Prospective Supplier Information Form

INSTRUCTIONS:

Please review the form before submitting. You must submit business information, a point of contact, and product and service information. Note that the form will not save your work.

Please be as thorough and complete as possible in your application, as this will ease our review process. Completing the prospective supplier information form does not guarantee solicitations or awards will be sent to your organization.

Thank you for your interest in working with SLAC!

General Information
Organization Point of Contact
If you met a SLAC Team Member at an event, please indicate here.
Location
Address
Does your organization have an additional location?
Additional Location
Please provide the address below if you indicate your organization has a secondary location.
Does your organization have an international location?
International Location
If you responded “yes” to indicate your organization has an international location, please indicate that location’s country.
Organization Information
SAM.gov
Are you registered with System for Award Management (SAM.gov)?
Unique Entity Identifier
Does your organization have a Unique Entity Identifier (UEI)? To be a SLAC supplier, you must have a UEI. See Become a SLAC supplier for more information about UEI requirements.
If you responded "Yes", provide your organization’s UEI.
Organization Type
Please check all that apply.
Business Type
You may only select one.
Socioeconomic Status
Please check all that apply.
North American Industry Classification System (NAICS) Code
Drag to re-order taxonomy terms.
Drag to re-order taxonomy terms.
Please be sure to include all keywords relevant to your products or services.
Please upload your organization’s capability statement here.
One file only.
2 MB limit.
Allowed types: pdf.
Have you done business with other DOE laboratories?
Please indicate the other DOE laboratories you have done business with above.