Recycled Content Standard Annex A

The information provided in this Application will help SCS to determine eligibility and scope of service. No charges will be incurred or work conducted until a Work Order is executed.

Section 1: Company/Organization Information

1. Company Information

Company Name

Country

Street address

City

State

Zip code

Main Phone

Website

Brief Company Description

2. PRIMARY CONTACT PERSON

First Name

Last Name

Title

Direct Phone

Section 2: Product Information: (For initial Recycled Content Annex Launch, to apply a maximum of 10 Products.)

Please provide the following information for the products you would like to have assessed for certification. Product lines may be listed to help summarize an extensive scope of products.

Re-order	Product Brand Name	Product Sub-Category	Product Type	Expected Recycled Content Claim	Product is 3rd Party Certified for RC	Final Mfg/Assembly Location	Weight	Operations
	Product Brand Name	Product Sub-Category	Product Type	Expected Recycled Content Claim	Product is 3rd Party Certified for RC	Final Mfg/Assembly Location	Item weight

Section 3: Material Supplier: (For initial Recycled Content Annex Launch, to apply a maximum of 10 Products.)

Please provide the following supplier information for the products you would like to have assessed for certification.

Re-order	Material Supplier Name(s)	Supplied Material(s)	Contact Name	Contact Phone Number	Location	Weight	Operations
	Material Supplier Name(s)	Supplied Material(s)	Contact Name	Contact Phone Number	Location	Item weight

Section 4: Final Manufacturing/Assembly Facilities

Please identify all final manufacturing facilities to be assessed for certification.

Re-order	Products	Operations	Street Address	City	State	Postal Code	Country	Contact Name	Phone	Fax	Weight	Operations
	Products	Operations	Street Address	City	State	Postal Code	Country	Contact Name	Phone	Fax	Item weight

Section 1: Company/Organization Information

Section 2: Product Information: (For initial Recycled Content Annex Launch, to apply a maximum of 10 Products.)

Section 3: Material Supplier: (For initial Recycled Content Annex Launch, to apply a maximum of 10 Products.)

Section 4: Final Manufacturing/Assembly Facilities

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