2413 Unified Certification Application

Unified Certification System

3245-0374 Unified Certification System IC 7-31-2024

OMB: 3245-0374

Document [pdf]
Download: pdf | pdf
SBA Unified Certification Questions

Section
Ordinal

1

2

Question

Answer Choice

Who is preparing the application?

4

1

answer type

I am an owner of the applicant no
business
I am an authorized delegate of
the applicant business
Is the applying business registered in the Federal System for Award Yes, I have a Unique Entity
no
Management (SAM.gov)?
Identifier and my SAM.gov
registration is current and
active.
No
Please provide the UEI number (12 characters, no spaces or dashes) N/A
no

text

Please provide the CAGE code associated with the UEI listed above.

N/A

no

text

Please provide the TIN associated with the UEI listed above.
SAM.gov Bank Account Number (Enter this exactly as shown in
SAM.gov for the associated CAGE)
Is the information above/below correct?

N/A
N/A

no
no

text
text

Yes
No
Yes
No

no

boolean

no

boolean

Yes
No

no

Small Business Eligibility - Are the NAICS codes, industries, and size
statuses shown above/below correct?

3

subquestion

If any UEI is not correct, user needs to go to SAM to fix it. Add NAICS to
Claim Your Business Interface
SBA Current Program Participation – Please confirm the following
certification information is correct: (display current certifications for
this UEI with entry and exit dates, as applicable)
Please confirm your business’ legal structure. The legal structure of
your business is reflected in the filings you submitted to your state
when you established your company.

no
Sole Proprietor
Partnership (General
Partnership or Limited
Partnership)
Limited Liability Company
(LLC)
Corporation
Is the applicant business 51% or more owned by an American Indian Yes, my business is 51% or
no
more owned by an AIT, ANC,
Tribe (AIT), Alaska Native Corporation (ANC), Native Hawaiian
Organization (NHO), Community Development Corporation (CDC), or NHO, CDC, or Agricultural CoAgricultural Cooperative?
op.
No
We will now collect information for the owner of the business. We use N/A
no
this information to determine eligibility for our various programs, so
please be as complete as possible.
Following Questions repeated of each Owner/LLC Member
First Name
N/A
no
Last Name
N/A
no
Title/Position
N/A
no
Email
N/A
no
Phone number
N/A
no
Has this owner ever gone by another name?
Yes
no
No
Percent Ownership of the Business
N/A
no
Citizenship
Yes
no
No

1 of 32

radio

boolean

boolean

table

text
text
text
boolean
text number
boolean

SBA Unified Certification Questions

Marital Status

1

Married
main
Unmarried (includes Divorced)
Legally Separated ... requires
doc upload

select

If Married, is your spouse an owner, officer, board member, partner, or Yes
employee of the applicant business?
No
Gender
f (female)
m (male)
x (nonbinary, transgender)
Veteran
Not Applicable
Veteran
Service-Disabled Veteran
(Rated 0-100% by Dept. of
Veterans Affairs)
8(a) Social Disadvantage
Not claiming social
disadvantage
Black American
Hispanic American
Native American
Asian Pacific American
Race
Religion
Ethnic Origin
Gender
Sexual Orientation
Identifiable Disability
Long term residence in an
environment isolated from
mainstream of American
society
Other
Type of Owner
Individual
Organization
If Organization, select type:
Tribal Government
501(c)
C-Corporation
Cooperative
Employee Stock Ownership
(ESOP)
Joint Venture
Partnership
Sole Proprietorship
Limited Liability Company
(LLC)
Roll Over for Business Startup
(ROBS)
401(k)
Trust
List any individual who is on the legal management team of your
grid
company but is not an owner since the information was previously
provided. Please include any officers, directors from a board of
directors or board of managers, or members, as applicable.
Prefix, Middle Name, Suffix

yes

boolean

no

select

no

select

no

multi select

no

select

yes

select

no

text

First Name

no

text

N/A

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SBA Unified Certification Questions

Last Name
Email
Title/Position
Principal Type

N/A
N/A
N/A

no
no
no
no

text
text
text
select

no

boolean

main

boolean

If WOSB or EDWOSB: Is the applicant certified as a WOSB or EDWOSB Yes
by an SBA-approved Third-Party Certifier?
No

yes

boolean

If yes, please select which Third-Party Certifier below and upload a
copy of your certificate or certification letter.

yes

file upload

yes

boolean

no

boolean

no

table

no

boolean

Principal
Partner
Member
Officer
Board Member
Board Director
Other
Yes
No

License Holder
It appears that the applicant may be eligible for the following
certifications [system populates possible certifications based on
responses in ownership table]
Please select the certification applications you would like to
complete:

1

2

8(a)
WOSB
EDWOSB
HUBZone
VOSB
SDVOSB
I have a Third Party Certification
as a WOSB or EDWOSB and
need to represent to SBA I have
completed that process.

Document Type for Upload

El Paso Hispanic Chamber of
Commerce
Women’s Business Enterprise
National Council
National Association of
Women’s Business Owners
U.S. Women’s Chamber of
Commerce
If yes, Are you seeking EDWOSB status?
Yes
No
Has the applicant received a decision from the SBA – or a Third-Party Yes
certifier – in connection to an initial application denial, decertification, No
or protest-finding that the business does not qualify as {list
applications that the applicant selected} in the last 90 days?

3

For any current SBA certifications, please identify the owner(s) who
qualified for that certification.

1

Has your business’ ownership, legal structure, or name changed in
the past two years?

