Thank you for your audit request. In order to expedite your request, some pertinent information is required. Please take a moment to complete this form and it will be forwarded to the appropriate AAIPharma Services Corp. (AAIPS) personnel. Upon completion of the form, you will receive an email confirmation of an agreed upon date, along with our SOP index within a few business days. We kindly request that you highlight the SOPs that you wish to view on site during your audit and send back via email at least 2 weeks prior to the audit date along with your audit plan.

We request your completion of this form at least 30 days prior to your desired audit dates.

Thank you for choosing AAIPS for your business needs and we look forward to seeing you.

Request a Quality Audit

Your Name/Title: *

Your Contact Information (email and phone): *

Company Name: *

Company Address: *

Desired Audit Dates: *

Note: if more than 2 audit days are needed, special arrangements will be necessary.

Number of Auditors: *

Note: if more than 2 auditors, special arrangements may be necessary.

Names and Titles of Auditors (Please identify all consultants if applicable):

Food Restrictions of Auditors (if any):

Have you done business with AAIPharma in the past?: * select...YesNo

Do you have a Confidentiality Agreement in place with AAIPharma Services Corp.?: * select...YesNoTBD

Note: if a consultant is being utilized for the audit, a three-way agreement is required.

Audit Type (Select all that apply): *

Routine

New Business/Qualification

For Cause

Auditing Regulations (Select all that apply): *

US

EU

Canadian

GMPs

GLPs

Other

If "Other" then specify:

AAIPharma Site(s) to be Audited: *

Wilmington, NC (Formulations, Analytical, Microbiology, Stability, Sterile Visual Inspection, Packaging, Distribution, and Solid Dose Manufacturing)

RTP, NC (Analytical Services)

Charleston, SC (Sterile Manufacturing)

Areas of Interest-Laboratory Services (Select all that apply): MicrobiologyRaw Material TestingRoutine Analytical / Stability TestingStability Storage ServicesAnalytical Method Development / ValidationBiotechnologyPhysical Chemistry

Use the 'Control' key to select more than one

Areas of Interest-Product Formulations Development/R&D (Select all that apply): SterileNon-Sterile

Use the 'Control' key to select more than one

Areas of Interest-Manufacturing Services (Select all that apply): Clinical Packaging and DistributionSolid Dose ManufacturingSterile ManufacturingCommercial Packaging

Use the 'Control' key to select more than one

Product Name and Lot Numbers / Material Numbers / Project Numbers / Batch Records / Study Protocol Numbers etc. pertaining to the audit:

Other Documents to be Reviewed During Audit:

What code is in the image?: *

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