AAR Organization Enrollment Form

AAR Organization Enrollment Form

Complete this form to begin the enrollment process for your organization in the Asbestos Analysts Registry (AAR) program with the AIHA Registry Programs. You will be contacted for more information and with further instructions before your enrollment is complete and you are invoiced for participation. You will enroll analysts once the organization enrollment is complete.

Organization Name*

Enter your organization's name as you would like it to appear on the registry.

Addresses for AAR Participation

Select all types that apply for each address. At least one address must be indicated.

Directory: The address of your organization's physical location that will appear on the directory of AAR Registered Organizations and Analysts. If your organization has multiple locations, one must be chosen as your main location for your AAR participation.

AAT Sample Shipping: The address for shipment of your Asbestos Analysts Testing (AAT) proficiency samples. Samples are shipped via a trackable courier.

Billing: The address to which any financial documentation will be mailed. Note: most financial documentation is shared electronically and not mailed.

Mailing: The address to which any mailed correspondence will be sent, other than financial correspondence. Note, AAR correspondence is sent via email unless circumstances require physical mail.

Address Type*

Select all types that apply to this address.

Select

Street Address*

City*

State*

Zipcode*

Country

Address Type

Select all types that apply to this address.

Select

Street Address 2

City 2

State 2

Zipcode 2

Country 2

Address Type 3

Select

Street Address 3

City 3

State 3

Zipcode 3

Country 3

Address Type 4

Select

Street Address 4

City 4

State 4

Zipcode 4

Country 4

AAR Contacts

At least one contact must be included. A person should be indicated for each contact type; this may be the same person or multiple individuals. Only one person can be assigned the Directory, AAT Shipping or Billing roles. Multiple individuals may be assigned the Company Admin and AAT Data roles.

AAR Program Contact Type Roles

Company Admin – contact has the permissions of the AAR Contact, AAT Data Contact, and the Billing contact roles. Multiple employees can be given this role.

AAR – main contact for your program participation. Will receive any communications about your AAR participation including when your triennial application is due. This contact will have access to application submission through the Registry Portal. Only one employee can be given this role.

Directory – name and contact information included as your organization’s main contact on the web directory of AAR registered organizations. Only one employee can be given this role.

Billing – this contact will be included on your invoices and will receive any correspondence regarding billing. This contact will have access to online bill payment through the Registry Portal. Only one employee can be given this role.

AAT Shipping – the addressee of your AAT sample shipments. This contact will receive notifications of AAT sample shipments. Only one employee can be given this role.

AAT Data – contact has the permissions to submit, edit and view the AAT data, of the open round, for any of your enrolled analysts. Can access your AAT reports. Receives emails when AAT samples ship, when AAT results are due, and when the AAT reports are available. (Note: enrolled analysts are assigned a similar role, however they can only submit, edit and view their own data for the open round). Multiple employees can be given this role.

Contact Type(s)*

Select all contact types that apply to this contact.

Select

Email Address 1

Last Name 1

First Name 1

Phone 1

Contact 2

Select

First Name 2

Last Name 2

Email2

Phone2

Contact 3

Select

First3

Last3

Email3

Phone3

Contact 4

Select

First4

Last4

Email4

Phone4

Contact 5

Select

First5

Last5

Email5

Phone5

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