3 of 32

grid:
Name,
Certifications (multi-select:
8(a), WOSB, EDWOSB,
HUBZone, VOSB, SDVOSB)
Yes
No

SBA Unified Certification Questions

2

3

Upload documentation of all prior owners, ownership percentages, N/A
and dates of ownership transfer within the last two years, and
provide the buy/sell agreement, proof of payment, and evidence of
how the business was valued.

yes

document_upload

Does the applicant business have a franchise agreement?

Yes
No
N/A
N/A

no

boolean

yes
main

document_upload
boolean

Yes
No
Yes
No
Yes
No
Yes
No
N/A

yes

boolean

yes

boolean

yes

boolean

yes

boolean

yes

text_area

Yes
No

no

boolean

N/A
N/A

yes
yes

text_area
document_uploa
d

no

file upload

no

file upload

no

file upload

Upload your franchise agreement.
Does your company share any of the following with another
business or organization?
Office Space and/or Location
Employees
Equipment
Services
Please explain the nature of the resources/services shared,
including the name(s) of each business you share
resources/services with.

4

Does the company have any agreements or receive financial
support that may impact ownership or control?
5/23/2024: Does your company have any agreements that may
impact ownership or control? These may include:
- Joint Venture
- Mentor-Protégé
- Indemnity
-Consulting
- Distributorship
- Licensing
- Teaming
- Trust
- Franchise
- Management
- Certifications
- Permits
- Shared locations or other resources
- Ownership of another company
- Other financial support
- Lease with financial or familial interest
- Loans not from a commercial bank
- Buy/Sell Agreement
- Transmutual Agreement protecting your majority ownership
(requested if you are married and living in a community property
state/territory - Arizona, California, Idaho, Louisiana, Nevada, New
Mexico, Texas, Washington, Winsconsin, Guam, Puerto Rico)

Please enter a written explanation within the comment box.
Upload a copy of the written agreement (executory agreement,
voting trust, or other arrangements) with conditions.
Upload any applicable licenses which you have indicated are critical
to your business.
Upload your most recent six months of shareholder meeting
minutes detailing the election of the Board of Directors.
Upload your most recent six months of Board of Directors meeting
minutes detailing the election of Officers.

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SBA Unified Certification Questions

5

Upload Minutes demonstrating or establishing the current
operating practices. When
signed and dated, these legally serve as evidence of important
actions such as:
- Election or appointments of officers
- Adoption/implementation of bylaws and voting agreements
- Business decisions
- Voting

6

Is the applicant business doing business under an assumed, trade,
or fictitious name?
If yes, please list DBA's.

no

file upload

no

boolean

yes
no

text
file_upload

no
no

file upload
file upload

no

file upload

title: 1040 Schedule C, or
IRS SS4 TIN issuance letter with correct name and EIN

no

file upload

title: Upload proof of U.S. Citizenship or Naturalized Citizen of any
specific person or multiple applicants who make up 51% of status
they’re trying to get .

no

file upload

no

file upload

no

file upload

7
8

9

Fictitious Name Certificate or Certificate of Trade Name, as applicable
TPC Certificate
A DBA (Doing Business As) name is used when a person or company
conducts business under a name other than the legal name. A DBA
is also referred to as an "assumed name", "fictitious business
name", or "trade name". If you are using a DBA, you will be required
to upload your DBA Certificate.
title: Upload proof of U.S. Citizenship or Naturalized Citizen.

Yes
No

description: Passport, Birth Certificate, or Naturalization paperwork
of applicant
10

description: Passport, Birth Certificate, or Naturalization paperwork
of applicant
11

title: Articles of Incorporation
decription: The articles of incorporation -- or a certificate of
incorporation -- is a comprehensive legal document that lays out
the basic outline of your business. It's required by every state when
you incorporate. The most common information included is the
company name, business purpose, number of shares offered, value
of shares, directors, and officers.
Please, upload the original document and most recent amendment
(if applicable).

12

title: Current Bylaws and related amendments
description: Bylaws (called "resolutions" for nonprofits) are the
internal governance documents of a corporation. They define how
key business decisions are made, as well as officers' and
shareholders' duties, powers, and responsibilities. It's widely
recommended to create one to protect yourself and your business,
even if your state doesn't mandate it.
Please, upload the original document and most recent amendment
(if applicable).

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SBA Unified Certification Questions

13

title: Stock Ledger

no

file upload

no

file upload

no

file upload

no

file upload

title: Transfer Asset Agreement of Ownership (if applicable) within
last 2 years.
A limited partnership agreement is an internally binding document
between all partners that defines how business decisions get made,
and each partner's duties, powers, and responsibilities. It's widely
recommended to create one to protect yourself and your business,
even if your state doesn’t mandate it.

no
no

optional
file_upload
file upload

Are you applying for the 8(a) Program under the same primary NAICS Yes
code listed for your company on SAM.gov? The NAICS code identified No
as primary is XXXXXX – Industry Description.

no

boolean

main

boolean

yes

file upload

yes

file upload

yes

file upload

yes

file upload

description: A stock ledger lists all share-related transactions for a
company. It states the name of the owner of each block of shares,
as well as the number of shares owned by each investor, the type of
shares purchased, and the date of each purchase and the amount
paid.
14

title: Operating Agreements (and the associated requirements and
amendments), and
description: An operating agreement describes the structure of
your company's financial and functional decisions. It defines how
key business decisions are made, as well as each member’s duties,
powers, and responsibilities. It's widely recommended to create
one to protect yourself and your business, even if your state
doesn’t mandate it.
Please, upload the original document and most recent amendment
(if applicable).

