Application form for Plan Vivo project validation/verification

Control Union validation and verification services (in line with ISO 14064-3) under the Plan Vivo Standard

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
VAT number of company
Company's legal representative

First name, last name and function
Company's contact person

Complete if different from legal representative
Email
Website
I am completing this application form because I wish to receive a non-binding offer for validation/verification of my Plan Vivo project.

I am completing this application form because I wish to receive a non-binding offer for validation/verification of my Plan Vivo 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 Plan Vivo Other: (please specify) Other: (please specify)
Your desired engagement

Your desired engagement Validation of Project Design Document (PDD) Verification of achieved emission reductions

Please upload any (draft) Project Description and/or Monitoring Report as applicable
Upload any (draft) Project Design Document and/or project annual report as applicable

Attach Files
Business activities and company sector

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

Please describe your Plan Vivo project activity and used Plan Vivo technical specification(s) and/or approved approaches to be validated/verified
Project time period and location(s)

Please specify the (planned) project start and end date and project location(s) (including coordinates). In case of
verification, also indicate the time period to be verified
(Estimated) Amount of emission reductions and/or removals

Please indicate the amount of emission reductions and/or removals. In case of validation, this concerns the total estimated amount over the whole project period. In case of verification, this concerns the total amount over the time period to be verified
Baseline scenario

Please describe the baseline scenario (i.e., what would have happened in the absence of the project activity) and indicate the amount of emissions that would be reduced and/or removed in this scenario
Aim of validation/verification report

Aim of validation/verification report Validation report: Applying for registration of my Plan Vivo project with Plan Vivo Validation report: Internal accounting Verification report: Demonstrating delivery of the projected ecosystem benefits and impacts to Plan Vivo Verification report: Internal accounting Other: (please specify) Other: (please specify)

Please specify the purpose of the resulting validation/verification report
Applicable legislative standards and other normative documents

Please list standards and other normative documents relevant to your Plan Vivo project scope, and include them with the application (e.g., applicable project methodology)
Upload any standards and/or other normative documents as applicable

Attach Files
Additional information relevant to the validation/verification

Such as prior certification by Control Union for other programs (carbon-related or not)
By default the level of assurance shall be reasonable, with respect to material errors, omissions and misrepresentations. Should a limited level of assurance be preferred (only if permitted by Plan Vivo), please indicate so below

By default the level of assurance shall be reasonable, with respect to material errors, omissions and misrepresentations. Should a limited level of assurance be preferred (only if permitted by Plan Vivo), please indicate so below The validation/verification should be conducted at a reasonable level of assurance (default) The validation/verification should be conducted at a limited level of assurance
How did you hear about this program?
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 Plan Vivo project validation/verification

Application form for Plan Vivo project validation/verification

Undersigned declares to have completed this Application Form truthfully