Customer Information
Client/Company:
Website:
Address:  
Street
City, State Zip Code
Country
Project contact person:  
Name
Email
Telephone number

Project details

Project Type (e.g. landfill gas, agricultural methane/livestock, N20 reduction, etc.):

Project Title:

Standard/Program (i.e. VCS, Climate Action Reserve, CCX, RGI, other):

Methodology used/version number:

Requested Service:

(Validation / Verification, other)

For verification, please provide the verification time period:
   
Project location(s) *:    
Street
City, State Zip Code
Country

GHGs reduced by project activity (CO2, CH4, N20, PFC, HFC, SF6)

GHG Data Collection/Management

Methods of GHG data management (i.e. invoice records, GHG software, etc.)

Are monitoring parameters required by methodology strictly followed:  

        If no, please explain:

Are there any periods of missing data during the verification time period:

Are any deviations/variances (e.g. calculation methods, metering requirements) from methodology requirements requested:

        If so, please briefly explain the departure and explain the conservativeness of the departure:

 

Previous Assessments

Has this project been verified previously:

         If so, is a public verification report

         available:

 

Has an internal audit of the project been conducted:

 

Additional Notes

(please include any relevant additional information here)

* If this is a grouped project, please list all project locations in an attached list/matrix.

Supporting Documents Needed:

1.    Manual/Procedures/Documents/Calculations used to prepare GHG Assertion

2.    Organizational Chart