№ lp_1_2_48315
File format: docx
Character count: 3444
File size: 52 KB
This document provides a detailed attestation form for vendors to verify changes made to a product since the previous BTL testing, to determine the need for re-testing in the BTL Certificate Renewal process.
Year:
2020
Region / City:
United States, Atlanta
Topic:
Product Certification, BACnet
Document Type:
Certification Renewal Form
Organization:
BACnet International
Author:
ENH
Target Audience:
Vendors, BACnet Testing Organizations
Validity Period:
Not specified
Approval Date:
2020-Sept-24
Amendment Date:
2020-Sept-28
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Document Title:
BTL Product Certification Rebranded Product Attestation Form
Revision:
41.0
Version:
4
Date:
3 July 2025
Subject:
Rebranded and OEM product attestation for BTL Certification
Related Policy:
Derivative Product Policy of the BTL Testing Policies
Certification Program:
BTL Certification
Organization:
BACnet International
Issuing Authority:
BTL Manager, BACnet International
Referenced Standard:
BACnet
Referenced Organization Type:
Recognized BACnet Testing Organization (RBTO)
Intended Use:
Submission in support of a BTL Certification Application
Geographic Location:
Marietta, GA, United States
Contact Address:
2900 Delk Road, Suite 700, PMB 321, Marietta, GA 30067, United States
Contact Email:
[email protected]
Contact Telephone:
+1 (770) 971-6003
Change History Period:
06 May 2017 – 3 July 2025
Organization:
BACnet International
Program:
BTL Product Certification
Document Type:
Attestation Form
Revision:
31.0
Purpose:
Certification of a Derived Product under BTL Testing Policies
Related Policy:
Derivative Product Policy of the BTL Testing Policies
Referenced Document:
Final Test Report issued by a Recognized BACnet Testing Organization (RBTO)
Submission Method:
Online BTL Certification Application with supporting attestation
Contact Address:
2900 Delk Road, Suite 700, PMB 321, Marietta, GA 30067, United States
Contact Email:
[email protected]
Contact Phone:
+1 (770) 971-6003
Change Log Start Date:
14 Apr 2017
Change Log End Date:
30 Apr 2021
Year:
2024
Region / City:
Marietta, GA, United States
Topic:
BTL Certification Process, BACnet Testing
Document Type:
Certification Attestation Form
Organization:
BACnet International
Author:
Unknown
Target Audience:
Manufacturers, BACnet Device Vendors
Period of Validity:
Until Certification Revocation
Approval Date:
N/A
Date of Changes:
23 Aug 2024
Description:
Certification form used by BACnet International to confirm rebranded product compliance based on final test reports and derivative product policies.
Year:
2026
Region / City:
-
Topic:
Trauma Care, EMS, Hospital Resources
Document Type:
Checklist
Organization / Institution:
-
Author:
-
Target Audience:
Healthcare professionals involved in trauma care
Period of Validity:
-
Approval Date:
-
Date of Changes:
-
Publication Date:
October 2024
PCI DSS Version:
4.0.1
Type:
Self-Assessment Questionnaire (SAQ)
Applicability:
E-commerce merchants using third-party payment processors, not storing cardholder data electronically
Target Audience:
E-commerce merchants
Document Changes:
Detailed revision history from 2014 to October 2024, including updates to align with PCI DSS versions 3.0–4.0.1
Appendices:
A, A1, A2, A3, B, C, D
Publication Date:
January 2025
PCI DSS Version:
4.0.1
SAQ Revision:
1
Document Type:
Self-Assessment Questionnaire and Attestation of Compliance
Standard:
Payment Card Industry Data Security Standard
Issuing Organization:
PCI Security Standards Council
SAQ Type:
SAQ A
Applicable Entities:
Merchants
Payment Channels:
E-commerce; Mail/Telephone-Order
Data Handling Scope:
Fully outsourced account data processing
Applicability Exclusions:
Face-to-face channels; Service providers
Primary Audience:
Card-not-present merchants using PCI DSS compliant third-party service providers
Document Sections:
Assessment Information; Self-Assessment Questionnaire A; Validation and Attestation Details; Appendices
Compliance Confirmation:
Third-party service providers PCI DSS compliance confirmed by merchant
Year:
2023
Region/City:
Wisconsin, USA
Topic:
Provider Certification and Compliance
Document Type:
Form
Organization/Institution:
Community Care, Inc.
