Supplier Diversity Profile

Minority and Women-Owned Supplier Survey

Fields marked with an asterisk(*) are required.

Errors on the form are preventing it from being submitted.

Supplier Information

Business Activity
Business Type

Check one or more if applicable

Has your company done business with Bayer Corporation before ?*

Notice: All contractors and subcontractors who are guilty of false representation will be subject to penalties, as required by 15 U.S.C. 654(d) and FAR 52.219-9(e)(4).

Supplier Classification

Check one from each category


Certified By & Certification Numbers

Check one or more if applicable. If you are certified by any of the agencies below, or any other agency, please provide a copy of your current certification papers to: Jonathan Allison, Bayer Corporation, 100 Bayer Road, Pittsburgh, PA, 15205-9741; FAX 412.777.7533, e-mail

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