Copyright © 2014 by the American National Standards Institute, Inc. All rights reserved.

No part of this publication may be produced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Published by American
National Standards Institute, 1899 L Street, NW, 11th Floor, Washington, DC 20036

Date Issued: 2014-05-19 PUBLIC FORM GHG-FR-704

Approved by: Lane Hallenbeck (2014-05-19) Revision: 3

Application for Accreditation under ISO 14065

Page 1 of 7

GUIDANCE ON COMPLETING THIS FORM AND THE APPLICATION PROCESS

Purpose
This form is an application for validation/verification bodies (V/VBs) that seek accreditation under ISO 14065:2013 - Greenhouse gases – Requirements for
greenhouse gas validation and verification bodies for use in accreditation and other forms of recognition from the American National Standards Institute (ANSI)
Accreditation Program for Greenhouse Gas Validation/Verification Bodies.

Before completing the Application

Before applying, a V/VB must first be approved as a preliminary applicant (see form GHG-FR-703). V/VBs are encouraged to review the applicable standards and
requirements before completing this form. Program information and links to ISO 14065, ISO 14064-3 - Greenhouse gases – Part 3: Specification with guidance for
the validation and verification of greenhouse gas assertions, and IAF MD 6 - IAF Mandatory Document for the Application of ISO 14065 are located on the GHG
Program section of the ANSI Accreditation Services web site. V/VBs are also advised to obtain and read a copy of GHG-FR-705 and the additional requirements of
the GHG program(s) for which they intend to provide services.

Completing the Application

Fully complete all sections in clear type and include all information required. Do not modify this form other than filling in response cells. This form must be
submitted electronically along with a copy of the quality and verification manuals (with relevant procedures and policies), the $5,000 application fee, GHG-FR-705
with all referenced documentation, and supporting documentation as indicated in this form.

Process for reviewing the Application

Receipt of payment for the application as well as the execution of ANSI program agreement shall be required before the application is processed. ANSI will confirm
receipt of the complete application. If acknowledgement of receipt is not received within five working days, please contact ANSI staff.

Upon receipt of all necessary items, ANSI will review the application and notify the V/VB of the outcome within 30 days. ANSI may: a) determine that the V/VB is
eligible to proceed with the application process and approve the application; b) request additional information or clarification; or c) determine that the V/VB is not
eligible to apply. If additional information or clarification is needed, the V/VB will have 90 days to submit it along with an updated version of this form.

Approval of the Application

Once the application is approved, ANSI will propose an assessment team and an Evaluation Task Group (ETG) comprised of at least two members of our
Greenhouse Gas Validation/Verification Accreditation Committee (GVAC). Once the assessment team and ETG are assigned, the next step in the initial
assessment process, the document review, will commence.
 Copyright © 2014 by the American National Standards Institute, Inc. All rights reserved. No part of this publication may be produced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Published by American
National Standards Institute, 1899 L Street, NW, 11th Floor, Washington, DC 20036

Date Issued: 2014-05-19 PUBLIC FORM GHG-FR-704

Approved by: Lane Hallenbeck (2014-05-19) Revision: 3

Application for Accreditation under ISO 14065

Page 2 of 7

PART 1: GENERAL INFORMATION

Basic Information
Date:
Name of the V/VB:
Contact Information
Main Contact Person Name:
Position:
Address:
Office Telephone:
Mobile Telephone:
Fax:
Email Address:
Secondary Contact Person Name:
Position:
Address:
Office Telephone:
Mobile Telephone:
Fax:
Email Address:
 Copyright © 2014 by the American National Standards Institute, Inc. All rights reserved. No part of this publication may be produced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Published by American
National Standards Institute, 1899 L Street, NW, 11th Floor, Washington, DC 20036

Date Issued: 2014-05-19 PUBLIC FORM GHG-FR-704

Approved by: Lane Hallenbeck (2014-05-19) Revision: 3

Application for Accreditation under ISO 14065

Page 3 of 7

Other individuals who should be

included on ANSI
communications:
Other individuals who should be
included on billing
communications:
Additional communication
instructions:
Office Locations
Main Office Street Address:
City:
State:
Zip/Postal Code:
Country:
List all office locations where key Locations Activities Personnel (list)
activities* for the
validation/verification program
are conducted. Include a
description of the activities that
take place in each office.
*ISO/IEC 17011 clause 7.5.7 describes key
activities as: policy formation, process and/or
procedure development and, as appropriate,
contract review, planning
validation/verification activities, review,
approval and decision on results of
validation/verification activities.
 Copyright © 2014 by the American National Standards Institute, Inc. All rights reserved. No part of this publication may be produced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Published by American
National Standards Institute, 1899 L Street, NW, 11th Floor, Washington, DC 20036

Date Issued: 2014-05-19 PUBLIC FORM GHG-FR-704

Approved by: Lane Hallenbeck (2014-05-19) Revision: 3

Application for Accreditation under ISO 14065

Page 4 of 7

PART 2: INFORMATION REGARDING GOVERNANCE AND MANAGEMENT

1. Describe the main activities of the V/VB and
its experience conducting
validation/verification activities.
2. Documentation of Program Procedures
 Provide a list here of the main procedures defined
within the ISO 14065 management system and
provide a completed GHG-FR-705.
Required supporting documentation:
All procedures need to be provided. References in GHG-
FR-705 should specifically state where requirements can be
found in procedures.

3. Number of Employees
 List the total number of employees in the whole
organization or group of organizations.
 List the total number of employees involved in the
area(s) for which the V/VB seeks accreditation.