Author:
Unknown
Target Audience:
Health service providers, including staff members and operators
Effective Period:
Ongoing
Approval Date:
N/A
Date of Changes:
N/A
Note:
Provider Name
Staff Job Description:
Yes/No
Training Plans:
Yes/No
Staff Competency Validation:
Yes/No
Staff Qualifications Documentation:
Yes/No
Training for Working with Frail Elders/Disabled:
Yes/No
Annual Compliance Training:
Yes/No
Staff Disease Screening:
Yes/No
Criminal and Caregiver Background Checks:
Yes/No
Excluded Individuals and Entities:
Yes/No
Transportation Providers:
Yes/No
Civil Rights/Affirmative Action Compliance:
Yes/No
Year:
2021
Region / City:
Canada
Subject:
Identification Verification, Anti-Money Laundering, Loan Documentation
Document Type:
Form
Organization / Institution:
THINK Financial
Author:
THINK Financial
Target Audience:
Borrowers, Guarantors, Solicitors, Notaries, Signing Agents
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Country:
Pakistan
Issuing authority:
Ministry of National Health Services, Regulations & Coordination
City:
Islamabad
Document type:
Application form with specimen affidavit
Subject area:
Attestation of professional documents
Target professions:
Doctors, paramedics, pharmacists, homeopathics, tabibs, physiotherapists
Purpose:
Attestation of documents for overseas employment
Applicant information required:
Personal, educational, professional, and overseas employment details
Required attachments:
Attested copies of degrees, certificates, CNIC, passport, affidavit
Affidavit requirement:
Stamp paper Rs. 20/-
Applicable employment context:
Overseas job placement
Administrative location:
Pak Secretariat, Kohsar Block
Note:
Year
Topic:
Minimum Staffing Requirements for Specialty Out-Of-Home Treatment Services for Youth
Document Type:
Attestation
Organ/Institution:
New Jersey Department of Children and Families
Target Audience:
Providers of Specialty Out-Of-Home Treatment Services for youth
Year:
2014
Region / City:
Global
Topic:
Payment Application Data Security
Document Type:
Attestation
Organization / Institution:
PCI SSC
Author:
Payment Application Qualified Security Assessor (PA-QSA)
Target Audience:
Payment Application Vendors, PA-QSA
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Topic:
Animal Health, Veterinary Services
Document Type:
Health Attestation
Organization / Institution:
APHA/Defra
Author:
Registered Veterinarian
Target Audience:
Veterinarians, Certifying Officers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2025
Region / City:
Oregon
Subject:
Medicaid Grievance and Appeal System
Document Type:
Attestation
Organization:
Oregon Health Authority (OHA)
Author:
Medicaid Division, CCO Operations Unit
Target Audience:
Coordinated Care Organizations (CCOs)
Period of Action:
Contract Year 2025
Approval Date:
January 1, 2025
Amendment Date:
N/A
Year:
2025
Coordinated Care Organization:
[Not specified]
Medicaid Contract Number:
[Not specified]
Type of Document:
Attestation
Governing Body:
Oregon Health Authority
Scope:
Wraparound Policies and Procedures
Signatory Authority:
Chief Executive Officer, Chief Financial Officer, or delegated employee
Contract Reference:
Medicaid Contract, Non-Medicaid Contract, OHP Bridge-Basic Health Program Contract
Year:
2025
Region / City:
Oregon
Subject:
Behavioral Health
Document Type:
Attestation
Authority:
Oregon Health Authority (OHA)
Author:
Coordinated Care Organization (CCO)
Target Audience:
CCO and Subcontractors
Period of Validity:
2025
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2025
Region / City:
Oregon
Subject:
Medicaid, Grievance and Appeal Systems
Document Type:
Policy
Organ / Institution:
Oregon Health Authority (OHA)
Author:
Medicaid Division CCO Operations Unit
Target Audience:
Coordinated Care Organizations (CCOs)
Effective Period:
Contract Year 2025
Approval Date:
March 27, 2025
Date of Changes:
None
Year:
2023
Region / City:
Ouray County, Colorado
Subject:
Marijuana Cultivation License Renewal
Document Type:
Meeting Minutes
Authority:
Ouray County Board of Commissioners
Author:
Ouray County Local Licensing Authority
Target Audience:
Local Government, Cannabis Industry Stakeholders, Public
Effective Period:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
2021
Region / City:
New Zealand
Topic:
Dairy Maintenance Compound Approval
Document Type:
Application Form
Authority / Institution:
Ministry for Primary Industries (MPI)
Author:
Not specified
Target Audience:
Business owners or persons in control of a business applying for dairy maintenance compound approval
Validity Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified