Animal Testing Policy Questionnaire – Cosmetics and Toiletries



SUPPLIER DECLARATION OF ASSURANCE

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|Contact Details |

|Company Name: |

|Address: |

| |

|Email: |

|Tel: |Website: |

|Animal Testing Policy |

|Do you conduct or fund any animal tests on your finished cosmetic and/or household products? |Yes ( |No ( |

|Do you conduct or fund any animal tests on your ingredients or formulae for use in cosmetic and/or household |Yes ( |No ( |

|products? | | |

|Do you purchase from other companies that conduct or fund animal experiments on ingredients or formulae for use in |Yes ( |No ( |

|cosmetic and/or household products? | | |

|Concerning the ingredients you would like to supply to (insert Company name here), please confirm the last date of | | |

|testing on animals.* |Date |……... |

* This is the date the ingredient was last tested to establish the safety of the ingredient and forms the safety dossier on a specific ingredient.

|Declaration of Assurance |

| |

|We, the undersigned, certify that we will not conduct or fund any animal tests on cosmetic and/or household products, ingredients and formulae. |

| |

| |

|We will monitor testing history of all ingredients to ensure that we do not supply (insert Company name here) with any cosmetic and/or household|

|products, ingredients and formulae which have been tested on animals since the fixed cut-off date of (insert date here) . |

| |

|We will provide (insert Company name here) with raw material certificates, or the equivalent, to support our Declaration of Assurance. |

| | |

|__________________________________ |_______________________ |

|Supplier’s name & position within company |Supplier’s signature |

| | |

|__________________________________ |_______________________ |

|Witness name |Witness signature |

| | |

| | |

| |_______________________ |

| |Date |

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