15

The register of members and share ledger is designed to provide a
record of who the company shareholders are.
title: Articles of Organization or Certificate of
Organization/Formation (state dependent, names vary)
description: Articles of organization is a simple document that
describes the basics of your LLC. It includes business information
like the company name, address, member names, and the
registered agent.
Please, upload the original document and most recent amendment
(if applicable).

16
17

1

5/23/2024: Are you applying for the 8(a) Program under the same
primary NAICS code listed for your company on SAM.gov?

2

Has your business generated revenue in its primary NAICS in the last 2 Yes
years?
No
Formerly another question. API description as of 5/21/24:
Has the company ever generated revenue?
Provide evidence that you have substantial business management
experience.
Provide evidence that your business has technical experience in its
primary industry.
Provide evidence of your business’ current financial position.
Provide evidence that your business has a successful history of
performance in its primary industry.

6 of 32

if answer = No for question
above: file upload
if answer = No for question
above: file upload
if answer = No for question
above: file upload
if answer = No for question
above: file upload

SBA Unified Certification Questions

3

4

5

6

1

Provide evidence that your company will be able to perform on
contracts in the program.
Are 50% or more of your company’s assets from a former 8(a)
Participant?
Upload details of the assets, including the name of the prior 8(a)
Program participant.

if answer = No for question
above: file upload
Yes
No
N/A

Did you hire a consultant to help with your 8(a) application?

Yes
No
Do you need to request a waiver of the requirement of being in
Yes
business for at least two years?
No
List up to 10 of the largest contracts or projects performed by your
grid (data entry):
business in the last year.
Award Date
Customer Name
NAICS Code
Description of Work
Total Contract Value
Award Revenue
Action
Are professional licenses or certificates required to operate [applicant Yes
business]?
No
If yes, please note who holds the license(s) or certificate(s)
grid:
Name,
License Name,
Explanation
Is the information displayed correct?
Yes
No
Display:
-Full name
-DoB
-Country of birth
-Email
-Phone Number
-Home Address
-Marital status (only for Q.O)
-Gender identity
-Veteran status
-Race/ethnicity
-Ownership percentage of applicant
-Job title of applicant
-Owner type
Marital Status
Married
Unmarried (includes Divorced)
Legally Separated

yes

file upload

no

boolean

yes

file_upload

no

boolean

no

boolean

no

table

main

boolean

yes

table

no

main

select

yes
yes
yes
no

text
text
text
select

2

Spouse First Name
Spouse Last Name
Spouse Email
Race/Ethnicity

3
4

Date of Birth
Country of Birth

N/A
N/A

no
no

date
text

5

Social Security Number
First Name
Last Name
Email
Best contact phone number

N/A
N/A
N/A
N/A
N/A

no
no
no
no
no

text

6

OMB Standard 15 List
Figure 1: 89 FR 22182

7 of 32

text

SBA Unified Certification Questions

7

Provide your current home address

8

Ownership percentage of applicant (if applicable)
Owner type (if applicable)
Has this owner ever gone by another name?

1

2

3

Street Address
City
State
ZIP
Country
Dates of Residency
N/A
N/A
Yes
No
Yes
No

no

text

no

boolean

no

boolean

Yes
No

main

boolean

grid:
1. Type of Delinquency
2. Status of Delinquency
3. Proof of Compliance with a
Repayment Plan
4. Evidence of Deferred
Payment Status

yes

table file upload

Yes
No
Current
Discharged
Forgiven
Paid in Full
Yes
No

main

boolean

yes

select

main

boolean

If Yes to above, upload doc

yes

file_upload

Is any member of your household a federal employee in a GS-13 Yes
position or above?
No

no

boolean

If yes, provide a letter of no objection from the ethics official at
the federal agency.

If Yes to above, upload doc

yes

file_upload

Are you currently debarred, suspended, voluntarily excluded, or
otherwise rendered ineligible for assistance by any department or
agency of the Federal government?
Are you currently past due on any federal taxes (or failed to file),
subject to any federal liens, or past due on any federally-backed
loans?
If yes, please provide the following details for EACH delinquency:
a. Type of delinquency
b. Status of delinquency (e.g., dismissed, satisfied)
c. Proof of compliance with repayment plan if applicable
d. Evidence of deferred payment status if applicable

Have you ever received an SBA loan?
If yes, provde loan status

4

Are you, or is any member of your household, an SBA employee?
If yes, your application will need to be reviewed by the Standards of
Conduct Committee before a final eligibility decision is made.
Reference 13 CFR 105.301- Assistance to officers or employees of
other Government organizations.
Provide an explanation of how it does not impact your full-time
devotion to the company applying for the 8(a) BD program.

5

The Federal Acquisition Regulation Subpart 3.6 places
restrictions on Federal Government employees which may
prevent your business from acquiring contracts or create
conflicts of interest. In addition, there are limitations on SBA’s
ability to provide assistance to government employees.
Reference 13 CFR 105.301.
1

Describe your managerial experience and qualifications to run or
control this business. Please include any relevant educational
background or experience that contributed to your ability to run or
control the business.

