EngageDHS

EngageDHS Form

Please complete the following form with information pertinent from your company

Vendor Name: *

DUNS Number: (N/A if none) *

(Required) Name of Vendor

(Required) DUNS Number of Vendor; N/A is a valid response if no DUNS Number is available

Vendor Type (Corporate Parent or Satellite Office): *

CAGE Code:

(Required) Vendor Type indicates if Vendor is a Corporate Parent (e.g. Alphabet Inc.) or a Satellite Office (e.g. Google)

CAGE Code of Vendor, if any

Vendor Website: *

Phone Number:

Web address of Vendor (e.g. http://www.google.com)

Ext:

Vendor Profile: *

(Required) Use this space to add any additional pertinent information regarding the Vendor. Also include the following: 1) Subject Matter & Purpose of the Meeting: be specific and do not use vague subject titles; 2) Meeting request date, time (usually 30 min), location (usually at 7th & D) (please provide several dates to accommodate the CPOs availability); 3) List of attendees & desired outcomes (incl. title if outside of OCPO); VTC if needed (no teleconferences are scheduled with the CPO/ only VTC)

Current/Former DHS Contractor? (Yes or No):

Contract Number(s) if Current/Former Contractor:

If Vendor has previously supported DHS, please provide any available contract numbers (use ; to separate multiple values)

Street:

City:

State:

Zip:

Corporate Parent (if Satellite Office selected):

Strategic Sourcing Vehicle? (Yes or No):

What is the name of the Corporate Parent (HQ) -- populate only if you selected Satellite office above

NAICS Code(s):

Socioeconomic Status (SES):

Populate with 1 NAICs code per input box (if you would like to include additional NAICs Codes, please provide those to your Industry Liaison)

If you would like to assiociate a Socio Economic status to the provided NAICs code, please provide those here

POC Information

First Name: *

Last Name: *

(Required) First name of Point of Contact that will work with DHS Industry Liaison

(Required) Last name of Point of Contact that will work with DHS Industry Liaison

Email: *

Phone Number:

(Required) Business Email address of Point of Contact that will work with DHS Industry Liaison

Ext:

Job Title:

Vendor or DUNS #

Job title of Point of Contact

Field automatically populates with Vendor Name or DUNS # if applicable from top of form

Additional Information:

Primary or Alternate POC?:

Any additional information peritenent about the Point of Contact (e.g. Available hours, mobile phone number, alternate contact)

Do you want to be considered the primary point of contact, or if there is a different PoC? If you are a secondary PoC, select alternate and provide the primary PoC information to the Industry Liaison

FOR DHS USE ONLY

Industry Liaison Submission Panel

Login ID:

1. After logging in click Create Import Sheets to Create Vendor Data Import Sheet and POC Import Sheet 2. Go to https://crmaas2016.dhs.gov/EngageDHS and click the hamburger icon 3. Click 'Industry Liaison' and then click 'Vendors' 4. Click 'Import Data' and choose the Data Import Sheet to Import (The file name will appear as: VendorData_(Vendor Name) 5. After Import, Click 'Import Data' again to Import the Vendor POC Import Sheet (The file name will appear as: POCData_(Vendor POC Name) 6. After completion, ensure Vendor and POC have been Imported correctly 7. Navigate to the Vendor and scroll down to Commodities 8. In the Commodities section enter in the NAICS Codes and SES that were provided from the Vendor