Application Form This field is hidden when viewing the formInvoice NumberAllocated invoice numberThis field is hidden when viewing the formApplication StatusNewInvoice SentPaidToken SentCancelledThis field is hidden when viewing the formPrivate NotesInternal Consortium Use OnlyPlease complete the form below to request an invoice for Letter(s) of Access for the chosen substances. If you have any queries please look at the Letter of Access application process or contact us. Type of Application(Required)Please choose 'Only Representative' Application if you are applying on behalf of a client, otherwise choose Standard Application. 'Only Representative' Application Standard Application Your Contact Details Please provide the contact details of the primary contact in case of any queries regarding this application. The email address you provide below will receive a confirmation email after submitting this application, with a summary of the information you have provided. It is also the email address to which the invoice will be emailed.Name(Required) First Last Email(Required) Enter Email Confirm Email PhoneLegal Entity DetailsEach application must relate to a single Legal Entity - separate applications must be made for each affiliated company. If you are an Only Representative (OR) applying for a client then enter your details here.Name of Legal Entity(Required)Company Registration Number(Required)Registered Office Addess Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands VAT Number (if registered)Client NameApplicable to an 'OR' applicationREACH UUID Number(Required)Substances for which Letter of Access is requiredEach application must relate to a single legal entity REACH registrant. Complete a separate form for each legal entity registrant.Tonnage of Fe contained in the substances concerned(Required)Core Iron Dossier - applications for ALL SUBSTANCES must include this. Enter the COMBINED tonnage in box below.Please enter a number greater than or equal to 1.Iron [231-096-4] PLUS Iron Furnace [265-998-4] Price: Iron [231-096-4] PLUS Iron Furnace [265-998-4] Price: 0,00 € Additional Substance (if required)Iron Ores, Agglomerates [265-996-3 ] - 1.200,00 €Iron Ores, Iron, sinter [265-997-9 ] - 1.200,00 €Mill Scale [266-007-8] - 1.200,00 €Additional Substance (if required)Iron Ores, Agglomerates [265-996-3 ] - 1.200,00 €Iron Ores, Iron, sinter [265-997-9 ] - 1.200,00 €Mill Scale [266-007-8] - 1.200,00 €Additional Substance (if required)Iron Ores, Agglomerates [265-996-3 ]Iron Ores, Iron, sinter [265-997-9 ]Mill Scale [266-007-8]Admin Fee(Required) Price: Total Fee Details to appear on invoicePlease re-enter full address here even if this is the same as the registered address aboveInvoice Name Address(Required)Company Name, Department and Address for invoice.For the Attention ofPurchase Order / Budget CodeAdditional informationAdditional information required to facilitate prompt payment: (will appear on invoice)RemarksAny additional remarks: (will not appear on invoice)Please click on the SUBMIT button below to send your application. After you click the button, a confirmation email will be sent to the email address you entered in 'Your Contact Details' above, with a summary of the information you have provided. You will then see a message which will confirm that your application has been submitted.