E-Invoicing Access Point Certification Request Form

Organization / Legal Entity Name

Trade Name (if applicable)

Organization Type

Registered Country / Region

Business Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Website

Primary Contact Name

First NameMiddle NameLast Name

Access Point Product or Service Name

Version or Release

Deployment Model

Short Description of the Solution

Request Type

Certification Scope Requested

Supported e-invoicing formats and standards

Transport and protocol support

Sandbox access status

Interoperability partners or schemes supported

Testing environment details

Implementation notes

Security Contact Name

First NameMiddle NameLast Name

Security Contact Email

example@example.com

Operations/Support Contact Name

First NameMiddle NameLast Name

Operations/Support Contact Email

example@example.com

Operations/Support Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Incident Response Contact Name

First NameMiddle NameLast Name

Incident Response Contact Email

example@example.com

Incident Response Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Service Hours

Backup and Redundancy Approach

Logging and Monitoring Capabilities

Maintenance Window Information

Target Certification Date

Date

Supporting Documents Included

Upload Supporting Documents

Additional Comments or Special Instructions

E-Invoicing Access Point Certification Request Form

Applicant Organization Details

Access Point Solution Information

Technical and Interoperability Readiness

Security, Operations, and Support Contacts

Certification Request Details and Attachments