Combination Label Order Form

This form is to be used to request authorization for the printing of Type L combination labels which are required to be printed at an UL Authorized Label Supplier.

Please complete the following information so that a UL Label Center can process the authorization to print combination labels. Click on the following link to upload a copy of the PO to your label supplier and any applicable artwork of the UL Mark.

Upload*
Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx.
Select your UL Label Center*
Company Name for Authorized Label Supplier*
City, State, Country for Authorized Label Supplier*
P.O. number to the supplier*
Quantity Customer's part no UL item number (if established) UL file number Product type
Comments
UL Applicant (or Ordering Location)
Company*
Applicant account number*
Value must be numbers only. No spaces or special characters. (You may contact UL at 877-854-3577 to obtain your customer account number)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Contact*
Bill To Location
- (Use same information as supplied in Applicant section above)
Company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Contact*
Manufacturer (Where labels will be applied to product)
- (Use same information as supplied in Applicant section above)
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Contact
- Add delivery for customs broker
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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- I agree to receive periodic emails from UL LLC (UL) containing best practices, education, industry research, news, updates and promotions related to UL’s products and services. I understand that I can unsubscribe at any time and agree to UL’s Online Policies.

Quantity	Customer's part no	UL item number (if established)	UL file number	Product type

UL Applicant (or Ordering Location)