Cpsc Form 287 PDF Details

The U.S. Consumer Product Safety Commission (CPSC) is responsible for ensuring the safety of consumer products in the United States. One way the CPSC does this is by requiring manufacturers and importers to submit reports of any product incidents that caused or could have caused serious injury or death. This is done through Form 287, which is also known as the Incident Report Form. The form can be used to report any type of product incident, including fires, explosions, electric shocks, chemical spills, and injuries caused by defective products. By submitting a Form 287 report, the CPSC can investigate the incident and work to keep consumers safe from potentially dangerous products.

QuestionAnswer
Form NameCpsc Form 287
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesmarketed, thereunder, proprietorship, flammability

Form Preview Example

CONTINUING GUARANTY UNDER THE FLAMMABLE FABRICS ACT FOR FILING WITH THE U.S. CONSUMER PRODUCT SAFETY COMMISSION

The undersigned, ______________________________________________________________________________ a

_____________________________________________________________________________________________ residing in

(Corporation, partnership, proprietorship)

the United States and having principal office and place of business at __________________________________________

____________________________________________________, __________________________________________________

(Street and Number)(City)

_____________________________________________________________________ and being engaged in the marketing or

(State or Territory and Zip Code)

handling of products, fabrics or related materials subject to the FLAMMABLE FABRICS ACT, as amended, and Regulations thereunder,

HEREBY GUARANTEE(S) that with regard to all products, fabrics or related materials [described as

follows: _______________________________________________________________________________________________

(If guaranty is limited to certain products, fabrics, or related materials, list the general categories

_______________________________________________________________________________________________________

here. If it is not so limited, leave these lines blank.)

______________________________________________________________________________________________________]

hereafter marketed or handled by the undersigned, and for which flammability standards have been issued, amended, or continued in effect under the FLAMMABLE FABRICS ACT, as amended, reasonable and representative tests as prescribed by the CONSUMER PRODUCT SAFETY COMMISSION have been performed, which show that the products, fabrics, or related materials conform to such of the above-mentioned flammability standards as are applicable thereto.

Dated, signed, and executed this_______________________ day of ____________________, 20___________at

___________________________________________________, ___________________________________________________

(City)(State or Territory)

(Impression of corporate seal, if corporation.)

___________________________________________________

(Name under which business is conducted.)

(If firm is partnership, list partners below.)

___________________________________________________

(Signature of proprietor, partner or authorized official of corporation.)

_____________________________________________

_____________________________________________

_____________________________________________

State of ______________________________________

)

County of____________________________________) SS

Do Not Use This Space

FILED_____________20______

CONSUMER PRODUCT SAFETY COMMISSION

CPSC FORM 287 (revised 5/06)

On this _____________________________ day of _________________________, 20_____________, before me

personally appeared the said _____________________________________________________________________________

(Signer of guaranty)

proprietor, partner

(Strike non-applicable words) ____________________________________________________________________________

(If corporation, give title of

______________________________________________ of ______________________________________________________

signing official)

(Firm name)

to me personally known, and acknowledged the execution of the foregoing instrument on behalf of the firm, for the uses and purposes therein stated.

(Impression of notary

_____________________________________________

seal required here.)

Notary Public in and for

County of

_____________________________________________

State of

_____________________________________________

My Commission expires

_____________________________________________

U.S. Consumer Product Safety Commission

4330 East West Highway

Bethesda, MD 20814

INSTRUCTIONS FOR PREPARING CPSC FORM 287, CONTINUING GUARANTY UNDER THE FLAMMABLE FABRICS ACT FOR FILING WITH THE CONSUMER PRODUCT SAFETY COMMISSION.

Under Section 8 of the Flammable Fabrics Act (15 U.S.C. 1191) and the Regulations issued thereunder by the Consumer Product Safety Commission (16 CFR 1608), any person residing in the United States and marketing or handling products, fabrics or related materials subject to the Act for which flammability Standards have been issued, amended or continued in effect under the Flammable Fabrics Act may file a continuing guaranty with the Commission.

Any person or firm that elects to file a continuing guaranty is required to maintain written records which show that the guaranties are based on test results which demonstrate conformance with reasonable and representative tests prescribed by the Consumer Product Safety Commission as set out in the Regulations issued in conjunction with the individual Standards.

In all cases the guaranty must be based on tests performed on the product, fabric or related material by or on behalf of the guarantor or on guaranties received from the guarantor’s supplier to the effect that such tests have been performed.

The continuing guaranty may be filed with the Commission by submitting the fully executed forms, in duplicate, to the Consumer Product Safety Commission, Office of the Secretary, 4330 East West Highway, Bethesda, MD 20814.

In preparing a continuing guaranty for filing with the Consumer Product Safety Commission, the following should be carefully noted:

(a)The form should be filed in duplicate with the impression of the official seal of the notary public on each copy filed.

(b)The form should correctly describe the guarantor’s business organization.

(c)The filing of the guaranty is optional, but if it is filed the guarantor must maintain written records which show the guaranteed products have been tested and conform with reasonable and representative tests as specified in the Regulations issued by the Commission.

Continuing guaranties filed with the Commission are renewable every three years and at such other times as any change occurs in the legal business status of the guarantor. The guarantor shall promptly report any such change to the Commission and advise the Commission of any change in the address of his principal office or place of business.

How to Edit Cpsc Form 287 Online for Free

CFR can be completed effortlessly. Just make use of FormsPal PDF editing tool to perform the job quickly. The tool is constantly updated by our team, receiving new features and becoming greater. To get started on your journey, go through these basic steps:

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Filling out this form calls for care for details. Make certain all necessary blanks are done accurately.

1. Fill out your CFR with a selection of necessary blank fields. Gather all the important information and make sure there's nothing left out!

Writing part 1 in thereunder

2. Once your current task is complete, take the next step – fill out all of these fields - hereafter marketed or handled by, Dated signed and executed this day, City, State or Territory, Impression of corporate seal if, If firm is partnership list, and Name under which business is with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Step number 2 in completing thereunder

3. This next section is mostly about State of County of, CPSC Form revised, Signature of proprietor partner or, Do Not Use This Space, FILED, and CONSUMER PRODUCT SAFETY COMMISSION - fill in each of these empty form fields.

Part number 3 of completing thereunder

4. The subsequent paragraph requires your input in the subsequent places: On this day of before me, personally appeared the said, Signer of guaranty, proprietor partner Strike, If corporation give title of, signing official, Firm name, to me personally known and, Impression of notary seal required, and Notary Public in and for. Make sure that you give all of the requested info to go onward.

Part no. 4 in filling in thereunder

Always be very mindful while filling in Impression of notary seal required and proprietor partner Strike, since this is where a lot of people make errors.

5. While you get close to the end of the file, you will find several more requirements that have to be met. Specifically, Impression of notary seal required, Notary Public in and for, County of, State of, and My Commission expires should all be filled out.

Writing section 5 in thereunder

Step 3: Prior to finishing this form, it's a good idea to ensure that blanks have been filled out right. When you believe it's all fine, press “Done." After getting afree trial account with us, you will be able to download CFR or email it without delay. The PDF form will also be readily accessible in your personal account menu with your every single edit. FormsPal is dedicated to the personal privacy of all our users; we ensure that all personal information going through our editor is kept protected.

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