EUROPEAN AUTHORIZED REPRESENTATIVE PROPOSAL REQUEST

Please fill in the details below to receive a European Authorized Representative (EAR) service proposal under EU MDR 2017/745 / IVDR 2017/746. You do not need to upload documents now — our team will contact you to collect your Declaration of Conformity and CE certificate.

1. Manufacturer & Contact

2. Service & Devices

3. Current Status

Manufacturer Information

Legal Manufacturer Name *

This field is required.

Address Line 1 *

This field is required.

Address Line 2

City *

This field is required.

State / Province / Region *

This field is required.

Postal Code *

This field is required.

Country *

This field is required.

Website / URL

Submitter / Contact Person

Submitter Name *

This field is required.

Job Title *

This field is required.

Phone *

Please enter a valid phone number.

Email *

Please enter a valid email address.

Service & Devices

Service required *

This field is required.

Regulation *

This field is required.

Total number of devices *

This field is required.

Devices to be covered *

#	Device name	GMDN code	Device class
1
2
3
4
5

Please enter at least the first device name and class.

More devices or comments

Current Status

Notified Body (if CE certified)

Compliance Status *

Please confirm…	Yes	No

Please answer all status questions.

Thank you! Your request has been received.

Our team will review the details and send your EU Authorized Representative proposal shortly. We will contact you to collect your Declaration of Conformity and CE certificate. A copy of your request has been emailed to you.