Get Arkansas Contract And Grant Disclosure And Certification Form

Filling out the Arkansas Contract And Grant Disclosure And Certification Form is essential for obtaining contracts, leases, purchase agreements, or grants with Arkansas State Agencies. This guide provides a clear, step-by-step approach to completing the form online, ensuring that users provide all necessary information accurately.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to access the document and open it in your preferred editing platform.
2. Specify whether you are acting as a subcontractor by selecting 'Yes' or 'No' in the relevant section.
3. If you have indicated that you are a subcontractor, provide your subcontractor name in the designated field.
4. Indicate the nature of the request (Goods, Services, or Both) by selecting the appropriate option.
5. Enter your taxpayer ID name in the corresponding field.
6. Fill in your last name, first name, and middle initial as they appear on official documents.
7. Provide your complete address, ensuring to include your city, state, and zip code.
8. Indicate your country of residence.
9. Disclose whether you, your spouse, or immediate relatives are current or former members of the General Assembly, Constitutional Officers, State Board or Commission Members, or State Employees, and provide necessary details.
10. If applicable, furnish information if any individual holds any position of control or ownership interest of 10% or greater in your entity.
11. Acknowledge and agree to the certification requirements by signing the form, including your title and date.
12. Designate a contact person for vendor inquiries, including a full name, title, and phone number.
13. Once all fields are complete, save changes, and choose to download, print, or share the form as needed.

Complete your Arkansas Contract And Grant Disclosure And Certification Form online today to ensure a smooth application process.