Get Scex Form 22

This guide provides a clear and concise overview of how to complete the Scex Form 22, a Public Disclosure Statement required for contractors and vendors working with Suffolk County. Follow these steps to ensure that you fill out the form accurately and efficiently.

Follow the steps to complete the Scex Form 22 online.

1. Press the ‘Get Form’ button to access the Scex Form 22 and open it in your preferred online editor.
2. Begin by filling in the contractor’s/vendor’s name and complete address, including the city, state, and zip code.
3. Next, provide the name and address of the contracting department involved in the contract.
4. Enter the payee identification number or social security number as required.
5. Indicate the type of business by selecting one of the following options: Corporation, Partnership, Sole Proprietorship, or Other.
6. Answer the questions regarding contracts with Suffolk County, specifically whether the contractor/vendor has contracts exceeding $1,000.
7. If applicable, provide a Table of Organization, listing all principals, partners, and corporate officers, noting any connection to Suffolk County.
8. List any shareholders holding more than five percent interest in the business, along with their addresses.
9. Indicate whether the contractor/vendor derives 50% or more of its revenue from Suffolk County contracts.
10. If applicable, attach a certified financial statement listing all assets and liabilities.
11. Describe the general nature of the contract in the specified section.
12. Complete the verification section by having an authorized officer sign and print their name and title.
13. Finally, review the completed form for accuracy, then save your changes, download, print, or share it as needed.

Complete your Scex Form 22 online today to ensure compliance and transparency in your contracting activities.