Skip Ribbon Commands
Skip to main content
Letter of Authorization

Notice:  We have changed our process for requesting a Letter of Authorization from West. 

 
You need to complete the LOA form through our customer connection portal. If you already have a username and password for customer connection, please click below to login.
If you do not already have a login, please complete the below registration form and we will send you a username and password after we review your information.
 
If you have any questions, please contact Exton.LOArequests@westpharma.com

 


* Required information
Name
* Prefix  * First Name  MI  * Last Name 
* Company  
* Title  
* Country  
* Street Address  
 
 
 
*City  *Province  *Postal Code 
* Phone Number  
* Email
* Confirm Email
Comments