N/A

no

text_area

2

Do you have ownership or mangement interest in any other
company

Yes
No

main

boolean

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SBA Unified Certification Questions

grid:
yes
Title/Role,
Business Name,
UEI (if applicab le),
NAICS/primary industry,
Ownership %,
For Non-Qualifying Owner:
Does the company have
If yes, please provide your title/role with the other business, business
employees?
name, UEI (if applicable) and NAICS/primary industry, and ownership
Upload Proof of Ownership
percentage."
document if
application_eligibility.intendi
ng_to_apply_flag = T for 8a,
Upload Federal Tax Returns
for 3 Years if
application_eligibility.intendi
ng_to_apply_flag = T for 8a,
Upload Year-To-Date
Financial Statements if
application_eligibility.intendi
ng_to_apply_flag=T for 8a

table

Please explain in as much detail as possible how you are able to
N/A
devote the time and attention necessary to control the management
and daily business operations of the applicant business while engaged
in the outside obligation(s)

yes

text_area

Are you engaged in outside obligations such as holding another
job or ownership in another business?
Is this outside obligation employment by Small Business
Administration?

main

boolean

yes

boolean

yes

boolean

yes

table

Please explain in as much detail as possible how you are able to N/A
devote the time and attention necessary to control the
management and daily business operations of the applicant
business while engaged in the outside obligation(s).

yes

text_area

Are you or your ownership interest subject to any conditions or
agreements that could impact control or ownership, or cause
ownership benefits to go to another person?
Please enter a written explanation within the comment box.
Upload a copy of the written agreement (executory agreement,
voting trust, or other arrangements) with conditions.

Yes
No

no

boolean

N/A
N/A

yes

text_area
document_uploa
d

For Qualifying Owner:
If yes, please provide your title/role with the other business, business
name, UEI (if applicable) and NAICS/primary industry, ownership
percentage, and whether company has employees.

3

Is this outside obligation employment by the federal government at a
GS-13 equivalent or above?

Please provide your title/role with the other business, business
name, UEI (if applicable) and NAICS/primary industry

4

9 of 32

Yes
No
Yes
No
Yes
No
grid:
Title/Role with Other
Business,
Business Name,
UEI (if applicable),
NAICS/primary industry,
Ownership % (if applicable)

yes

SBA Unified Certification Questions

5

no
Please provide your previous employment experience. Only
grid data:
include work history that is directly relevant to your current role. Start Date (date),
End Date (date),
Title (text),
Brief Description of
Responsibilities (text_area),
Currently Held (Yes/No)

6

List the Owners who have control of the business.

grid/table:
1. First Name
2. Last Name

no

7

Do you manage or supervise the day-to-day operations of the
business applying for certification?

Yes
No

main

If yes, please provide details.

N/A

table

 

 

If no, please explain who supervises the day-to-day operations.
1

yes

 

Yes
No
N/A

main

boolean

yes

table

Does the applicant business have financial relationships with
Yes
outside companies that are owned or operated by friends, family No
members, or former colleagues of this owner?
If Yes, please provide the business name, the names of the business' N/A

main

boolean

yes

table

main

boolean

yes

text_area

Do any of your immediate family members own a business that
conducts business with [applicant business]?
If Yes, if your immediate family members own a business that does
business with your business, please provide the following:
- Family member name
- family member’s relationship to you
- family member’s role in the business that does business with your
business
- Date of contractual relationship
- Business name
- Business UEI (If Applicable)
- Detail any common ownership or management of your business by
the family member
- The nature of the relationship with the applicant business,
- Financial details (loan agreements or other agreements)
- Business revenues earned from the relationship or liabilities owed

2

owners and their ownership percentages, an explanation of the
business relationship, an explanation of the personal relationship, and
a brief description of what the business relationship provides.
3

Does the applicant business have any employee, officer, or
manager that formerly was your employer?
If yes, please explain the employment situation.

10 of 32

Yes
No
N/A

SBA Unified Certification Questions

4

Are you a former employer of any of the qualifying owners?

Yes
No
N/A
Yes
No

main

boolean

yes
main

text_area
boolean

If yes, please upload all applicable details of the sale including:
- The terms and conditions of the transaction
- A copy of the agreement
- Explain the calculation of the sale price
- Evidence of compliance with the payment terms of the sales
agreement
Are you the highest compensated person in your company?

N/A

yes

file_upload

Yes
No
N/A - Entity Owned

no

select

Have any of your immediate family members ever owned a company
that was admitted to the 8(a) program?
If your immediate family members own a business that was admitted
to the 8(a) Program, please provide the following:
-Business name.
-Business primary NAICS code during participation in 8(a) Program.
-Business UEI.
-Business relationship with your business.
-Detail of any common ownership or management of your business
by the family member.
Immediate family members include your father, mother, husband,
wife, son, daughter, brother, sister, grandfather, grandmother,
grandson, granddaughter, father-in-law, and mother-in-law.

Yes
No
N/A

main

boolean

yes

table

Have you, or any company you owned, ever applied for certification in
the 8(a) program?
Have you already used your one-time 8(a) eligibility to qualify a
business for the 8(a) program?
Have you ever gone by any other names?

Yes
No
Yes
No
Yes
No
N/A
Yes
No

no

boolean

no

boolean

main

boolean

yes
main

text
boolean

N/A
Yes
No

yes
main

file_upload
boolean

yes

file_upload

main

boolean

If yes, please explain the employment situation.
5

6

1

2
1

2

3

4

Are you the former majority owner (51% or more) of the
applicant firm?