PART 3: SCOPE OF APPLICATION

4. Current Recognitions/Accreditations
 List all relevant management system accreditations
(e.g. ISO/IEC 17021, 17025, etc.) and any
recognitions/accreditations related to V/V activities
(e.g. UNFCCC (CDM/JI)) that the V/VB currently holds.

5. Type of Activity for which V/V Body seeks Validation (project-level)

accreditation (as defined by ISO 14065, Verification (organization-level)
Section 3 – Terms and Definitions) Verification (project-level)
6. GHG Programs Program Organization types/Project types
Copyright © 2014 by the American National Standards Institute, Inc. All rights reserved. No part of this publication may be produced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Published by American
National Standards Institute, 1899 L Street, NW, 11th Floor, Washington, DC 20036

Date Issued: 2014-05-19 PUBLIC FORM GHG-FR-704

Approved by: Lane Hallenbeck (2014-05-19) Revision: 3

Application for Accreditation under ISO 14065

Page 5 of 7

 Indicate the GHG programs for which you seek to American Carbon Registry
provide accredited validation and verification (if you
seek to provide accredited validation or verification for British Columbia Greenhouse Gas Reduction
a GHG program not listed please specify those (Cap and Trade) Act, Reporting Regulation
program(s)).
British Columbia Ministry of Environment
 For each GHG program indicated, please provide a list Emission Offsets Regulation
of project types for which you seek accreditation.
Climate Action Reserve
Quebec Regulation Q-2, r.15 Reporting
Regulation
Quebec Regulation Q-2, r.46.1 Cap & Trade
Regulation
Massachusetts Greenhouse Gas Emissions
Reporting Program
Province of Nova Scotia, Greenhouse Gas
Emission Regulations
Ontario Regulation 452/09
The Climate Registry
Verified Carbon Standard
Others (please specify):
 Copyright © 2014 by the American National Standards Institute, Inc. All rights reserved. No part of this publication may be produced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Published by American
National Standards Institute, 1899 L Street, NW, 11th Floor, Washington, DC 20036

Date Issued: 2014-05-19 PUBLIC FORM GHG-FR-704

Approved by: Lane Hallenbeck (2014-05-19) Revision: 3

Application for Accreditation under ISO 14065

Page 6 of 7

10. Activities and Sector Groups included in this Application for Accreditation
Please refer to GHG-PR-706: ANSI GHG Validation and Verification Body Accreditation Scoping Policy: www.ansi.org/as/documents
Project–Level Sector Groups Validation Verification

1 – GHG emission reductions from fuel combustion

2 – GHG emission reductions from industrial processes (non-combustion, chemical reaction, fugitive and other)

3 – Land Use and Forestry

4 – Carbon Capture and Storage

5 – Livestock

6 – Waste Handling and Disposal

Organization–Level Sector Groups Verification

1 – General

2 – Manufacturing

3 – Power Generation

4 – Electric Power Transactions

5 – Mining and Mineral Production

6 – Metal Production

7 – Chemical Production

8 – Oil and gas extraction, production and refining including petrochemicals

9 – Waste

10 – Agriculture, Forestry and Other Land Use (AFOLU)

 Copyright © 2014 by the American National Standards Institute, Inc. All rights reserved. No part of this publication may be produced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Published by American
National Standards Institute, 1899 L Street, NW, 11th Floor, Washington, DC 20036

Date Issued: 2014-05-19 PUBLIC FORM GHG-FR-704

Approved by: Lane Hallenbeck (2014-05-19) Revision: 3

Application for Accreditation under ISO 14065

Page 7 of 7

PART 4: DECLARATION
The following documentation is enclosed: Copy of Quality and Validation and Verification Manual(s) with relevant procedures and policies
Application Fee (if payment is by bank transfer, please attach banking information)
Signed Copy of ANSI-TP-002 Agreement of Accreditation and Monitoring of Conformity Assessment
Bodies (CABs)
GHG-FR-705 ANSI Accreditation Criteria Checklist with all referenced documentation
Supporting documentation as indicated in this form

Declaration Statement
Applicant agrees to meet the following conditions:

1. Applicant shall provide ANSI with all information requested for the process of assessing the validation/verification program(s);
2. Applicant is familiar with the requirements for assessment of validation/verification programs (e.g., ANSI requirements, ANSI/ISO 14065, ANSI/ISO 14064-3, applicable IAF Guidance on the
application of ANSI/ISO 14065, and other applicable standards and guidance, i.e. ISO/IEC Guide 65, ISO/IEC 17020, ISO/IEC 17025, etc.);
3. Applicant agrees to fulfill ANSI requirements for accreditation and the following obligations:
a. The Applicant shall commit to fulfill continually the ANSI requirements for accreditation for the areas where accreditation is sought;
b. When requested, the Applicant shall afford such accommodation and cooperation as is necessary to enable the accreditation body to verify fulfillment of requirements for
accreditation. This applies to all premises where the conformity assessment services take place;
c. The Applicant shall provide access to information, documents and records as necessary for the initial, surveillance and witness assessments as defined by the ANSI program;
d. The Applicant shall provide access to those documents that provide insight into the level of independence and impartiality of the Applicant from any related bodies, where
applicable;
e. The Applicant shall arrange the witnessing of Applicant services when requested by the accreditation body;
f. The Applicant shall pay fees as shall be determined by the accreditation body;
4. Applicant understands and acknowledges ANSI accreditation program requirements may change. The applicant shall commit to making any required program changes in order to obtain or
retain accreditation after any site visit(s);
5. Applicant understands and acknowledges that failure to provide full and accurate information may result in this application being delayed, rendered invalid or denied.

I accept the conditions aforementioned and attach said completed application for accreditation review by the American National Standards Institute.

Name of Authorized Representative:

Electronic Signature of Authorized Representative:
Title of Authorized Representative:
Date: