VOSB/SDVOSB (Service Disabled and/or Veteran Owned Small Business) Contact Name* Contact Phone Number* Contact Email Address* Certification applying for* Veteran Owned Service Disabled Veteran Owned Are you considered a Small Business by SBA's Federal Size Standards?* Yes No Is the business owned and controlled 51% or greater by a Veteran who is a US Citizen?* Yes No Does the Veteran hold the highest officer position and is the highest compensated employee?* Yes No Is the business properly licensed, structured, registered with Federal and State Government?* Yes No Does the Veteran have any Federal debt or outstanding obligations?* Yes No * As an officer, director, owner, legal representative or authorized representative of the organization stated throughout this document, I attest that all information provided is true and correct to the best of my knowledge. Signature* Title* Date* MM slash DD slash YYYY Name of Organization*
Call the USBRI SAM REGISTRATION HELP DESK: 1-888-646-9998
Call the USBRI SAM REGISTRATION HELP DESK: 1-888-646-9998