.

A check in the amount of $500 will be sent to the Gulf Coast Testing address above for the certification application deposit. I understand that upon acceptance by Gulf Coast Testing, LLC, the deposit is non- refundable. Charges for all other services will be invoiced as rendered.

PLEASE SEND CHECK TO:
WILLIAM DANIEL, PROGRAM MANAGER

GULF COAST TESTING, LLC
17170 PERKINS ROAD
BATON ROUGE, LA 70810

MAKE CHECK PAYABLE TO GULF COAST TESTING, LLC

If you prefer a downloable PDF form click here.

Contact us

14378 Park Avenue Prairieville, Louisiana 70769