If yes, please provide detail of your other names.
Are you presently subject to an indictment, criminal information,
arraignment, or other means by which formal criminal charges are
brought?
If yes, upload evidence of the current status of the charges.
Have you been arrested in the past six months/year for any criminal
offense?

5/23/2024: Have you been arrested in the past six months for any
criminal offense?
If yes, upload an explanation including the current status of any
N/A
charges.
For any criminal offense, other than a minor motor vehicle
Yes
violations/including expunged records, have you ever been convicted, No
plead guilty, plead nolo contendere, been placed on pretrial diversion,
been placed on any form of parole or probation (including probation
before judgment)?
5/23/2024:
For any criminal offense, including expunged records:
- Been convicted
- Plead nolo contendere
- Been placed on pretrial diversion
- Been placed on any form of parol or probation (including probation of
judgement)

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SBA Unified Certification Questions

1
1

If yes, provide details including dates, locations, fines, sentences,
misdemeanor or felony, dates of parole/probation, unpaid fines or
penalties, name(s) under which charged, and any other pertinent
information. Include expunged records.
HUBZone Calculator Data and document upload storage
Do you have 51% or more ownership in another business with
employees?

N/A

yes

table

Yes
No

no

boolean

If Yes, Provide details.

grid/table:
yes
1. Business Name (text)
2. Ownership % (number)
3. Are any of the shared
employees key personnel?
(Y/N)
4. Do any of the employees of
the applicant perform work for
the affiliate? (Y/N)
5. Do any of the employees of
the affiliate perform work for
the applicant? (Y/N)
6. Do the businesses operate in
the same or similar line of
business? (Y/N)
7. Do the businesses operate in
the same geographic location?
(Y/N)
8. Do the businesses share
customers? (Y/N)
9. Have the businesses entered
into any agreements together?
(Y/N)

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table

SBA Unified Certification Questions

2

Does your business own or lease your principal office location?

a. Own
b. Lease

no

select

Does the deed identify the physical address of the principal office?

Yes
No

yes

boolean

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SBA Unified Certification Questions

Upload property tax bill and/or insurance policy showing the physical
address of the principal office.

N/A

yes

file_upload

Enter the start and end dates of the term of the lease as they appear in N/A
the lease agreement.

yes

text

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SBA Unified Certification Questions

Is the lease month-to-month?

Yes
No

yes

boolean

Has the lease been amended?

Yes
No

yes

boolean

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SBA Unified Certification Questions

Upload lease addendum.

N/A

yes

document_upload

Upload attestation from the landlord and proof of payment for 3
months leading up to the application date.

N/A

yes

document_upload

16 of 32

SBA Unified Certification Questions

Does the lease provide that utilities are included in the rent?

Yes
No

yes

boolean

Upload proof of rent payment for 3 months before application date.

N/A

yes

document_upload

17 of 32

SBA Unified Certification Questions

Upload most-recent utility bill.

N/A

yes

document_upload

Enter the service dates of the utility bill.

N/A

yes

text

18 of 32

SBA Unified Certification Questions

Is the lessor a business owned in whole or in part by an owner of the
applicant business?

Yes
No

 

 

Upload a copy of the master lease or deed, as applicable

N/A

yes

document_upload

19 of 32

SBA Unified Certification Questions

3

Is the principal office located at or within a residence?

Yes
No

no

boolean

4

Does the lease/deed list the firm's full legal name or the majority
owner's full legal name as being the lessee or owner of the property?

Yes
No

no

boolean

20 of 32

SBA Unified Certification Questions

Please explain.

N/A

yes

text_area

1

Experiences that have affected your advancement in business

N/A

no

grid

2
3

What happened?
How did this situation affect opportunities to start or expand your
business?
Which of the following contributed to the discrimination in the
situation? Check all that apply. A brief text response is required for any
box checked to explain how the identified characteristic contributed to
the discrimination or mistreatment.

N/A
N/A

no
no

text_area
text_area

Race
no
Ethnicity
Sex
Gender identity
Sexual orientation
Identifiable disability
Religion
Long-term isolation from
mainstream American society
Something else that describes
my identity, but isn’t listed here

table

When did it happen?
Where did it happen?
Who contributed to the discrimination?  
Detail the draws/distributions taken from the applicant firm in the last
three years
Have you transferred any assets to any immediate family member for
less than fair market value in the last two years?

N/A
N/A
N/A
N/A

no
no
no
no

date
text
text
text_area

Yes
No

no

boolean

Upload your Individual Income Tax Returns for the last three
completed tax years. Include all the Schedules and attachments.

N/A

yes

file_upload

4

5
6
7
1
2

3

21 of 32

SBA Unified Certification Questions

4

Upload your Wage and Tax Statements (W-2s) for the last three years. N/A
If you filed your tax return jointly with a spouse, upload your spouse's
W-2s for the last three years, as well.

yes

file_upload

N/A

yes

document_upload

N/A
N/A
N/A
N/A
N/A

no
no
no
no
no

date
number
number
number
number

N/A
N/A
N/A
Yes
No

no
no
no
main

text_area
text
text
boolean

for Qualifying Owner and spouse for 8(a) & EDWOSB

5

If you owed taxes, upload evidence of payment. (This may be a bank
statement or IRS Tax Account Transcript)
for Qualifying Owner and spouse for 8(a) & EDWOSB and space for
N/A option.

6
7
8
9
10

11
12
13

As of Date
Cash on Hand
Savings Account(s) Balance
Checking Account(s) Balance
Salary

Other Source Of Income
Equity in applicant business
Equity in other businesses
14 Do you have any notes receivable from others?

