Modern Slavery Declaration Form

Modern Slavery Declaration Form
Please complete the Modern Slavery Declaration Form to confirm your business’s commitment to identifying and addressing modern slavery risks in your operations and supply chain.
Business Name
Contact Person’s Full Name
First NameLast Name
Position/Title
Business Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Email
example@example.com
Please describe the steps your business has taken to identify and address modern slavery risks in your operations and supply chain.
Do you have a formal policy or statement regarding modern slavery?
If yes, please provide a brief summary of your policy or statement.
Declaration Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
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