Laboratory Analysis Application

Application form Send documents / receipt

1Company details8 required fields

Company type *

Company / institution Individual

Company name *

Tax office

Tax number * 10-digit tax number

Province * District *

Address *

Invoice address *

Same as company address Different

2Applicant details3 required fields

Full name *

Phone number *

E-mail address *

3Sample details6 required fields

Sample name *

Sampling date *

MELBES request number Your MELBES request number, if any

Waste name or wastewater SKKY table number *

Should the sample be returned? *

Yes No

Is measurement uncertainty / conformity statement required in the report? *

Yes No

Sample delivery *

Hand delivery Courier Collected by our sampling staff

Additional notes

Attachments (analysis report, SDS, photos) Up to 3 files, max 10 MB each. Allowed types: pdf, jpg, jpeg, png, webp, doc, docx, xls, xlsx

I agree to the processing of my personal data under the privacy notice. *

Fields marked with * are required.

Send documents / receipt

To add a payment receipt, report or other documents to an existing application, enter your application number and the e-mail address used in the application.

Application number * E-mail used in the application * Documents * Up to 3 files, max 10 MB each. Allowed types: pdf, jpg, jpeg, png, webp, doc, docx, xls, xlsx

I agree to the processing of my personal data under the privacy notice. *