Thank you for applying for the coveted APMA Certified American PPE Manufacturer seal. Please complete the form below and an APMA associate will be back in touch with you.
NOTE: Use of the APMA Certified American PPE Manufacturer seal without the consent of APMA is prohibited.

Company Name

Fed ID#

FDA Registration #

Product Listing#

Corporate Address

City

State

Zip

# of Employees

Representative Name

Email

Phone

Representative Address

Describe the products and services that you provide to the PPE industry for which you are applying to use the Certified American PPE Manufacturer seal.

Product Description / Name:

Product Description / Name:

Product Description / Name:

Product Description / Name:

Product Description / Name:

Are your employees all legally allowed to work in the United States? YesNo

If NO please provide details as to why not.

Does your Company have any offices outside the US? YesNo

If yes provide details below and description of work done at these locations

Does your Company import any parts or material from outside the US for final assembly of your finished product? YesNo

If yes provide details below and description of work done at these locations

List all locations where you manufacturer your product

List all Providers of Raw Material & Their Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

List Any Third Party Assembly or Packaging Partners or Vendors

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Provider Name
Address

Attach Quality Manual if Applicable

Attach Brochure or Flyer

Application fee is a one time membership due of $1,500.00
NOTE: Applying companies must be a Corporate Member in order to apply.

Application fees are non-refundable and do not guarantee that you will meet all criteria to qualify for use of the APMA American PPE Manufacturer Seal.
Upon processing your payment an APMA team member will review your application and be in contact within 1-2 weeks.

Please select method of payment:

Credit Card Number

CVV

EXP Date

Bank Account Number

Bank Name

First Name

Last Name

Middle Name

Street Address

City

ST

Zip

Date