Information Collection Form
REACH OR(T) – Only Representative Trustee – Coverage Non-GB Customers

DIRECT Non-GB Customer

(DIRECT customer is the one who places the order and pays the invoice to Dow)

Please note:
  • If you are a DIRECT customer of DOW, you may proceed and fill in the form.
  • If you purchase product(s) via DISTRIBUTOR, please contact your distributor informing them of your needs. The distributor must SUBMIT the request on your behalf, as DIRECT customer of DOW.
please note that if product for which you are applying OR-T coverage for GB-REACh contains substances covered by DUINs (Downstream User Import Notification) the Import Certificate issued to the importer is only valid if the importer can prove to UK REACH enforcement authorities that he actually complies, for this product with the provisions of Article 127E of the REACH etc. (Amendment etc.) (EU Exit) Regulations 2019, and its subsequent amendments.

Contact Person of Non-GB Customer

Please provide Name and Email Address if possible.

DIRECT Non-GB Customer

Full address of Non-GB-Customer Company

Product Information

For multiple products, insert each product on a numbered, new line. Products must correspond with their details on the same number / line in each box. Click the correlating info button for examples.
(Indicate FULL product trade name; see and refer to the examples available clicking the info button below)
(Annual import volume into Great Britain (GB) – MT metric tons – per year) Note: Only fixed values are accepted. Not a range value (e.g. 3MT and not 3-4 t)
Please note that the MAXIMUM validity is 1 calendar year
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