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Military Health System

Hurricane Milton & Hurricane Helene

Emergency procedures are in place in multiple states due to Hurricane Milton & Hurricane Helene. >>Learn More

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Vendor Information Form

Please contact dha.smallbusinessforum@health.mil if you have any questions.

Vendor Information Form

* Denotes Required Field

1. Vendor Contact Information

1.E. Were you recommended by DHA Personnel?*
1.F. Are you interested in participating in the DHA Industry Partnership Network (IPN)?*

2. Product / Service Information

3. Product / Service Review

3.A. Is your product accredited by a DoD Agency?
3.A.iii. Is your product FIPS 140-2 certified?
3.B. Is this a Cloud Service (If yes, select FedRAMP level)
3.C. Is this an Information Assurance (IA) enabled product?
3.C.i. Evaluation Assurance Level (EAL)
3.C.ii. Common Criteria List (CCL)
3.C.iii. The Department of the Navy (DON) Application & Database Management System (DADMS)
3.D. Is your product approved by the Joint Interoperability Test Command (JITC)
Is DHA an existing customer

4. Small Business Information

4.H. Core Competencies (select all that apply)
4.I. Facility Clearance
Last Updated: July 11, 2023
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