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Supplier Registration

Idaho National Laboratory
Supplier Registration
Welcome to the Idaho National Laboratory's Supplier Registration system. Please take a moment to complete the sections of this form. You are welcome to send your line card to small.business@inl.gov
1.0 Company Information
Name*
Mailing Address*
City* State*
Postal Code* Phone*
URL DUNS Number
Active CCR Profile
     
Type of Business*
     
     
     
     
2.0 Primary Contact
Name* Title*
Phone* Email*
3.0 Alternate Contact
Name Title
Phone Email
4.0 North American Industry Classification
Primary NAICS
Additional NAICS
5.0 Commodities and Services
The following contains broad categories of the types of materials and services the INL buys. This is not an all-inclusive list and is subject to change.
Commodities
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Services
Professional
     
     
     
     
Technical
     
     
     
  
Facility
     
     
     
     
     
     
     
     
     
     
     
  
Construction
     
     
     
     
     
If you are providing Construction services continue 6.0 otherwise skip to 7.0
6.0 Safety and Health Data
Person Responsible for Safety and Health Program
Do you have a formal Safety Program?
     
Can you provide a copy of the Safety Program?
     
Parent Company
Is the Offeror a subsidiary of another company?
     
If yes, list parent company name, address, contact person, phone number.
Parent Company
Parent Address
Parent Contact Parent Phone
Worker's Compensation Insurance Carrier:
WCI Carrier
WCI Address
WCI Contact WCI Phone
Number of Employees
If you answered '11 or more' complete the OSHA Information, otherwise skip to 6.0
OSHA Information
Have you had a completed OSHA Inspection?
     
If yes, provide any penalty findings.
Penalty Date Penalty Type Penalty
7.0 Additional Services and Capabilities
Specialized Services
Certifications
Capabilities
8.0 Agreements
I understand that registering with INL does not guarantee me any contracts or requests for proposal or quotes.
     

  
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