Get Supplier Application Form

Filling out the Supplier Application Form online is a crucial step for businesses seeking verification as a woman, minority, or disadvantaged business enterprise. This guide provides clear, step-by-step instructions to assist you in completing the form with accuracy and confidence.

Follow the steps to successfully complete your Supplier Application Form.

1. Click 'Get Form' button to access the Supplier Application Form and open it for online completion.
2. Enter your Verification Order Number and Federal Tax ID Number in the designated fields. These numbers are essential for the verification process.
3. Provide your business identification information. Select the status for which you are applying (MBE, WBE, WMBE) and fill in your Business Name and Phone Number.
4. Enter your Primary Business Location and, if it differs, your Mailing Address. Make sure to include the complete address including CITY, STATE, and ZIP CODE.
5. Fill in your E-Mail, Website, and the name of a Contact Person for your application. Indicate the ownership details and list any additional owners in Section 3.
6. Answer the question regarding any changes in ownership or control since the last verification. If applicable, provide an explanation.
7. Complete the information regarding ownership, Board of Directors, and Officers. List all persons and firms who own 5% or more of the business, along with their details.
8. State your Gross Revenue for the last fiscal year, and provide information regarding employees and bonding details.
9. Describe your business specialty by briefly outlining the products or services provided by your business.
10. List your Standard Industrial Classification Codes, ensuring the corporate-wide primary SIC code is first.
11. Detail your business locations or offices. Specify the Zip Code, City, number of employees, primary SIC Code, and date established for each location.
12. Answer whether your firm is currently certified by another agency. If yes, provide the agency name and expiration date.
13. Indicate your business type and, if required, submit a valid comparable agency certificate.
14. Review the Affidavit section carefully. Sign and date the application indicating your agreement to the terms outlined.
15. Once all sections are completed, save any changes. You can also download, print, or share the completed application as necessary.

Start filling out your Supplier Application Form online today to ensure your business is recognized as a verified WMBE!