Get Otda-4969-mwbe Waiver Request Form - Office Of Temporary And ... - Otda Ny

Navigating the OTDA-4969-MWBE Waiver Request Form can be straightforward with clear guidance. This guide will help you through each section of the form, ensuring you complete it accurately while adhering to all requirements.

Follow the steps to successfully complete the waiver request form.

1. Press the ‘Get Form’ button to access the waiver request form. This will allow you to view and edit the necessary fields directly online.
2. Begin by entering your offeror or contractor name, along with the federal identification number and mailing address in the designated fields.
3. Fill in the solicitation or contract number. Provide the city, state, and zip code to complete this section.
4. Specify the M/WBE goals by inputting the respective percentages for both MBE and WBE in the appropriate boxes. Make sure these figures reflect your targeted participation levels.
5. Indicate the type of waiver you are requesting by checking the appropriate box for either MBE or WBE, and specify whether it is a total or partial waiver.
6. If applicable, check the box for waiver pending ESD certification and include the date of your filing with Empire State Development.
7. Prepare your signature and date in the provided lines to authenticate your request form.
8. Print or type the name and title of the preparer, as well as their telephone number and email address.
9. Review the requirements for documentation submission and ensure that you have included all necessary supporting documents as listed in the form instructions.
10. Finally, save your completed form, and consider printing a copy for your records before proceeding to submit the form online.

Take the next step in your process by completing the OTDA-4969-MWBE Waiver Request Form online today.