22 of 32

SBA Unified Certification Questions

15

If yes, Enter notes receivable from others.

grid:
Name of Debtor (text),
Current Balance (number)

yes

table

Do you have a Roth IRA?

Yes
No
grid:
Type (text),
Total Value (number),
Name of Investment Company
(text),
Upload Supporting Documents
(see dev notes)
Yes
No
grid:
Type (text),
Total Value (number),
Name of Investment Company
(text),
Upload Support Documents
(see policy notes)
Yes
No

main

boolean

yes

table

main

boolean

yes

table

main

boolean

grid:
Name of Insurance (text),
Case Surrender Value if
applicable (number),
Face Amount (number),
Beneficiaries (text)

yes

table

If yes, Enter Roth IRA details.

16

Do you have any other retirement accounts?
Enter other retirement account details.

17

Do you have any life insurance policy that has a cash surrender
value?

If yes, Enter life insurance policy details.

23 of 32

SBA Unified Certification Questions

18

Do you have any loans against a life insurance policy?

Yes
No

main

boolean

If Yes, What is the current balance of any loans against life
insurance?

N/A

yes

number

Yes
No
grid:
Type (text),
Name of Securities (text),
Total Value (number),
Number of Shares (number),
Cost (number),
Market Value (number),
Date of Quotation Exchange
(date),
Interest & Dividends Received
(number)

main

boolean

yes

table

Yes
No
N/A
Yes
No
Yes
No
N/A - No Mortgage
N/A
N/A
Yes
No

main

boolean

yes
yes

boolean
boolean

yes

select

yes
yes
yes

number
number
boolean

Yes
No
Yes
No

yes

boolean

main

boolean

19 Do you have any stocks, bonds, or mutual funds?
If Yes, Enter stock, bond, or mutual fund details.

20 Do you own your primary residence?
What is the address of your primary residence?
Is your primary residence jointly owned?
Is your name on the mortgage?

What is the current value of your primary residence?
What is the mortgage balance on your primary residence?
nd

Is there a lien, 2 mortgage or Home Equity Line of Credit on your
primary residence?
Do you receive income from your primary residence (rent, etc.)?
21 Do you own any additional real estate?

24 of 32

SBA Unified Certification Questions

What type of Other Real Estate do you own?

Other Residential
Commercial
Industrial
Land
Other Real Estate

yes

select

What is the address of your other real estate?

N/A

yes

text

Is your Other Real Estate jointly owned?

Yes
No

yes

boolean

Is your name on the mortgage?

Yes
No
N/A - No Mortgage

yes

select

What is the current value of your Other Real Estate?
What is the mortgage balance on your other real estate?
Are there additional mortgages or home equity loans/lines of credit
on your Other Real Estate?

N/A
N/A
Yes
No

yes
yes
yes

number
number
boolean

Do you receive income from your Other Real Estate (rent, etc.)?

Yes
No

yes

boolean

Yes
No
grid:
Current Value (number),
Loan Balance (number),
Description of Asset (text)

main

boolean

yes

table

Yes
No
grid:
Current Value (number),
Loan Balance (number),
Description of Asset (text)

main

boolean

yes

table

22 Do you own any vehicles?
If Yes, Details of Automobiles Owned

Question from API not in spreadsheet:
Auto loan
23 Do you own any other personal property or assets?
If Yes, List Other Personal Properties or Assets.

25 of 32

SBA Unified Certification Questions

24 Do you have any notes payable or other liabilities?

Yes
No

yes

boolean

25 Do you have any Assessed Taxes that were unpaid?

Yes
No
grid:
Payee (text),
Amount (number),
When Due (date),
Liened Property, if any (text),
Total (number)

main

boolean

yes

table

no

file_upload

no

file_upload

no

file_upload

If yes, Details of unpaid assessed Taxes.

Doc to upload:
1040 Schedule C, or
IRS SS4 TIN issuance letter with correct name and EIN;
Doc to upload:
Partnership Agreement 
Doc to upload:
Operating Agreements (and the associated requirements and
amendments), and
Articles of Organization or Certificate of Organization/Formation (state
dependent, names vary)
If applicable: Transfer Asset Agreement of Ownership (if applicable)
within last 2 years

26 of 32

SBA Unified Certification Questions

Doc to upload:
Articles of Incorporation, and

no

file_upload

Doc to upload:
Fictitious Name Certificate or Certificate of Trade Name, as applicable

no

file_upload

Doc to upload:
SAM.gov confirmation of NAICS code matching program requirements
Must be registered with SAM.gov

no

file_upload

Doc to upload:
Passport, Birth Certificate, or Naturalization paperwork of applicant 

no

file_upload

Doc to upload:
Passport, Birth Certificate, or Naturalization paperwork of any specific
person or multiple applicants who make up 51% of status they’re
trying to get 
Doc to upload:
TPC Certificate

no

file_upload

no

file_upload

Current Bylaws and related amendments, plus
Stock ledger (flag to be clear on what this looks like)
If applicable / not included in above:
Minutes or resolutions which document:
i. establishing the current operating practice (officers)
ii. Establishing current board members or elected officers
iii. And for unsigned bylaws, minutes that show adoption of bylaws

