Conflict Minerals Survey
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Company Name
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Individual Responsible for Sourcing/Supply Chain
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First
Last
Email
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Email
Confirm Email
Phone
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Have you established a Conflict Minerals policy?
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Yes
No
If your Conflict Minerals Statement is publicly available on your website, please specify the URL here.
If your Conflict Minerals Statement is NOT available online, please upload it here.
Click or drag a file to this area to upload.
PDF format only
Are any conflict minerals added or used in the production of your products?
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No
Yes
Do you require your direct suppliers to be Conflict Minerals-Free?
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Yes
No
Do you require your direct suppliers to source materials from smelters whose due diligence practices have been validated by an independent third party audit program?
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Yes
No
Have you implemented due diligence for conflict-free sourcing?
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Yes
No
Does your company conduct Conflict Materials survey(s) of your relevant supplier(s)?
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Yes
No
Do you review due diligence information received from your suppliers against your company's expectations?
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Yes
No
Does your review process include corrective action management?
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Yes
No
Is your company required to file an annual conflict minerals disclosure with the SEC?
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Yes
No
Submit