Defence exemption application form

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DEFENCE EXEMPTION APPLICATION FORM
1. Industry Partner applicant
Industry
Partner
(if applicable)
Address
Contact
Contact Tel
Fax
Email
2. Project Team Applicant
PT
Address
PT Contact
Contact Tel
Fax
Email
3. Chemical Substance Requiring Exemption
Substance Name
Other Name(s)
CAS No.
EC No.
EINECS No.
UK Protective
Marking (JSP 440)
Please consult your MOD PT
Annual Tonnage†
Manufactured/Imported
†
- Please indicate whether you manufacture or import (or both), and in what quantity for each
Classification
Elements (delete as
appropriate)
REACH
R50-53
CMR 1/2
1
17 Aug 2010
4. Business Case (continue on extra pages if necessary):
5. Signature
Industry Partner
Signature
Date:
Print Name
PT
Signature
Date:
Print Name
For Reach Process Management Office Use Only
ACTION
REMARKS
Date
MOD REACH
Reference
Validation and
Compliance
Check
REWG Review
EPIC
Endorsement
SoS
Authorisation
Certificate Action
CAR (MOD)
Review
REACH
2
17 Aug 2010
GUIDANCE ON COMPLETING THE APPLICATION FOR A DEFENCE EXEMPTION
FROM THE REQUIREMENT TO SUBMIT INFORMATION ON CHEMICAL
SUBSTANCES TO THE EUROPEAN CHEMICALS AGENCY UNDER THE REACH
REGULATIONS (REGULATION EC NO. 1907/2006)
1. Industry Partner Applicant
Industry Partners should complete these details and submit to their PT for review and
submission to DE&S QSEP. This section is not required when a PT is applying directly.
Please fill in all the details requested should the Exemption Application Scrutiny Board
wish to contact you regarding your application
2. IPT Applicant
PT’s should fill in all the details requested should the Exemption Application Scrutiny
Board wish to contact you regarding your application.
3. Chemical Substance Requiring Exemption
Substance Name is the general name of the substance (e.g. hydrochloric acid, sodium
hydroxide, etc).
Other Name(s) include trade names and any other synonyms used for the chemical
substance.
CAS No. is the “Chemical Abstract Service” number assigned to the chemical. This is a
very common reference for chemicals and is required for registration.
EC No. is the “European Commission” inventory number for the substance. This number
is not essential if you have supplied the CAS Number for the substance.
EINECS No. is the “European Inventory of Chemical Substances” number assigned to the
chemical. This number is not essential if you have supplied the CAS Number for the
substance.
UK Protective Marking is the classification assigned to the substance based on the
security level of the substance itself, or its use. Generally any chemical substance
considered “Official-Sensitive” or above will be considered for Defence Exemption from
REACH provided the accompanying business case supports the need for exemption.
Annual Tonnage an PT must indicate the quantity of the chemical substance
manufactured, and the quantity imported into the EU. These must be identified separately
on the application form.
Classification Elements is the section used to indicate whether the chemical substance
requiring exemption is considered “R50-53” (very toxic to the aquatic environment) or
“CMR” (Carcinogenic, Mutagenic or toxic to Reproduction). Please delete both if neither
classification applies.
REACH
3
17 Aug 2010
4. Business Case
In addition to the substance being “Official-Sensitive” or above according to the protective
marking scheme in JSP 440 and the Manual of Protected Security, the business case
should be a short supporting statement to clarify why the substance should be considered
for Defence Exemption.
5. Additional instructions
Exemption applications should be initiated through the MOD Project Teams (PTs) or
equivalent, with assistance from their defence industry partners, to ensure that any
contracts are evaluated, and any substances assessed to determine if an exemption is
required. Applications submitted through a PT will be scrutinised by an internal DE&S
committee.
PTs are to send completed forms to:
QSEP REACH
DE&S Abbey Wood
NH4 Elm 1B #4128
Filton
Bristol
BS34 8JH
destech-qsep-reach@mod.uk
REACH
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17 Aug 2010
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