Edit, Download, and Sign the California Proposition 65 Compliance Statement
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How do I fill this out?
To fill out this form, start by entering your company information including name, address, and contact details. Next, list the relevant product part numbers supplied to LINAK. Finally, confirm the compliance status regarding Proposition 65 substances according to your evaluation.

How to fill out the California Proposition 65 Compliance Statement?
1
Provide your company name and contact details.
2
List the relevant part numbers for your products.
3
Evaluate the products against the Proposition 65 list.
4
Indicate whether the products contain any listed substances.
5
Sign the document to confirm accuracy on behalf of the company.
Who needs the California Proposition 65 Compliance Statement?
1
Manufacturers ensuring compliance with California regulations.
2
Retailers providing products to California consumers.
3
Quality assurance teams verifying product safety.
4
Legal departments handling compliance documentation.
5
Environmental health officers monitoring hazardous substances.
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1
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What are the instructions for submitting this form?
To submit this form, send it via email to compliance@yourcompany.com, or fax it to (123) 456-7890. You may also choose to submit the form through our online portal. Physical submissions can be sent to our office at 123 Main St, City, CA 90210. Ensure that all sections are completed before submission to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
It is advisable to keep updated on compliance dates every year. Important evaluation dates for submissions typically fall at the beginning of Q1 each year. Ensure to check your deadlines to avoid compliance issues.

What is the purpose of this form?
The California Proposition 65 Compliance Statement serves several critical purposes. Firstly, it ensures that businesses are transparent regarding potential risks associated with their products. Secondly, it provides a framework for companies to demonstrate adherence to state laws, thereby protecting public health and avoiding legal repercussions.

Tell me about this form and its components and fields line-by-line.

- 1. Company Name: The official name of the business submitting the form.
- 2. Company Address: The address where the business is located.
- 3. Contact Person: The individual responsible for the submission.
- 4. E-mail: The email address for communication.
- 5. Telephone: A contact number for inquiries.
- 6. Product Part or Model Number: Details of the specific products being evaluated.
- 7. Compliance Status: Indicates whether the products comply with Proposition 65.
- 8. Authorized Signature: Signature to confirm authenticity of the document.
What happens if I fail to submit this form?
Failing to submit the California Proposition 65 Compliance Statement can lead to serious repercussions for your business. Non-compliance may result in lawsuits, fines, and a damaged reputation.
- Legal Implications: Businesses may face legal challenges if they do not follow Proposition 65 regulations.
- Consumer Trust: Lack of compliance can erode trust among consumers.
- Financial Penalties: Non-compliance might lead to fines and other financial liabilities.
How do I know when to use this form?

- 1. New Product Launch: When introducing a new product to the market, use this form for compliance.
- 2. Routine Evaluations: To ensure ongoing compliance with safety standards for existing products.
- 3. Regulatory Audits: During audits to demonstrate compliance with state laws.
Frequently Asked Questions
What is California Proposition 65?
California Proposition 65 is a law that requires businesses to inform Californians about significant chemicals that may cause cancer, birth defects, or reproductive harm.
How do I obtain a compliance statement?
You can complete the provided compliance statement form as per the guidelines and submit it.
Can I edit the PDF once downloaded?
Yes, you can edit the PDF using PrintFriendly's PDF editor before downloading.
What if my product contains listed substances?
You must clearly indicate any substances present and notify consumers accordingly.
Is there a timestamp for compliance documents?
Yes, be sure to include the date of evaluation on the form.
Can I submit this form online?
Yes, you can submit the filled form electronically through the designated channels.
What happens if I don’t fill out this form?
Failure to submit can lead to legal non-compliance and potential fines.
Do I need to sign the form?
Yes, an authorized signature is required to validate the document.
Who evaluates the product against Proposition 65?
The responsibility usually falls to the manufacturer's quality assurance team.
Where can I find the Proposition 65 list?
The list can be accessed at the official California OEHHA website.
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