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Download Certification Forms

In order to become certified you may download the Disadvantaged Business Enterprise Certification Application or contact any of the Certifying Participants. This application must be completed, including all supporting documents.

The PA Unified Certification Program Recertification Affidavit and PA Unified Certification Program No Change Affidavit may also be downloaded.

Important Note:
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All forms are in PDF format and require Adobe Acrobat Reader to view and print. This software is provided free of charge and you may download the latest version by clicking on the ‘Get Acrobat Reader’ button.

Certification Forms
To download a form, right-click the form's name and choose 'Save Target As...' then specify the folder where you want to save the form on your local computer.
These forms require a signature, notary and date after printing. All forms must be printed and mailed to one of the Certifying Participants for processing.
Forms Last Revised
DBE Certification Application PDF: 11/03/2014
DBE PNW Statement PDF: 11/03/2014
Annual Affidavit PDF: 11/2014
Notice of Change Affidavit PDF: 02/2011

Note: For your convenience, interactive forms can now be filled out online and printed. Signatures and notary are still required once document printed.

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  * Interactive PDF Forms require Adobe Acrobat Reader version 7 or higher.