27 of 32

SBA Unified Certification Questions
Entity-Owned Businesses
Question
Section Section
Ordinal
1
Economic Disadvantage Has the Tribe previously established its economic disadvantaged status
under
the 8(a) BD Program?
Economic Disadvantage Upload copy of SBA determination
2
Economic Disadvantage Does the Tribe or subsidiary of the Tribe own 50% or more of another
business
other than the applicant business ?
Economic Disadvantage Identify the names of
any other business concern(s), the primary NAICS code of
the other
business concern(s), and which (if any) of the other business
concerns
have ever participated in the 8(a) BD Program.
3
Economic Disadvantage Does the Tribe own the applicant concern directly (rather than through
a
subsidiary)?
4
Economic Disadvantage Does the Tribe own the applicant business through a subsidiary?
5
Economic Disadvantage Is a tribal member the highest officer or designated manager of the
applicant
business?
Provide
Economic Disadvantage EO
AIT the following information to show that the tribe is economically
disadvantaged:
a. number of tribal members
b. current tribal unemployment rate
c. per capita income of tribal members, excluding judgment awards
d. percentage of local Indian population living below the poverty level
e. the tribe's access to capital
f. the tribal assets as disclosed in a current tribal financial statement. The
statement must list all assets including those which are encumbered or held in
trust, but the status of those encumbered or in trust must be clearly delineated
g. a list of all wholly or partially owned tribal enterprises or affiliates and the
primary industry classification of each. The list must also specify the members of
the tribe who manage or control such enterprises by serving as officers or
directors.

Provide
Economic Disadvantage EO
NHO the following information to show that the NHO is economically
disadvantaged:
a. The number of Native Hawaiians in the community that the NHO intends to
serve;
b. The present Native Hawaiian unemployment rate of those individuals;
c. The per capita income of those Native Hawaiians, excluding judgment awards;
d. The percentage of those Native Hawaiians below the poverty level; and
e. The access to capital of those Native Hawaiians.

Answer Choice

Answer_type

Yes, No

Radio Button

N/A
Yes, No

document_upload
Radio Button + Text Field

N/A

text_area

Yes, No

Radio Button

Yes, No, Text
Yes, No

Radio Button + Text Field
Radio Button

Number of tribal members (text)
grid
Current tribal unemployment rate (%)
Per capita income of tribal members,
excluding judgment awardspercentage of local
Indian population living below the poverty level
(text)
The tribe's access to capital (text)
The tribal assets as disclosed in a current
tribal financial statement. The statement must
list all assets including those which are
encumbered or held in trust, but the status of
those encumbered or in trust must be clearly
delineated (doc upload)
A list of all wholly or partially owned tribal
enterprises or affiliates and the primary
industry classification of each. The list must
also specify the members of the tribe who
manage or control such enterprises by serving
as officers or directors. (text or doc upload?)
The number of Native Hawaiians in the
grid
community that the NHO intends to serve;
The present Native Hawaiian unemployment
rate of those individuals;
The per capita income of those Native
Hawaiians, excluding judgment awards;
The percentage of those Native Hawaiians
below the poverty level; and
The access to capital of those Native
Hawaiians.
American Indian Tribe (AIT)
SELECT
Alaska Native Corporation (ANC)
Native Hawaiian Organization (NHO)
Community Development Corporation (CDC)

Common Business EO

Which type of entity owns the applicant company?
a. American Indian Tribe (AIT)
b. Alaska Native Corporation (ANC)
c. Native Hawaiian Organization (NHO)
d. Community Development Corporation (CDC)

Common Business EO

Please select the applicant company’s American Indian Tribe from the following
drop-down list.

This would be a list of Tribes/ANC/NHO/CDC
who have previously been approved (entities
continue to be added as they’re approved)

SELECT

Common Business EO

Please select the applicant company’s Alaska Native Corporation from the
following drop-down list.

This would be a list of Tribes/ANC/NHO/CDC
who have previously been approved (entities
continue to be added as they’re approved)

SELECT

Common Business EO

Please select the applicant company’s Native Hawaiian Organization from the
following drop-down list.

This would be a list of Tribes/ANC/NHO/CDC
who have previously been approved (entities
continue to be added as they’re approved)

SELECT

Common Business EO

Please select the applicant company’s Community Development Corporation
from the following drop-down list.

This would be a list of Tribes/ANC/NHO/CDC
who have previously been approved (entities
continue to be added as they’re approved)

SELECT

Common Business EO

Please provide the following for [AIT/ANC/NHO/CDC]:
a. Name
b. Address
c. City
d. County
e. State
f. Zip
Does [AIT/ANC/NHO/CDC] own any current or past 8(a) or HUBZone participants?

Name
Address
City
County
State
Zip

grid

Yes, No

Radio Button

If yes, please identify those participants:
1. Name
2. UEI
3. EIN
4. Percentage of the tribe’s ownership
5. Primary NAICS code
6. Current or former 8(a) participant.

N/A

text_area

Common Business EO

Common Business EO

Does your [AIT/ANC/NHO/CDC] or any of its subsidiaries own 50% or more of any Yes, No
other companies?

