ODVA TechnologiesOrder Form

Amend a DOC

REQUEST TO AMEND AND RESTATE PREVIOUSLY-ISSUED DECLARATION OF CONFORMITY (DOC) BY ODVA

This form is for use ONLY to request that ODVA Amend and Restate an ODVA Declaration of Conformity (DOC), which is currently valid for products listed on the DOC, for a change in the Minor Revision of the product, as defined by the CIP Identity Object, Attribute 4, which has zero impact to the CIP and network functionality in the device and as allowed in ODVA’s Policy Regarding Compliant Products.

Note: * = Required fields

Step 1:   Entity/Company Name and Name of Primary Testing Contact

Please provide the name of the company or entity ordering conformance testing, along with the name of the person who is the primary test contact.

Company Name  *
Given (First) Name  *
Family (Last) Name  *
Title  
Email  *
Phone Number  *   Extension
Company Address  *
City  *  State/Province
Zip/Post Code  *  Country  *
Step 2. Enter Test and Device Information  *

ODVA Members receive a discount on conformance testing services and products. Join ODVA today by completing the membership application form on odva.org. Contact ODVA for guidelines on membership discounts for testing services.

ODVA Test File Number *  
Date of Issue for the DOC *
Name of Engineer from the ODVA Conformance Authority who has pre-approved eligibility for consideration by ODVA to amend and restate above described DOC based on changes in the Minor Revision of the products listed on it.
Step 3. Specify ODVA Membership, Network, and Order Option  *

Please submit one order form per DOC.

My company is an ODVA member *      

Select Network *


Order Updated Declaration of Conformity for (select one option)

EtherNet/IP Single Product US$
EtherNet/IP Product Family: 2 Variants US$
CIP Safety on EtherNet/IP: Single Product US$
CIP Safety on EtherNet/IP: Product Family: 2 Variants US$

Order Updated Declaration of Conformity for (select one option)

DeviceNet Single Product US$
DeviceNet Product Family: 2 Variants US$

Order Updated Declaration of Conformity for (select one option)

CompoNet Single Product US$
CompoNet Product Family: 2 Variants US$

Order Updated Declaration of Conformity for (select one option)

ControlNet Single Product US$
ControlNet Product Family: 2 Variants
US$

Step 4. Complete Payment Method and Details*

Total Amount Due US$

Please select and complete one of the following payment methods. Payment in full must be received prior to order fulfillment. For payments made by check, payment must be made in U.S. dollars drawn on a U.S. bank. Payments made by credit card will be processed in U.S. dollars.


Please transfer total amount indicated above, net of transfer fees. Transfer fees are charged to applicant.

      Select currency   USD   EUR   JPY   KRW

Bank account and routing information will be provided on ODVA invoice.

ODVA will charge your credit card for the event in U.S. dollars. Note that the final charge on your card may include additional charges by your bank for currency conversion.

1. Enter card type
2. Enter card number
3. Enter expiration date
4. Enter name as it appears on the card

1. Enter check number
2. Select method of delivery of check first class mail    courier
3. Separately send the check to:
ODVA, INC., 5338 PAYSPHERE CIRCLE, CHICAGO, IL 60674 USA

 

Purchase order number (if applicable)
Step 5:   Verify Billing Details

Is your billing name and address the same as above in Step 1 for invoicing or payment processing? *


Please enter your billing information below.

Billing Name (Entity name as it should appear on invoice)  
Billing Email  
Billing Address  
City   State/Province
Zip/Post Code   Country  
Step 6. Submit Form Electronically

Please complete this form and submit it using the button below. Your order will be fulfilled after payment is received.

By submitting this form, you agree to receive electronic communications from ODVA. To stop receiving communications from ODVA, please contact odva@odva.org.

For more information about your order or quote, please contact ODVA Headquarters.

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