Company name/Podiatrist*

E-mail address*

Which Emma shoe is used?

Shoe size

Registration code Ortho Cover*

Confirmation conditions*I have manufactured the personalized insole in accordance with the supplied work instruction. This is required in order to maintain the EN-ISO-20345:2011 and EN ISO 20347:2012 standards which are in accordance with the provisions of Council Directive 89/686/EEC*96/58/ EC and exclusively valid in combination with already certified EMMA Safety Footwear products.

Completed by*


Registration Emma Ortho Cover

Confirmation conditions*