DSCSA Customer Onboarding Form

DSCSA Customer Onboarding Form

Company Name*

Serialization point of contact email address*

What is the data connection provider used for serialized data exchange. Ex: SAP, Tracelink, etc*

**REQUIRED**

If your organization does not use a data connection provider, please enter the email address to have the EPCIS files emailed and check the box in the section below.

We do not use a data connection provider

GLN*

SGLN*

Ship To Address*

If you have a Serialization Onboarding Guide, please attach below:

Drag and drop files here or

Is your company currently capable of receiving EPCIS 1.2 files via the listed provider above?*

If you answered no, when will you be able to receive EPCIS data?

Check this box if your organization has EDI capabilities that you would like to onboard in addition to serialization. A representative from our EDI team will follow up with you separately.

Send me a copy of my responses

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