Application for Recognition of Certification Bodies by EPA under the ENERGY STAR Program - Form

Oct 4, 2026

Uploaded by aboduw

Application for recognition of certification bodies by the U.S. EPA under the ENERGY STAR program, including submission instructions, required signatures, and the approval timeline. The form collects primary and secondary organizational contact information, accreditation details aligned with ISO/IEC standards, and scope information for product categories. Applicants must maintain ongoing accreditation and submit documentation such as a digital copy of the accreditation certificate and scope to support EPA-recognized operation.

LanguageEnglish

CategoryExam

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Certification Body Information

General Requirements

Scope of Accreditation

Required Documentation

Rev. September 2018 OMB Control No. 2060-0528 Approval Expires September 30, 2019 United States ENVIRONMENTAL PROTECTION AGENCY Washington, DC 20460 Office of Atmospheric Programs Application for Recognition of Certification Bodies by EPA under the ENERGY STAR® Program This form is an application for recognition of Certification Bodies (CBs) by the U.S. EPA under the ENERGY STAR program. To serve as an EPA-recognized CB for the ENERGY STAR program, please fill out and submit this form to EPA by following the instructions below. Upon confirmation of EPA recognition, you may begin to operate as an EPA-recognized CB for the ENERGY STAR program. Instructions: 1. Read and understand the “Conditions and Criteria for Recognition of Certification Bodies for the ENERGY STAR Program,” the full text of which is included under Section VI. 2. Complete the form. All fields are required unless stated otherwise. 3. Sign the form by either: a. Inserting your digital signature; or b. Printing out the form, signing it by hand, and scanning it into PDF format. 4. Email the completed form with the required attachment [to:](to: Certification@energystar.gov)[ ](to: Certification@energystar.gov)[Certification@energystar.gov](to: Certification@energystar.gov). Web site: [http://www.energystar.gov](http://www.energystar.gov) 1 of 12 EPA Form No. 5900-218 I. Certification Body Information Organization Name: Organization URL: Address 1 (e.g. , street address): Address 2 (e.g. , suite \#): City: State: Zip/Postal Code: Country: Primary contact first name: Primary contact last (family) name: Job title of primary contact: Email: Phone: If mailing address of primary contact is different from the organization address, please provide it here: Address 1 (e.g. , street address): Address 2 (e.g. , suite \#): City: State: Zip/Postal Code: Country: The following secondary contact information section is optional. Secondary contact first name: Secondary contact last (family) name: Job title of secondary contact: Email: Phone: If mailing address of secondary contact is different from the organization address, please provide it here: Address 1 (e.g. , street address): Address 2 (e.g. , suite \#): City: State: Zip/Postal Code: Country: II. General Requirements: Consistent with “Conditions and Criteria for Recognition of Certification Bodies for the ENERGY STAR Program,” an EPA-recognized, accredited CB must maintain accreditation to ISO/IEC, “General requirements for bodies operating product certification systems,” by a signatory to the International Accreditation Forum (IAF) Multilateral Recognition Agreement (MLA) that covers accreditation of product certification bodies and operates in accordance with ISO/IEC 17011. a. Name of Accreditation Body: b. Accreditation effective date: c. Accreditation expiration date (if applicable): d. A digital copy of the CB’s accreditation certificate and scope of accreditation is included with this application (check box to confirm) . e. Additional remarks (optional): Web site: [http://www.energystar.gov](http://www.energystar.gov) 2 of 12 EPA Form No. 5900-218 Rev. September 2018 OMB Control No. 2060-0528 Approval Expires September 30, 2019 III. Scope of Accreditation: Below, please select each ENERGY STAR product category for which the CB named herein is accredited to operate its product certification system. Since EPA-recognition is per product category, EPA will recognize this CB only for products listed on its Scope of Accreditation. If in the future you wish to certify products not checked below, please resubmit this form with the additional products checked and your updated Scope of Accreditation. Products listed in italics are currently undergoing specification development; they are included here to provide interested CBs with notice of forthcoming ENERGY STAR product categories. ENERGY STAR Product Cate

FAQs

What is this application for in the ENERGY STAR program?

It is used to apply for EPA recognition of certification bodies to operate under the ENERGY STAR program for eligible product categories.

What does an applicant need to complete and submit?

The applicant must complete all required fields, sign the form (digital signature or handwritten then scanned), and email the completed form with required attachments to the specified certification email address.

How does EPA recognition relate to accreditation and product categories?

EPA recognition is granted per product category, so the certification body is recognized only for the ENERGY STAR product categories listed in its scope of accreditation.

Oct 4, 2026

Uploaded by aboduw