Green Electronics Product Submission Form
Contact Information
Company*
Name:*
Title:*
Email:*
Phone:*
Product Information
Manufacturer/ Brand*
Product Category (e.g. Computers/ Monitors):*
Product Name(s):*
Model #(s):*
Product Website:*
GREEN-SPECS. Please select the green attributes of this product and your company.
Stewardship - Company has environmental charter
Company has a published environmental mission with goals and objectives*	Yes No
Company has environmental policies, practices and incentives for employees and suppliers*	Yes No
Company publishes an annual environmental report card or audit of its progress*	Yes No
Content - Product materials are clean or sustainable
Product is RoHS compliant*	Yes No
Product is made from or incorporates recycled or recovered materials*	Yes No
Packaging materials are made from or incorporate recycled materials*	Yes No
Optimization - Product design reduces environmental footprint
Product offers advanced multi-functionality while minimizing size and use of materials*	Yes No
Product lifespan is increased from use of new technologies, components or upgrades*	Yes No
Product has minimized use of packaging materials*	Yes No
Repurposed – Product has end-of-life programs
Manufacturer offers or sponsors end of life, take back or recycling programs*	Yes No
Products and packaging are recycled or repurposed*	Yes No
Product lifecycle is extended through refurbish, resale, reuse or donation*	Yes No
Efficiency - Product is Energy Efficient
Product is Energy Star® qualifed*	Yes No
Product is 80 Plus™ certified*	Yes No
Product operates using alternative energy sources i.e. Solar, Wind, Wind-Up*	Yes No
Please provide any additional environmental information or attributes on this product(s) or your company (i.e. certifications, compliance standards, environmental awards, new technologies, etc.) *
Thank you for submitting your green electronics product.