Facility License Application
Facility Information
To add additional facilities, use the link on the bottom of the page.
(NOTE: All license applications must be either a commercial or industrial business)
Primary Legal Facility Name
List any other names used by this facility such as a “Doing Business As” name; names used for marketing purposes; website names; or other names used by this facility.
Is this facility owned (whole or in part) by a foreign entity (not in the same country as the facility)?
No
Yes
Street
City
State/Province
Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Zip/Postal Code
Find and enter your facility's coordinates
On your computer, open
Google Maps
. If you're using Maps in
Lite mode
, you’ll see a lightning bolt at the bottom and you won't be able to get the coordinates of a place.
Right-click the place or area on the map.
Select What's here?
At the bottom, you’ll see a card with the coordinates.
Facility Latitude
Facility Longitude
Website
Facility Main Phone Line
Are you a formal nonprofit registered organization?
Yes
No
Nonprofit Tax ID Number
Enter your employer ID number or similar for your country
Nonprofit Determination Letter
Contact First Name
Contact Last Name
Contact Title
Contact Phone
Contact Email
Consumer Drop Off
Yes
No
Facility Type - Please check all that apply.
Broker
Collector
Recycler
Refurbisher
Reseller
Other Facility
Contracted Certification Body
Please select...
Amtivo
Intertek
NSAI
NSF
Orion Registrar
Perry Johnson Registrars
URS
Stage 1 Audit Date
Stage 2 Audit Date
The information submitted in this license application will be used and processed by SERI in accordance with
SERI's Privacy Policy
.
Be advised that making a false representation on this Application is a violation of the
SERI License Agreement for R2 Certification; therefore, you are encouraged to disclose anything you think is relevant to your Application answers. Please enter any explanatory notes in the box below.
I have reviewed the
SERI License Agreement for R2 Certification
,
understand the terms and conditions therein, and understand that should this application be approved, our organization will be required to execute the SERI License Agreement for R2 Certification in order to become R2 Certified. Further, by submitting this Application I agree that SERI’s determination as to my Application acceptance will be considered a SERI Determination as defined in the SERI License Agreement for R2 Certification, and that any disputes regarding such shall be resolved utilizing the Dispute Resolution Procedures in Section 8 of the SERI License Agreement for R2 Certification, which are fully incorporated herein by reference. Please type your name to indicate agreement.
Neither the individual completing this Application, the organization represented by the individual, nor anyone affiliated therewith (whether owners, executives, employees, agents, partners, joint venturers, independent contractors or otherwise) has ever participated in or caused: (i) false statements or other deceptive conduct about R2 Certification status, or any other impairment/infringement of SERI’s R2 Certification Marks; or (ii) illegal conduct or fraudulent activities relevant to the scope of pending R2 Certification or any other activities involving the recycling and/or reuse of electronics. Please type your name in the box below to indicate agreement.
Neither the individual completing this Application, the organization represented by the individual, nor anyone affiliated therewith (whether owners, executives, employees, agents, partners, joint venturers, independent contractors or otherwise), own or
use any Internet domain name, sponsored link/ad keyword, social media handle, avatar, or any other digital designation(s) or any keyword search term that is confusingly similar to any of the R2 Certification Mark(s), or its constituent parts (such as “R2”), the domain name of a SERI Website, or implies affiliation with SERI in a manner not expressly authorized by SERI, including by use of SERI’s other trademarks and service marks without prior written authorization. All tradenames and fictitious business names of the Applicant have been disclosed on this Application
. Please type your name in the box below to indicate agreement.
Email address of the person agreeing to the statements above
Phone number of the person agreeing to the statements above
Your Rights Under GDPR