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T V3.0 Deviation Request Form

The document is a Deviation Request Form for projects under the Gold Standard framework, published on July 16, 2020. It outlines sections for project developers to provide background information, details of the deviation, and its impact, along with validation and verification requirements. The form is intended to facilitate the submission of deviation requests in a structured manner.

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rr571171
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4 views

T V3.0 Deviation Request Form

The document is a Deviation Request Form for projects under the Gold Standard framework, published on July 16, 2020. It outlines sections for project developers to provide background information, details of the deviation, and its impact, along with validation and verification requirements. The form is intended to facilitate the submission of deviation requests in a structured manner.

Uploaded by

rr571171
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TEMPLATE

DEVIATION REQUEST FORM

PUBLICATION DATE 16.07.2020


Version 3.0

A. To be completed by Gold Standard

1| Decision

1.1 | Date - dd/mm/yyyy

1.2 | Decision

Climate Security and Sustainable Development


TEMPLATE - DEVIATION REQUEST FORM V3.0

B. To be completed by the Project Developer/Coordinating and


Managing Entity and/or VVB requesting deviation (Please submit
complete deviation request form in Microsoft Word format)

2| Background information

Deviation Reference Number [to be completed by Gold Standard]


Date of decision [to be completed by Gold Standard]
Date of submission Dd/mm/yyyy
Project/PoA/VPA Project ID – GSXXXX
PoA ID – GSXXXX
VPA ID – GSXXXX
Project/PoA/VPA title
Location of project/PoA/VPA Host country(ies)
Scale of the project/PoA/VPA Microscale
Small scale
Large scale
Gold Standard Impact Registry
link of the project/PoA/VPA
Status of the project/PoA/VPA New
Listed
Certified design
Certified project
Title/subject of deviation
Specify applicable
rule/requirements/methodology
and version number
Specify the monitoring period Start date End date
for which the request is valid (if
applicable)
Submitted by Contact person name:

Email ID:
Organization:
Project participant: Yes NO
Validation and Verification body Yes NO
(VVB opinion shall be included,
where required by the If yes;
applicable rules/requirements VVB name:
or request is submitted by the
VVB). Auditor name:

Climate Security and Sustainable Development 2


TEMPLATE - DEVIATION REQUEST FORM V3.0

3| Deviation detail

3.1 | Description of the deviation:


Use the space below to describe the deviation and substantiate the reason for
requesting deviation from applicable rules/requirements. Please include all relevant
information in support of the request. You are requested to follow the principles for
guidelines for requesting deviations, given in the Deviation Approval Procedure.

………

VVB opinion (if applicable):


………

3.2 | Assessment of the deviation:


Use the space below to describe how the deviation complies with the requirements,
and accuracy, completeness, conservativeness, as applicable is ensured. Please
include all relevant information in support of the request.

………
VVB opinion and recommendation (if applicable):
………

3.3 | Impact of the deviation:


Use the space below to describe the impact of the deviation on project design,
safeguarding principles assessment, SDG assessment, emissions reductions,
monitoring frequency, data quality, potential risk or any other relevant aspect of the
project. Please substantiate the impact assessment with relevant and verifiable
data/information.
………
VVB opinion (if applicable):
………

3.4 | Documents:

List of documents provided

Climate Security and Sustainable Development 3

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