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Application for Certification of Environmental Profiles
Please complete all aspects of this form and return it with the additional information
requested to:
Environmental Profile Scheme Manager, BRE Global Limited, Garston, Watford, WD25 9XX
1. Company Details
Registered Company Name
Company Trading Name
(if different)
Address of manufacturing
site(s)
Postcode
Type of company
Please tick as appropriate
Limited Company 
PLC 
Partnership 
Telephone
Fax
E-mail
Name of Managing Director
or partners
Company Registration
Number
VAT Number
Address of Head office or Registered office
(if different from above)
Uncontrolled copy if printed.
Valid on day of printing only.
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Application for Certification of Environmental Profiles
2. Information about your Company
Please detail the scope of your business activities
Please provide details of the person(s) in your organisation that have been nominated to identify,
measure, monitor and report on sustainability issues.
Name:
Job Title:
Telephone:
E-mail:
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Valid on day of printing only.
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Application for Certification of Environmental Profiles
3. About your products:
Name of
product(s) to be
certified trade
name if different
and other
information
Name of any
other product(s)
produced at the
same factory as
the above, not
undergoing
certification
Application
Office
Domestic
(multi
residential)
Health
Schools and
further
education
Retail/leisure
(fashion or
department
stores)
Retail/leisure
(supermarkets)
Other (please
specify)
Does your product(s) undergoing certification currently have any other forms of certification associated
with them i.e. BBA certificates, other BRE certificates etc?
Yes 
No 
If yes, please name the awarding body, approximate date of assessment(s) and supply a copy of the
results, where appropriate:
Have your products undergone any previous Life Cycle Analysis?
Yes 
No 
If yes, please name the LCA practitioner, Verifying Body, Programme operator and approximate date of
assessment(s) and supply a copy of the results, where appropriate:
What service life or lives would be applicable for your product(s), and what evidence can you provide to
support this view?
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Application for Certification of Environmental Profiles
Please let us know the main reasons why you wish to obtain Environmental Profiles Certification
4. Materials and Chemicals
In the table below please list all of materials and chemicals used in the manufacture of the product and
their approximate percentage of the overall product.
Please include any materials or chemicals that may be used as substitutes or which reflect deviations from
the normal content.
This information will help us to decide whether each material or chemical has a significant contribution to
the overall product. Please be specific with the materials as these are used to identify the availability of
environmental data.
Materials and chemicals
Function e.g. input,
additive, packaging etc
% of the overall
product
Recycled
content*?
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
*Note that if any product has more than 10% recycled content, please supply further information with this
application.
5. Building Specification Profiles required
In the table below please provide a description of each building specification in which your product(s) will
be used. The specification(s) provided should be similar to those which can be found in the Green Guide,
for guidance about the information required within the table please review the Green Guide website;
www.thegreenguide.org.uk (registration will be required).
Element 1
Element 2
Element 3
Building element name
Building Type used in
e.g. Industrial
Category e.g. Roof
construction
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Valid on day of printing only.
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Element Type e.g. Flat
roof: Warm Deck
Similar to existing
Element Number e.g.
812540069
6. Manufacturing at more than one site
Is the product manufactured at any other locations, including any outsourcing of processes or activities
involved with the total production of the product from raw material to finished goods?
Yes 
No 
If Yes, please provide the name and address of these additional facilities along with the processes they
undertake?
Name
Address
Processes
Please state what proportion of output each site contributes to your total company output for this product
(%)
Name
Address
% proportion of output
Please list all sites that you want the certification to cover (this must include all outsourced activities)
Name
Address
Do any of the manufacturing facilities generate any heat and power or have facilities for standby
generation of heat or power?
Yes 
No 
If yes, please provide details of method of generation.
Uncontrolled copy if printed.
Valid on day of printing only.
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Application for Certification of Environmental Profiles
7. Energy use
Energy use is a major contributor to climate change and ozone depletion and so has a significant
environmental impact. Please complete the table below showing the different fuels/energy used at each
site.
Names of sites
Energy/Fuel
(indicate if energy/fuel used with a tick)
Electricity
Green Electricity*
Natural Gas
Gas / Diesel oil
Petrol
Heavy fuel oil
Coal
Coking Coal
Coke
LPG
Kerosene
Ethane
Naphtha
Waste
Petroleum
Refinery gas
Other oil ……………….
Renewables
Other ……………..
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Application for Certification of Environmental Profiles
*If green electricity has been chosen as an option, please indicate whether the Renewable Energy
Guarantees of Origin certificates (REGO’s) are held, whether the Levy Exemption Certificates (LEC’s) and
Renewable Obligation Certificates (ROC’s) have been retired.
8. Information to be sent with this application
Document
reference/date
Tick to confirm
1. Process flow chart detailing all of the processes used from
raw material to finished goods for your product type
(including any outsourcing).
2. The hierarchy of metering used at all of the facilities detailed
in this application. (e.g. meter at plant level, unit level, line
level, etc) This should include all utilities meters and submeters and their location.
3. Product technical data sheets and the marketing literature
used for the product(s)
4. Other supporting evidence (please specify)
5. Green electricity tariff evidence REGO, LEC and ROC if
applicable
Uncontrolled copy if printed.
Valid on day of printing only.
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Application for Certification of Environmental Profiles
Application Fee
Please include a purchase order for the sum of £600 plus VAT.
Please tick below to confirm the purchase order has been included with this application from.
Application form processing Fee – £600 + VAT (£720)

Company Declaration
Authorised representative of Company:
I hereby confirm on behalf of…………………………….. (the Company), that the information contained in
this document is correct, any changes in circumstances will be notified to BRE Global in writing, and we
accept and agree to abide by the following documents:
a)
b)
c)
d)
e)
Complaints & Appeals document PN 100
Terms & Conditions' document PN 101
BREEAM Marks PN235_EP
Scheme Document SD028
Change of details, document PN 159
Name:
Signature*:
Position:
Date
*We accept electronic signatures initially, but we will require a signed copy sent via the post or
faxed or scanned and emailed for our audit records.
Uncontrolled copy if printed.
Valid on day of printing only.
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© BRE Global Ltd 2014