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Filling out the West Virginia Department Of Transportation Division Of Highways Dispute Resolution Board Member’s Prequalification Statement is a straightforward process. This guide will provide users with step-by-step instructions to ensure the completion of the form online, simplifying the application process for prospective board members.

Follow the steps to complete the prequalification statement efficiently.

1. Click ‘Get Form’ button to access the Dispute Resolution Board Member's Prequalification Statement and open it in an accessible editor.
2. Begin by filling out the personal information section. Provide your full name, address, and telephone number accurately to ensure proper identification.
3. Next, complete the business information section. This includes the business name, address, telephone number, fax number, email, federal employer identification number, and West Virginia registered vendor status.
4. Detail any financial interests that may create a conflict of interest with your service on the board. Be transparent, as failure to disclose can result in disqualification.
5. Document your dispute resolution training. Include the organization providing the training, its address, contact person, their phone number and email, the instructor, the location of the training, type of training, and a description of the training.
6. Indicate your eligibility to serve as a Dispute Resolution Board Member for other government agencies by answering 'yes' or 'no.' If applicable, list the agencies.
7. Summarize your dispute resolution experience and any cases you have been involved with. Include additional sheets as necessary.
8. List your employment history, specifying all pertinent work experience. Include employer name, address, contact person, telephone number, type of business, job title, employment dates, and a description of your duties.
9. At the bottom of the form, complete the affidavit section. Sign the document, and ensure it is notarized, confirming the accuracy of the information provided.
10. After completing all sections, save any changes made to the form. Users can then download, print, or share the prequalification statement as necessary.

Start filling out your Dispute Resolution Board Member’s Prequalification Statement online today!