. -->

 

Medical Equipment Compliance Associates, LLC Quote Request

Questions/Problems with the Quote form?  Contact Info@60601-1.com or Cathi Koch (P) 262-752-4017, ext. 110

(red fields are required)

Company & Contact Information

Company  Website

Address  City  State/Province

Zip  Country

Salutation  First Name  Last Name

Title

Email  Phone  Mobile

Service(s) Type(s) (see MECA’s Services Page or specific links below for additional information)

Please specify the requested service(s) from the list below.  For additional information on the services, click the links:

Preliminary Evaluation

Full Evaluation

Report Revisions

Gap Analysis

 

Compliance Services

Seminars & Training

GMSU Subscription

Custom Testing

 

Requested Service(s):

Report Type (As Applicable)

Please specify the type of report requested – click the links below for descriptions of the report types

CTRL + Click to select multiples

CB Report

US/Canada NRTL Safety Mark

MECA Informative Test Report (TRF)

Report Type:  Agency:  For US/CAN NRTL Certification/Safety Mark

Applicable Standards (select if known)

National Differences to the General Standard are always applied; National differences to Collateral & Particular Standards are applied only upon request (list in Notes)

CTRL + Click to select multiples

General Standard Edition:

Collateral Standards:  Particular Standards:

*For standards not listed above, please specify in the Notes below

Device Information (As Applicable)

Device Description:

Intended Use:

Model Number:

Intended for Home Use:

Software Provides Safety or Performance:

Subscription to GlobalMedicalStandardsUpdate.com (GMSU)

CTRL + Click to select multiples

Click for additional information: GMSU Subscription

GMSU Subscription Type:  GMSU Subscription Countries:

Notes

Customer Notes:

(red fields are required)

To submit files associated with your quote request (e.g. IFU, Pictures, Schematics) please email to Info@60601-1.com with your company name and model number in the subject line.