The PFAS supplier questionnaire, built from the filing fields
Most PFAS questionnaires ask a supplier whether their product “contains PFAS” and stop there, which produces an answer you cannot file. These columns are the ones Minnesota’s PRISM, Washington’s report, and Connecticut’s DEEP notification actually require, so one round of answers feeds all three. No email gate.
| Your part / SKU # | Component or material | Intentionally added PFAS? (Yes/No/Unknown) | PFAS chemical name | CAS number (or 'TOF' if confidential) | Function (why the PFAS is there) | Concentration | Unit (ppm or % by weight) | Total organic fluorine (ppm), if tested | Test method / report reference | Trade secret? (Yes/No) | Respondent name and title | Date |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GSK-4402 | Lid gasket, PTFE | Yes | Polytetrafluoroethylene | 9002-84-0 | Non-stick sealing surface | 180000 | ppm | — | Supplier SDS rev. 4 | No | J. Alvarez, Quality Manager | 2026-08-14 |
One row per component per PFAS, not one row per product — that is how PRISM expects it, and splitting later is worse than splitting now.
Why each column is there
Chemical name + CAS number
Minnesota PRISM requires an identifier type and a chemical drawn from the state dropdown on every report row. Connecticut's DEEP notification accepts CAS numbers or molecular formula and weight.
Function
A named function is a required PRISM field, and Connecticut asks separately for the reason the PFAS is used. 'Water repellency' or 'non-stick' is enough; 'processing' is not.
Concentration + unit
Minn. R. 7026.0030 makes you file into one of nine fixed concentration ranges. Collecting a raw number in ppm or percent lets you map it to a range later; collecting a range up front often straddles two buckets and has to be re-asked.
Total organic fluorine (ppm)
Washington presumes total fluorine above 50 ppm is intentionally added PFAS, and California's textile ban is enforced on total organic fluorine, tightening to 50 ppm in 2027. A TOF result is also the accepted fallback when a supplier will not disclose the specific chemistry.
Trade secret flag
PRISM carries a trade-secret flag per row. Knowing in advance which components are claimed confidential tells you which suppliers need the report-directly-to-the-state route instead.
Respondent name, title, date
An attestation with no named human behind it is not much of an attestation. This is also what you show a regulator or a retail customer as evidence of the effort you made.
The form is the easy part
Sending this to forty suppliers, chasing the two-thirds who ignore it, re-asking the ones who answer “no PFAS” without a test, and turning what comes back into filed report rows is the part that takes months. That is the job PFAS Matrix does for you.
Informational, not legal advice. Field requirements are summarized from Minn. R. 7026.0030, WAC 173-337, and Conn. PA 24-59 as of August 2026 — confirm against current text before filing.