Supply Matching Form

Item/Product to be Scouted

Please describe how the item will be used.* Provide the item number if applicable: (N95 Mask vs Protective Mask).

Scouting customer/product NAICS Code, if known

Technical Information:

1. Supplier Information

a. Type of supplier being sought *

Other explanation field:

b. Reason for scouting submission *

Other explanation field:

2. Summary of Technical Specifications and Performance Requirements

a. Describe the manufacturing process (elaborate to provide as much detail as possible). *

b. Provide dimensions / size / tolerances / perfomance specifications for the item. *

c. List required materials needed to make the product, including materials of product components. *

d. Are there applicable certification requirements? *

Please explain.

e. Are there applicable regulations? *

Please explain.

f. Are there any other standards, requirements, etc.? *

Please explain.

g. Additional comments. Is there other information that would impact the item's performance or usefulness? Please explain.

3. Volume and Pricing

a. Estimated potential business volume (i.e., # Units Per Day, Month, Year): *

b. Estimated target price / unit cost information (if unavailable explain): *

4. Delivery Requirements

a. When is it needed by? (Immediate, 30 Days, 6 months, etc.) *

b. Describe packaging requirements (i.e., individually/group packaging) *

c. Where will this item be shipped? *

5. Additional Comments

Is there other information you would like to include?

Photos or diagrams of the item (helpful but not required).

File

Max. file size: 31 MB.

Phone

This field is for validation purposes and should be left unchanged.