AOAC INTERNATIONAL AOAC PERFORMANCE TESTED METHODS (PTM) AOAC OFFICIAL METHODS OF ANALYSIS (OMA)

AOAC Research Institute PERFORMANCE TESTED METHODS (PTM)

APPLICATION FOR METHOD REVISIONS for Proprietary and Sole Source Methods

NOT FOR RENEWAL MODIFICATIONS
PART I - AUTHORIZED METHOD SUBMITTER

CONTACT INFORMATION

Please note that this application must be completed and submitted by the contact that is authorized by the organization to pursue and obtain validation and/or the development of protocols. All correspondence in relation to this application will be directed to the contact listed in this section.
First Name *
Last Name *
Organization *
Title *
Address *
Include City/Town, State/Country & Postal Code *
Email Address *
Telephone *
Legal Name of Method and PTM number: *

PART I.A. - FINANCIAL CONTACT INFORMATION

Please provide the contact information for the person within your organization that will be responsible for recieving and processing the payments for invoicing.
Financial Contact: First Name *
Financial Contact: Last Name *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Telephone *
E-mail

PART II - TERMS & CONDITIONS

Please read all Terms and Conditions. (C ertain items are subject to change ).
AOAC INTERNATIONAL Policy Documents Use of Association Name Anti-Trust AOAC Volunteer Conflict of Interest
AOAC Research Institute Fee Schedule
AOAC Research Institute Fee Schedule
*I have read and agree to the terms and conditions.

Accept Decline

PART III - METHOD REVIEW
Did you have Consulting?

I have submitted for Consulting Yes - I had Consulting No - I don't need Consulting
Please select the appropriate method review program: *

AOAC Performance Tested (PTM) - Modification AOAC Performance Tested (PTM) & AOAC Offical Methods (OMA)
Is your method being submitted to participate in an ERV or Targeted Matrix Extension (TME)?

YES - ERV YES - TME NO to both
* OMA modifications will require a seperate OMA modification application. Contact Deborah McKenzie ( DMckenzie@aoac.org) for further information.

PART VII - AUTHORIZATIONS FOR SUBMISSION
Is this method recognized or adopted by another organization or agency outside of AOAC? *

YES NO
Please list the name(s) of the organization(s) or agency(ies). *
Does the organization(s) or agency(ies) support the proposed modification being submitted to AOAC? *

YES NO
Please provide the name and contact information (including email ) for the primary or secondary representative at the organization(s) or agency(ies) as it relates to this method. *
Please describe why the organization(s) or agency(ies) listed in this section does (do) not support the proposed modification. *
* NOTE: For modifications pertaining to OMA methods, a modification application will be required with the AOAC Official Methods Program. Please contact Deborah McKenzie (DMckenzie@aoac.org) for further information.
Date Submitted *

Month Day Year
Date