Supplier Classification Form

Dear Valued Supplier,

Intuitive Surgical is now required to submit subcontracting information to the Government.

Please see below two classifications and choices. Your selection should based on your company status as of your last Fiscal Year End:

Company Name: *

Company Contact: *

Category: * Small Business (SB)
Woman-Owned Small Business (WOB)
Service Disabled Veteran-Owned Small Business
Disadvantaged Business Enterprises (DBE’s)
Small Disadvantaged Business (SDB)
Veteran-Owned Small Business (VOSB)
Historically Underutilized Business Zone (HUBZone) Business
None of the Above

General Business Category: * Castings
Contract manufacturing
Customer accessories
Distributor
Electronics, cable etc.
Engineering services
Forming (mold, stamp)
Freight services
Janitorial
Machine shop
OEM
Office supplies
Packaging and labeling
Proctoring
Professional services
Temporary employment
Tradeshows
Other