Document mmXaRp84pNQ33r7RqO9L0NNM0

2972508 PlasticsEurope Fluoropotymers Product Group E-Mail: Mbaua.bund.de You can contact our Data Protection Officer under the postal address above or by e-mail to baua.bund.de. Should you be of the opinion that the BAuA does not process your data in accordance with applicable data protection regulations, you have the right to contact The Federal trlr Prnt FP3PrinM nt intrIfinAtirin Hi IQ I-PrIQtr ikP cq117 Rnnn When exercising your rights, you will not incur any costs other than postage or transmission costs according to current base rates. Should you withdraw your consent, your personal data will be deleted immediately after receipt of the withdrawal notice. A withdrawal shall not affect the lawfulness of the processing of your data up until the time of the withdrawal.Your personal data will be stored until the present survey has been fully evaluated and until no further questions may arise. Consent may be withheld, with the consequence of only participating in a survey without the option for asking the individual participant specific follow-up questions. In this case, company information will have to be provided. PERMISSION FOR INFORMATION PURPOSES: I agree to the personal data I provide in the present survey, including my name and my e-mail address, to be collected, processed and stored for potential follow-up questions regarding this survey by the service provider of Bundesanstalt fur Arbeitsschutz and Arbeitsmedizin (BAuA), namely Webropol Deutschland GmbH, and to these being subsequently stored in the database of the Federal Chemicals Office. * ..!.) Yes No The following information marked with * on institute/organisation/person are mandatory fields. Information on institute/organisation/person Name Nicolas Surname Robin PlasticsEurope AISBL Rue Belliard 40 box 16 1040 Brussels Belgium Phone +32 (0)2 792 30 99 Fax +32 (0)2 792 30 09 VAT BE 0416 155 338 www.plasticseurope.org PlasticsEurope Fluoropolymers Product Group Name of institute/organ isation Fluoropolymers Product Group, a Sector Group of PlasticsEurope 2972508 E-Mail (plasticseurope.orq Can we contact you with follow-up questions? * 0 No Are you interested in attending a meeting on specific uses of PFAS, mixtures and articles containing PFAS? u No Note on Confidentiality of information and data I understand that it is my responsibility not to include confidential information in responses to general comments and in any responses to requests for specific information (e.g. company name, email addresses, phone numbers. signatures etc.). The competent authorities for REACH will not be held liable for any damages caused. c I Yes I understand that it is my responsibility to mark confidential data and attachments as confidential. * Yes 1. Please choose one of the following options. Do you have information on PFAS, PFAS-containing mixtures and articles or alternatives being able to replace PFAS. PFAS, PFAS-containing mixtures and/or articles PlasticsEurope AISBL Rue Belliard 40 box 16 1040 Brussels Belgium Phone +32 (0)2 792 30 99 Fax +32 (0)2 792 30 09 VAT BE 0416 155 338 www.plasticseurope.org