Supplier self-declaration

1. Postal address
2. Company management/contact person

Departments

Name

Telephone

Email

Company management

Plant management

Quality assurance

Sales management*

Internal sales*

Field sales*

Shipping

Accounting

3. Company figures

Is the company part of a group?

Number of employees

Annual revenue

Does the company have product liability insurance?*

4. Quality management

Do you have a certified quality management system?*

If yes, which system(s)? (Please attach certificates)

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Additional certificate +
5. CSR

Is there an employee at your company who is responsible for sustainable business, as it relates to social, ecological and economical aspects?

Does your company have formal guidelines regarding working conditions and human rights?

If yes, please attach documents.

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Additional document +

Does your company have a responsible or sustainable procurement policy?

If yes, please attach documents.

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Additional document +

Does your company record environmental data?

Does your company publish a sustainability report?

If yes, please attach documents.

Delete
Additional document +
6. REACH

1. For the supplied products, we require a declaration in accordance with the latest REACH list of substances of very high concern (SVHC) (219 SVHCs as of 8th July 2021). Please inform us of any SVHCs contained in products, which exceed the limit of 0.1 % w/w in accordance with (EU) 1907/2006.

2. For the supplied products, we require a declaration in accordance with the latest RoHS substance list (if applicable). Please inform us if your products contain any of the six original hazardous substances listed in Directive (EU) 2011/65, or any of the four substances restricted by Directive (EU) 2015/863 with effect from 22nd July 2019, as well as any possible exceptions.

7. Accounting
8. Products/product groups/services
9. Submit

The signatory guarantees that the information provided is correct.

10. anti-spam protection

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