The PFAS supplier attestation letter that gets answers

Copy it, fill the brackets, send it. It asks for exactly the fields the state filings need (chemical, CAS, function, concentration) — so one answer feeds Minnesota’s PRISM, Washington’s 2027 report, and retailer requests. No email gate; it’s just useful.

Subject: PFAS information required for [PRODUCT / PART #] — response needed by [DATE]

Dear [Supplier contact],

We are required under U.S. state law (including Minnesota Statutes § 116.943, with reports due to the State of Minnesota by September 15, 2026) to determine whether products we purchase from you contain intentionally added PFAS (per- and polyfluoroalkyl substances — the class of fluorinated organic chemicals containing at least one fully fluorinated carbon atom).

For each item listed below, please confirm by [DATE — 14 days out]:

1. Does the product/component contain INTENTIONALLY ADDED PFAS?  (Yes / No / Unknown)
2. If YES, for each PFAS:
   a. Chemical name and CAS Registry Number
   b. Function it serves (e.g., water repellency, nonstick, lubricant)
   c. Concentration (ppm or %, per component) — a range is acceptable
3. If exact identity is confidential: total organic fluorine (TOF) test results are acceptable, or we can arrange for you to report the component confidentially and directly to the state on our behalf.
4. Name, title, and date of the person providing this attestation, plus any supporting documents (SDS, test reports, existing PFAS declarations).

Items in scope:
- [SKU / part number / description]
- [SKU / part number / description]

Please note: we are required to continue requesting this information until it is known and to document our efforts, so you will receive follow-ups until we have your response. If PFAS chemistry is present, answering does not end our purchasing relationship — but we cannot meet our legal obligations, or our retail customers' requirements, without your answer.

Thank you — reply to this email or send documents to [YOUR EMAIL].

[Name, title]
[Company, address]