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CONFLICT MINERALS DISCLOSURE SUPPLIER COMPANY NAME INQUIRY, REFERENCE OR PURCHASE ORDER NO. NAME OF PRODUCT(S) (if more than one, attach complete list) PART NUMBER (if more than one, attach complete
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How to fill out conflict minerals disclosure form

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How to fill out conflict minerals disclosure form:

01
Gather necessary information: Before starting to fill out the conflict minerals disclosure form, gather all the relevant information about your company's supply chain and the minerals used in your products. This may include gathering information from suppliers, conducting due diligence, and identifying the countries of origin for the minerals.
02
Understand the requirements: Familiarize yourself with the specific requirements of the conflict minerals disclosure form. Different jurisdictions may have different reporting requirements, so make sure you understand what information needs to be provided, the filing deadlines, and any associated documentation that may be required.
03
Complete the company information section: The conflict minerals disclosure form typically begins with a section where you provide basic information about your company, such as its name, address, and contact details. Fill out this section accurately and comprehensively.
04
Identify the products and components: Next, you will need to identify the products and components that may contain conflict minerals. Provide a detailed description of each product or component, including the name, part number, and any other relevant information.
05
Conduct due diligence: As part of the conflict minerals disclosure process, you will need to perform due diligence on your supply chain to determine the origin of the minerals. This may involve scrutinizing supplier documentation, conducting on-site visits, and implementing traceability measures. Document your due diligence efforts and maintain any relevant records.
06
Determine country of origin: For each identified product or component, determine the country of origin of the conflict minerals. This information helps to assess the risk of sourcing from conflict-affected regions.
07
Assess smelter or refiner data: Check if the identified smelters or refiners in your supply chain are participating in recognized conflict-free programs or have undergone third-party audits. This data helps to ensure responsible sourcing practices.
08
Complete the conflict minerals disclosure section: Fill out the conflict minerals disclosure section of the form based on the information gathered and assessed. Provide details on the due diligence conducted, country of origin determinations, and any efforts taken to source conflict-free minerals. Be thorough and transparent in your responses.
09
Review and certify: Review the filled-out form for accuracy, completeness, and compliance with the requirements. Once satisfied, authorize and certify the form as required by the relevant jurisdiction.

Who needs conflict minerals disclosure form?

Companies that use minerals such as gold, tin, tantalum, and tungsten in their products are typically required to fill out conflict minerals disclosure forms. These forms are required in various jurisdictions to promote responsible sourcing practices and ensure that companies are not inadvertently contributing to armed conflict or human rights abuses in conflict-affected regions. The exact requirements and thresholds for disclosure may vary depending on the applicable regulations, but the goal is to increase transparency and accountability in the supply chain.
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The conflict minerals disclosure form is a report that companies are required to submit to the Securities and Exchange Commission (SEC) in order to disclose whether their products contain minerals sourced from conflict-affected areas.
Companies that fall under the jurisdiction of the SEC and manufacture products that may contain conflict minerals are required to file the disclosure form.
Companies can fill out the form by providing information about their supply chain, conducting due diligence on the source of minerals, and submitting the necessary documentation.
The purpose of the form is to promote transparency and accountability in supply chains by identifying and addressing the use of conflict minerals.
Companies must report on the source and chain of custody of conflict minerals, as well as any efforts taken to determine the origin and ensure responsible sourcing.
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