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Change Notification Form

Hello Agilent Channel Partner!

As you know, as required by your contract and the final section of our Due Diligence Questionnaire (DDQ), if any key circumstances change for your company since your last DDQ, you are required to notify Agilent.

The following list includes some key examples of things that might have changed for your company (please note this list is not all-inclusive; any substantive change to your company should reported to Agilent for potential DDQ refresh):

Question

  1. Has your Company's ownership changed since your last Agilent DDQ?
  2. Has there been a change relative to how your Company's books and records maintained (in accordance with your country's standards or internationally accepted accounting standards)?
  3. Has your Company ever made a payment to a government official for the purposes of influencing a decision, and was not reported in your last DDQ?
  4. Has your Company, or any of its owners, directors or Key Employees ever been suspended from doing business, charged with, convicted of or alleged to have been engaged in fraud, bribery, misrepresentation, and/or any other criminal act, and was not reported in your last DDQ?
  5. Does your Company have any pending or threatened claims, litigation, or regulatory investigations that have not yet been adjudicated that was not reported in your last DDQ?
  6. Has your Company or any current directors, key employees or agents ever been investigated for violating an anti-corruption, anti-kickback or anti-bribery laws, including but not limited to, the U.S. Foreign Corrupt Practices Act and was not reported in your last DDQ?
  7. Has your Company or any Key Employee ever been disbarred, prohibited or otherwise banned from bidding on Government contracts or tenders in any country in which your Company conducts business and was not reported in your last DDQ?
  8. Has your Company or any of its current directors, Key Employees, owners, agents, or affiliates ever been investigated or prosecuted for violating any US or local government Export Control Laws and was not reported in your last DDQ?
  9. Do you or any of your affiliates do business in or with any country currently under US embargo and was not reported in your last DDQ?
  10. Does any Government, directly or indirectly, own any interest in your Company and was not reported in your last DDQ?
  11. Is your Company aware of any employee, contractor or official of the Government who will benefit financially as a result of your Company's business with Agilent and was not reported in your last DDQ?

If anything relative to any of the questions above has substantively changed, please complete the change form by logging in below. Once the form is submitted and reviewed, one of our Agilent Compliance Specialists will then connect with you to review next steps.


Thank you!

Agilent Global Channel Partner Compliance Team

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