Declaration Scope or Class (*):
Description of Scope:
Company Unique ID:
Company Unique ID Authority:
C. Do you require your direct suppliers to be DRC conflict-free? (*)
D. Do you require your direct suppliers to source the 3TG from smelters whose due diligence practices have been validated by an independent third party audit program? (*)
E. Have you implemented due diligence measures for conflict-free sourcing? (*)
F. Do you collect conflict minerals due diligence information from your suppliers which is in conformance with the IPC-1755 Conflict Minerals Data Exchange standard [e.g., the CFSI Conflict Minerals Reporting Template]? (*)
G. Do you request smelter names from your suppliers? (*)
H. Do you review due diligence information received from your suppliers against your company’s expectations? (*)
I. Does your review process include corrective action management? (*)
J. Are you subject to the SEC Conflict Minerals rule? (*)
Tantalum (*)
Tin (*)
Gold (*)
Tungsten (*)
2) Is the 3TG necessary to the production of your company’s products and contained in the finished product that your company manufactures or contracts to manufacture? (*)
Tantalum (*)
Tin (*)
Gold (*)
Tungsten (*)
3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (*)
Tantalum (*)
Tin (*)
Gold (*)
Tungsten (*)
4) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? (*)
Tantalum (*)
Tin (*)
Gold (*)
Tungsten (*)
5) Have you received data/information for each 3TG from all relevant suppliers? (*)
Tantalum (*)
Tin (*)
Gold (*)
Tungsten (*)
6) Have you identified all of the smelters supplying the 3TG to your supply chain? (*)
Tantalum (*)
Tin (*)
Gold (*)
Tungsten (*)
7) Has all applicable smelter information received by your company been reported in this declaration? (*)
Tantalum (*)
Tin (*)
Gold (*)
Tungsten (*)
G. Do you request smelter names from your suppliers? (*)
H. Do you review due diligence information received from your suppliers against your company’s expectations? (*)
I. Does your review process include corrective action management? (*)