ASCA webform mockups

Mockups for a Testing Lab’s
CCP-ASCA webform

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Accreditation
!
Basic information

Scope of accreditation

Files and documents

Review & send to FDA

Basic info
Laboratory info
Testing laboratory name

Acronym for testing laboratory (optional)

Address line 1

Address line 2 (optional)

City

State (US)

ZIP/Postal code

"
Country

Province/region (optional)

"
Business phone number

Website URL (optional)

Point(s) of contact
Primary Point of Contact
First Name
Anthony
Last name
Fauci
Title (optional)

Phone number

Email address
anthony.fauci@abctestinglab.com
Add more
Cancel

Next

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Accreditation
"
Basic information

Scope of accreditation

Files and documents

Review & send to FDA

Scope of accreditation
Accreditation body
ANSI National Accreditation Board (ANAB)

!

Consensus standards

Remove

Cancel

Add another accreditation body

Next

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Accreditation
!
Basic Information

Scope of accreditation

Files and documents

Review & send to FDA

Files and documents
Information demonstrating ability to participate in the ASCA pilot (i.e., supporting
document[s] demonstrating competency)

" Drag & drop your document(s) here, or browse for it

Back

Next

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Accreditation
!
Basic Information

Scope of accreditation

Files and documents

Review & send to FDA

Basic Information "
Laboratory details
ABC Testing Laboratory, Inc.
Acronym: ABC
123 Main Street
Fresno, California 12345
United States
+1-234-432-4224
https://www.abctestinglab.com

Point(s) of contact
Anthony Fauci
Test Manager
+1-222-222-2222
aaron.rodgers@abctestinglab.com
Eric Lucci
Tester
+1-222-222-2222
eric.lucci@abctestinglab.com

Scope of accreditation "
AL2A

Files and documents

"

Letter(s) from one or more accreditation bodies stating your prequalifications:
! PrequalLetterfromAB.pdf

Additional supporting document(s) demonstrating competency:
! Medtronics_nonIVD_Syringe.pdf

By submitting, you are agreeing with the terms of participation described in Section D of Appendix B of the ASCA Pilot program guidance document.
Back

Submit

Mockups for an Accreditation Body’s
CCP-ASCA webform

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Recognition
!
Basic information

Scope of accreditation

Files and documents

Review & send to FDA

Basic info
Accreditation body
Accreditation body name

Acronym for accreditation body (optional)

Address line 1

Address line 2 (optional)

City

State (US)

"
Business phone number

Website URL (optional)

Point(s) of contact
Primary Point of Contact
First Name
Marie
Last name
Curie
Title (optional)

Phone number

Email address
marie.curie@newAB.com
Add more
Cancel

Next

ZIP/Postal code

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Recognition
!
Basic information

Scope of accreditation

Files and documents

Review & send to FDA

Scope of accreditation
Select all that apply

Back

Next

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Recognition
!
Basic Information

Scope of accreditation

Files and documents

Review & send to FDA

Files and documents
Supporting document(s) demonstrating ability to participate in the ASCA pilot (i.e., information in support of competence):

" Drag & drop your supporting documents here, or browse for it

Back

Next

Decision Management
Customer
CollaborationPortal
Portal

Send a submission

https:// dmp.aws.com

Apply for ASCA Recognition
!
Basic Information

Scope of accreditation

Files and documents

Review & send to FDA

Basic Information "
Accreditation body details
New Accreditation Body, Inc.
Acronym: NAB
123 Main Street
Fresno, California 12345
United States
+1-234-432-4224
https://www.NAB.com

Point(s) of contact
Marie Curie
Test Manager
+1-222-222-2222
marie.curie@NAB.com
Nels Anderson
Tester
+1-222-222-2222
nels.anderson@NAB.com

Scope of accreditation "

Files and documents

"

Supporting document(s) demonstrating competency:
! Competency.pdf
! Additional_Data_here.xls

By submitting, you are agreeing with the terms of participation described in Section D of Appendix A of the ASCA Pilot program guidance document.
Back

Submit