The completed assurances form is required in Module 1.5.7 of your OTC new medicine N1 application.
Version history
| Version | Description of change | Author | Effective date |
|---|---|---|---|
| V1.0 | Original publication | COMB - Over the Counter Medicine Evaluation Section | 1 March 2016 |
| V2.0 |
| COMB - Over the Counter Medicine Evaluation Section | February 2026 |
How to access a pdf or Word document
This form is available in pdf and Microsoft Word formats. The pdf form can be filled in and saved to your computer using Adobe Reader version 7 or later or any version of Adobe Acrobat Standard or Professional. If you have an earlier version of Adobe Reader you can fill in the form on-screen and print it out but you will not be able to save the completed form.
Supporting documents
Assurances to accompany an OTC new medicine N1 application
[PDF, 267.41 KB]
Assurances to accompany an OTC new medicine N1 application
[DOCX, 177.97 KB]
Product types
Page history
- New template
- Updated hyperlinks
- Minor edits
- Reference to TGO 80 updated to TGO 95
- Reference to TGO 69 updated to TGO 92
- New template
- Updated hyperlinks
- Minor edits
- Reference to TGO 80 updated to TGO 95
- Reference to TGO 69 updated to TGO 92