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WLA-SCS Declaration of Assessment Form
Notification of pending assessment
1. WLA member
WLA member
Address
Contact person
Email address
Phone number
2. WLA-SCS and ISO/IEC 27001 certificates
WLA-SCS certificate number
WLA-SCS expiry date
ISO/IEC 27001 certificate number*
ISO/IEC 27001 expiry date
ISO/IEC 27001 certifying body
* For WLA-SCS Level 1 assessments please leave this area blank.
3. ASE and auditor information
ASE
Address
Auditor
Email address
Telephone number/s
4. WLA-SCS assessment notification
Type of assessment:
Initial certification
Annual review
Recertification
Type of certificate requested:
WLA-SCS Level 1
WLA-SCS Level 2 (requires ISO/IEC 27001)
Standard used:
WLA-SCS:2020
WLA-SCS:2024
Intended date/s of the assessment
Number of premises in the scope
The assessment foresees a physical visit to all the premises:
Yes
No
If the assessment does not foresee a physical visit to all premises, please state the reason.
List all the premises and the respective addresses that will be visited physically during the assessment.
5. Additional notes and communications
6. Signatures
Auditor
Date
Signature
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WLA member
Date
Signature
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Your signature is stored only on your device and is never transmitted over the internet
© WLA 2024 – Publication: October 2024, Version 6 (Revised October 2024)
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