Compliance with the OWENS CORNING Materials of Concern List dated March 14, 2023

Product: enter the product name

Request Date: enter the date

Dear enter the supplier name:

In an effort to understand fully potential risks in the products we use and sell, we request that you
evaluate the above-mentioned products against the attached Owens Corning Materials of Concern list.
Please reply with the information requested on the following page.

Thank you in advance for your assistance in ensuring we comply with our corporate guidelines and work
safely.

Thank you,
Insert your signature here
Subject: Evaluation of the listed product(s) against the Owens Corning Materials of Concern list dated
March 14, 2023
Product(s):
Evaluation date:
Company name:
Your name:

I hereby confirm that the product(s) has been evaluated against the Owens Corning Materials of Concern
list dated March 14, 2023, and it:
 Does not contain any of the chemicals listed on the Owens Corning Materials of Concern list or
 Contains chemicals which are on the Owens Corning Materials of Concern list.
 List of each chemical and % by weight in the product is shown below.

Chemical CAS Number % by weight

Signature