Application form for Plastic Waste Reduction Standard project validation/verification

Control Union validation and verification services (in line with ISO 14064-3) under the Verra Plastic Waste Reduction program

Name of company and legal status

Please use full name of company with e.g. Ltd., Inc, etc.
Address of company Address of company
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Website
VAT number of company

Or any other tax (registration) number
Company's legal representative
Company's contact person

Complete if different from legal representative
Scope of Validation/Verification
I am completing this application form because I wish to receive a non-binding offer for validation/verification of my Plastic Waste Reduction project

I am completing this application form because I wish to receive a non-binding offer for validation/verification of my Plastic Waste Reduction project Applying for the first time Indicating changes (if you are already contracted by Control Union under this program) Applying for additional services: (e.g., pre-assessment or support in preparation phase - please specify)
Your desired scope

Your desired scope Plastic Waste Reduction Standard (PWR) Other: (please specify) Other: (please specify)
Your desired engagement

Your desired engagement Validation of Project Description Verification of Monitoring Report

In case of a combined engagement (joint validation and verification), please select both
Please upload any (draft) Project Description and/or Monitoring Report as applicable

Attach Files
Verra requires the level of assurance to be reasonable, with respect to material errors, omissions and misrepresentations, for both validation and the first verification, and for every third year after the first verification. The level of assurance may be limited for all other years

Verra requires the level of assurance to be reasonable, with respect to material errors, omissions and misrepresentations, for both validation and the first verification, and for every third year after the first verification. The level of assurance may be limited for all other years The validation/verification should be conducted at a reasonable level of assurance (default) The verification should be conducted at a limited level of assurance
Project Details
Business activities and company sector

Please provide a short description of your business activities and company sector
Project summary

Please provide the name and a short description of the project
Applied methodology

Applied methodology Plastic Waste Collection Methodology (PWRM0001) Plastic Waste Recycling Methodology (PWRM0002)
Start date of crediting period Start date of crediting period / DD / MM YYYY

The crediting period is the running period of the project, within which plastic waste collected and/or recycled is eligible for issuance as Plastic Credits
End date of crediting period End date of crediting period / DD / MM YYYY

Either 7 or 10 years after the start date
Total projected amount of collected and/or recycled plastic waste over the indicated crediting period
Start date of monitoring period Start date of monitoring period / DD / MM YYYY

The monitoring period is the time period that is covered by the Monitoring Report to be verified
End date of monitoring period End date of monitoring period / DD / MM YYYY
Amount of collected and/or recycled plastic waste over the indicated monitoring period
Baseline scenario

Please provide a short description of the baseline scenario (i.e., what would have happened in the absence of the project activity) and indicate the amount of plastic waste that would be recycled and/or collected in this scenario (in metric tons)
Please specify all locations in which project activities will be implemented

Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Add another location
Location
Project activity

Project activity Plastic waste collection Plastic waste recycling
Grouped project

Please indicate whether your Plastic Waste Reduction project is a grouped project
Additional Information
Aim of the project

Aim of the project To (periodically) issue Plastic Credits based on the verified amounts of plastic waste collected and/or recycled To use the verified amounts of plastic waste collected and/or recycled for internal accounting and/or claims Other: (please specify) Other: (please specify)

Projects that only use the standard for internal accounting and do not intend to issue Plastic Credits are exempt from certain standard requirements
Language(s)

As spoken by project staff, facility personnel and local stakeholders and community members
Have you applied for listing of the project on the Verra Registry?
Have you engaged consultancy/professional services for support in the development of the project?
How did you hear about this program?
Other information relevant to the validation/verification

Such as applicable law or prior certification to other programs (plastic-related or not)
Undersigned declares to have completed this Application Form truthfully
Name of organization
Name of legal representative Name of legal representative First Last
Date Date / DD / MM YYYY
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Application form for Plastic Waste Reduction Standard project validation/verification

Application form for Plastic Waste Reduction Standard project validation/verification

Scope of Validation/Verification

Project Details

Additional Information

Undersigned declares to have completed this Application Form truthfully