---
title: "RoHS Supplier Declaration Template"
canonical_url: "https://www.sorena.io/artifacts/eu/rohs-directive/rohs-supplier-declaration-template"
source_url: "https://www.sorena.io/artifacts/eu/rohs-directive/rohs-supplier-declaration-template"
author: "Sorena AI"
description: "A practical RoHS supplier declaration template for Directive 2011/65/EU."
published_at: "2026-02-21"
updated_at: "2026-02-21"
keywords:
  - "RoHS supplier declaration template"
  - "RoHS declaration homogeneous material"
  - "RoHS Annex II declaration"
  - "RoHS exemptions disclosure"
  - "RoHS change notification supplier"
  - "EN IEC 63000 supplier evidence"
  - "RoHS"
  - "Supplier declaration"
  - "Template"
  - "Homogeneous material"
  - "Exemptions"
---
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---

# RoHS Supplier Declaration Template

A practical RoHS supplier declaration template for Directive 2011/65/EU.

*Template* *Suppliers*

## EU RoHS Directive (2011/65/EU) Supplier Declaration Template

A declaration that maps to how RoHS is measured.

Output: a supplier statement that is traceable to parts, homogeneous materials, and exemptions (if any).

Most RoHS declarations are not defensible because they do not state what is covered. This template fixes that: it forces scope, homogeneous material coverage, exemptions disclosure, and a change notification commitment.

## How to use this template

Send this template to suppliers for parts, materials, and subassemblies used in your EEE.

Require a declaration per part family (or per material family) and tie it to part numbers and revision identifiers.

- Use for: components, cable assemblies, plastics, coatings, solders, and subassemblies
- Tie to: part numbers + supplier revision + date + manufacturing site(s)
- Store in: your EN IEC 63000-aligned technical documentation evidence vault

*Recommended next step*

*Placement: after the template, evidence, or documentation block*

## Keep EU RoHS Directive (2011/65/EU) Supplier Declaration Template in one governed evidence system

SSOT can take EU RoHS Directive (2011/65/EU) Supplier Declaration Template from reusing this material inside a governed evidence system to a reusable workflow inside Sorena. Teams working on EU RoHS Directive (2011/65/EU) can keep owners, evidence, and next steps aligned without copying this guide into separate documents.

- [Open SSOT for EU RoHS Directive (2011/65/EU) Supplier Declaration Template](/solutions/ssot.md): Start from EU RoHS Directive (2011/65/EU) Supplier Declaration Template and keep documents, evidence, and control records in one governed system.
- [Talk through EU RoHS Directive (2011/65/EU)](/contact.md): Review your current process, evidence gaps, and next steps for EU RoHS Directive (2011/65/EU) Supplier Declaration Template.

## Template - supplier declaration (recommended fields)

Below is a field list you can implement as a PDF, portal form, or contract annex.

The key is specificity: what parts, what materials, what revisions, and what evidence.

- Supplier identity: legal entity, address, contact, manufacturing site(s)
- Covered items: part numbers, descriptions, revisions, date codes / lot range (if relevant)
- Homogeneous materials statement: declaration applies at homogeneous material level for covered items
- Annex II substances statement: concentrations below thresholds (0.1% generally; 0.01% cadmium) in homogeneous materials
- Phthalates statement: DEHP/BBP/DBP/DIBP coverage for relevant polymers and cable insulation
- Exemptions disclosure (if any): exact exemption reference, scope conditions, and which parts/materials rely on it
- Change notification commitment: prior notice for material/process/sub-tier supplier changes
- Document-control fields: issue date, version, and planned review date
- Signature and authority: signer role/title and date

## Recommended attachments (make it verifiable)

Attachments are optional for low-risk items, but required for high-risk hotspots or when exemptions are used.

Define attachment rules by risk tier so suppliers aren't overwhelmed but you still get defensible evidence.

- Material composition details for high-risk materials (polymers, coatings, solders)
- Test reports or certificates where appropriate (especially for soft plastics/cable insulation and legacy materials)
- Exemption evidence pack: technical justification and scope mapping
- Internal supplier QA statement on change control and traceability

## Verification triggers (when you test anyway)

A declaration is not the end of control. Define when you verify and what happens when results conflict.

This protects you against silent changes.

- Trigger verification on: new supplier, material change, process change, or inconsistent declarations
- Target testing on homogeneous materials (not whole assemblies)
- Define actions: quarantine, supplier corrective action, requalification, redesign decision

## Primary sources

- [Directive 2011/65/EU (RoHS 2) consolidated (EUR-Lex)](https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:02011L0065-20250101&ref=sorena.io) - Primary source for Annex II substances and compliance measurement principles (homogeneous materials).
- [Commission Implementing Decision (EU) 2020/659 - EN IEC 63000 reference (EUR-Lex)](https://eur-lex.europa.eu/eli/dec_impl/2020/659/oj?ref=sorena.io) - References EN IEC 63000:2018 for RoHS technical documentation and evidence sources.
- [DG Environment - RoHS Directive overview](https://environment.ec.europa.eu/topics/waste-and-recycling/rohs-directive_en?ref=sorena.io) - Official overview and related resources.

