Get Cp-1a Blank Form

Filling out the CP-1A Blank Form correctly is essential for documenting contractor's monthly DBE/SBE participation. This guide provides step-by-step instructions to help users navigate each section of the form seamlessly.

Follow the steps to complete the CP-1A Blank Form online.

1. Click the 'Get Form' button to obtain the form and open it in your browser.
2. In the designated area for the contractor, enter your organization's name and relevant details, such as the state project number and federal aid project number.
3. Fill in the estimate number and reporting period, ensuring all dates align with the specific time frame you are reporting for.
4. For each DOTD certified DBE/SBE subcontractor or supplier you have worked with, list their names in the appropriate sections.
5. Under the 'Items performed and paid this estimate period' section, detail each service or item that was performed during the reporting period.
6. Indicate the amount paid for each service or item in the 'Amount paid this month' column.
7. Sum the total amounts paid to each DBE/SBE to complete the 'Total paid to date' section.
8. If applicable, for suppliers, ensure to list the total amount paid alongside the 60 percent value that counts toward the goal.
9. In the certification section, provide the required authorized signature, typed or printed name, title, phone number, and date.
10. After reviewing all entries for accuracy, save the completed form, and you may also choose to download, print, or share the document as needed.

Complete your CP-1A Blank Form online today to ensure timely reporting and compliance.