Do not leave blank in any line.

If "Uncertain or Unknown", Snap-on may contact the Supplier Representative Authorized to reply to this inquiry or a follow-up.

Question Title

* 1. Please enter the following information:

Personal information provided will be used in accordance with the Privacy Notice available HERE

Question Title

* 2. Please select your Snap-on Facility (Purchasing) Contact (Pick ONE ONLY, as listed in the letter):

Question Title

* 4. Description of Scope (*): (Company name, Division name or Product Category (ies)

PART I

Question Title

* 5. Are the following metals in the products that your company manufactures or contracts to manufacture for Snap-on - in any quantity?

  Yes No Uncertain or Unknown
Tantalum (Ta)
Tin (Sn)
Gold (Au)
Tungsten (W)

Question Title

* 6. Are the following metals necessary to the functionality or purpose of your company's products that it manufactures or contracts to manufacture for Snap-on?

  Yes No Uncertain or Unknown N/A
Tantalum (Ta)
Tin (Sn)
Gold (Au)
Tungsten (W)

Question Title

* 7. Do the following metals in the products you supply to Snap-on, are 100% from recycled or scrap sources?

  Yes No Uncertain or Unknown N/A
Tantalum (Ta)
Tin (Sn)
Gold (Au)
Tungsten (W)

Question Title

* 8. Do the Non-scrap/Non-recycled portion of the metals in the Snap-on products originate from, or transit thru, the Democratic Republic of Congo or an adjoining country:
Angola, Burundi, Central African Republic, Republic of Congo, Rwanda, South Sudan, Tanzania, Uganda, Zambia?

  Yes No Uncertain or Unknown N/A
Tantalum (Ta)
Tin (Sn)
Gold (Au)
Tungsten (W)

Question Title

* 9. Do any of the smelters in your supply chain source the Tin, Tantalum, Tungsten or Gold from conflict-affected and high-risk areas?

  Yes No Uncertain or Unknown N/A
Tantalum (Ta)
Tin (Sn)
Gold (Au)
Tungsten (W)
PART II

Question Title

* 10. Answer the Following Questions at a Company Level

  Yes No
A) Do you have a Conflict Minerals policy in place?
B) Is this policy publicly available on your website?
C) Have you implemented due diligence measures for Conflict Minerals sourcing?
D) Does your company conduct Conflict Minerals survey(s) of your relevant supplier(s)?
E) Do you verify due diligence information received from your suppliers?
F) Is your company required to file an annual conflict minerals disclosure?

Question Title

* 11. For Snap-on internal purposes only. Do not fill.

Question Title

* 12. For Snap-on internal purposes only. Do not fill.

T