## Related Topic Guides

- [EU RoHS FAQ (Scope, Exemptions, Phthalates, Technical File, CE) | RoHS Directive 2011/65/EU](/artifacts/eu/rohs-directive/faq.md): High-signal EU RoHS FAQ grounded in official sources: what counts as EEE, staged applicability (22 July 2014/2017/2019).
- [EU RoHS Timeline: RoHS 1 (2002) -> RoHS 2 (2011/2013) -> Open Scope (2019) -> Phthalates (2019/2021)](/artifacts/eu/rohs-directive/timeline.md): A date-by-date EU RoHS timeline for implementers: RoHS 1 (2002), RoHS 2 recast and transposition (2011 - 2013).
- [Restricted Substances and Thresholds | EU RoHS Directive 2011/65/EU | Homogeneous Material Limits (0.1% / 0.01%) + Phthalates (2015/863)](/artifacts/eu/rohs-directive/restricted-substances-and-thresholds.md): A practical RoHS restricted substances guide for Directive 2011/65/EU: the 10 substances in Annex II, homogeneous material threshold logic (0.1% for most.
- [RoHS Applicability Test | Is My Product In Scope of EU RoHS Directive 2011/65/EU? | EEE, Cables, Spare Parts, Open Scope](/artifacts/eu/rohs-directive/applicability-test.md): A structured EU RoHS applicability test for Directive 2011/65/EU: determine if your product is electrical and electronic equipment (EEE).
- [RoHS Compliance Checklist | EU RoHS Directive 2011/65/EU | Supplier Evidence, Exemptions, EN IEC 63000 Technical File](/artifacts/eu/rohs-directive/checklist.md): An audit-ready RoHS compliance checklist for Directive 2011/65/EU: scope and EEE category mapping.
- [RoHS Compliance Program | EU RoHS Directive 2011/65/EU Implementation Playbook | Supplier Controls, Exemptions, Evidence](/artifacts/eu/rohs-directive/compliance.md): A practical RoHS compliance program playbook for Directive 2011/65/EU: set up governance, map homogeneous material risks across your BOM.
- [RoHS Deadlines and Compliance Calendar (2013, 2014, 2017, 2019, 2021) | EU RoHS Directive 2011/65/EU](/artifacts/eu/rohs-directive/deadlines-and-compliance-calendar.md): A RoHS compliance calendar you can actually operationalize: staged applicability dates (22 July 2014/2017/2019).
- [RoHS Enforcement, Penalties, and Fines | EU RoHS Directive 2011/65/EU (Member State rules)](/artifacts/eu/rohs-directive/penalties-and-fines.md): What EU RoHS enforcement looks like in practice: market surveillance checks, documentation requests, CE marking scrutiny.
- [RoHS Exemptions Tracker Guide | How to Build an Exemption Register (Annex III/IV), Link to BOM, Monitor Expiry](/artifacts/eu/rohs-directive/rohs-exemptions-tracker-guide.md): A practical guide to building a RoHS exemptions tracker: recommended tracker fields (exemption reference, exact wording, scope conditions.
- [RoHS Exemptions Tracking | Directive 2011/65/EU Annex III and Annex IV | Expiry Risk, Evidence, Renewal Strategy](/artifacts/eu/rohs-directive/exemptions-tracking.md): A practical RoHS exemptions tracking guide for Directive 2011/65/EU: how Annex III and Annex IV exemptions work.
- [RoHS Requirements | EU RoHS Directive 2011/65/EU | Substance Restrictions (Annex II), Exemptions (Annex III/IV), CE Evidence](/artifacts/eu/rohs-directive/requirements.md): A practical RoHS requirements breakdown for Directive 2011/65/EU: restricted substances thresholds in homogeneous materials (Annex II).
- [RoHS vs REACH | What's the Difference? | EU RoHS Directive 2011/65/EU vs REACH Regulation (EC) 1907/2006](/artifacts/eu/rohs-directive/rohs-vs-reach.md): A practical RoHS vs REACH guide: RoHS (Directive 2011/65/EU) restricts specific substances in EEE above thresholds in homogeneous materials and is tied to CE.
- [Supplier Declarations and Verification | RoHS Compliance Program | Supplier Questionnaires, Change Control, Risk-Based Testing](/artifacts/eu/rohs-directive/supplier-declarations-and-verification.md): A practical supplier evidence playbook for EU RoHS Directive 2011/65/EU.
- [Technical Documentation and CE | RoHS Directive 2011/65/EU | EN IEC 63000, EU Declaration of Conformity, Evidence Vault](/artifacts/eu/rohs-directive/technical-documentation-and-ce.md): A practical RoHS technical documentation guide for Directive 2011/65/EU.


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