28 of 32

Radio Button

SBA Unified Certification Questions
Entity-Owned Businesses

Common Business EO

. If yes, please provide the following information for all other companies owned by
[AIT/ANC/NHO/CDC]:
a. Name
b. UEI
c. EIN
d. Percentage of [AIT/ANC/NHO/CDC] ownership
e. Primary NAICS code
f. Detail of any prior 8(a) participation
Has the Tribe/ANC/NHO/CDC ever been an owner, stockholder or guarantor for a
concern which has received an SBA loan?
Does the Tribe own the applicant company through a subsidiary such as a holding
company or Section 17 Corporation?
Does the ANC/NHO/CDC own the applicant company applying for the 8(a)
Program through a subsidiary or holding company
Detail the ownership of the applicant company

TEXT

text_area

Common Business EO

More Information: If another person owns 20% or more of the company, they must
complete their own section of the application. You will be prompted for contact
information to invite additional contributors.
Detail the management of the applicant company
TEXT

text_area

Common Business EO
Common Business EO
Common Business EO

N/A

text_area

Yes, No

Radio Button + Text Field

Yes, No

Radio Button + Text Field

Yes, No

Radio Button + Text Field

More information:
Include all management members (day-to-day manager, officers, directors, and
key employees). A “key employee” is an employee who, because of his/her
position in the concern, has a critical influence in or substantive control over the
operations or management of the concern.
Common Business

Does the applicant company have any delinquent financial obligations or liens?

Yes, No, Text

Radio Button + Text Field

Common Business EO

When does the applicant company's fiscal year end?

text_area

Program Specific
Program Specific EO

Your company's fiscal year is the 12-month
accounting period used for financial and tax
reporting purposes.
Yes, No, Text
Yes, No, Text

Does the applicant company have any assets from a former 8(a) Participant?
Has a consultant been hired to assist with this 8(a) application?
a. Yes
b. No
More information:
If yes, upload a signed Representatives and Fees Form and a copy of the
consulting agreement. Outside consultants may include attorneys, accountants,
appraisers, agents, or other representatives who assisted in preparing your
application.
Has the applicant company’s ownership, legal structure, or name changed in the Yes, No, Text
past two years
Are professional licenses or certificates required to operate [applicant business]? Yes, No, Text

Radio Button + Text Field
Radio Button + Text Field

Program Specific

Does the applicant company have any agreements, or receive financial support,
that may impact ownership or control? These may include:
• Shared Services Agreement
• Joint venture
• Mentor Protégé
• Indemnity
• Consulting
• Distributorship
• Licensing
• Teaming
• Trust
• Franchise
• Management
• Certifications
• Permits
• Shared locations or other resources
• Ownership of another company
• Other financial support
• Lease with financial or familial interest
• Loans not from a commercial bank

Radio Button + Text Field

Program Specific AIT

Is the applicant company's highest officer or designated manager a tribal
member?

Program Specific
Program Specific

Yes, No, Text

Radio Button + Text Field
Radio Button + Text Field

More Information:
text_area
You must demonstrate that the Tribe can hire
and fire those individuals, that it will retain
More Information:
control of all management decisions common
You must demonstrate that the Tribe can hire and fire those individuals, that it will to boards of directors, including strategic
retain control of all management decisions common to boards of directors,
planning, budget approval, and the
including strategic planning, budget approval, and the employment and
employment and compensation of officers,
compensation of officers, and that a written management development plan
and that a written management development
exists which shows how Tribal members will develop managerial skills sufficient to plan exists which shows how Tribal members
manage the concern or similar Tribally-owned concerns in the future.
will develop managerial skills sufficient to
manage the concern or similar Tribally-owned
concerns in the future.

29 of 32

SBA Unified Certification Questions
Entity-Owned Businesses
Program Specific EO

Select the method used to demonstrate the applicant company's potential for
success:
(i) It has been in business for at least two years, as evidenced by income tax
returns (individual or consolidated) for each of the two previous tax years showing
operating revenues in the primary industry in which the applicant is seeking 8(a)
BD certification; or
(ii) The individual(s) who will manage and control the daily business operations of
the firm have substantial technical and management experience, the applicant
has a record of successful performance on contracts from governmental or
nongovernmental sources in its primary industry category, and the applicant has
adequate capital to sustain its operations and carry out its business plan as a
Participant; or
(iii) The Tribe, a tribally-owned economic development corporation, or other
relevant tribally-owned holding company vested with the authority to oversee
tribal economic development or business ventures has made a firm written
commitment to support the operations of the applicant concern and it has the
financial ability to do so.

Common Qualifying Owner
Is the information displayed correct?

It has been in business for at least two years, grid
as evidenced by income tax returns (individual
or consolidated) for each of the two previous
tax years showing operating revenues in the
primary industry in which the applicant is
seeking 8(a) BD certification; or
The individual(s) who will manage and control
the daily business operations of the firm have
substantial technical and management
experience, the applicant has a record of
successful performance on contracts from
governmental or nongovernmental sources in
its primary industry category, and the
applicant has adequate capital to sustain its
operations and carry out its business plan as a
Participant; or
The Tribe, a tribally-owned economic
development corporation, or other relevant
tribally-owned holding company vested with
the authority to oversee tribal economic
development or business ventures has made a
firm written commitment to support the
operations of the applicant concern and it has
the financial ability to do so.

Yes, No, Text

Radio Button + Text Field

Text
Yes, No

Text Field
Radio Button

Common Qualifying Owner
Are you currently past due on any federal taxes (or failed to file), subject to any
federal liens, or past due on any federally-backed loans?
a. Yes
a. If yes, please provide the following details and upload supporting
documentation for EACH delinquency:
i. Type of Delinquency
ii. Status of Delinquency (e.g. dismissed, satisfied)
iii. Proof of Compliance with repayment plan if applicable
iv. Evidence of Deferred payment status if applicable
b. No
Common Qualifying Owner
Have you ever received an SBA loan?
a. Yes
a. If yes, is that loan current, discharged, forgiven, or paid in full (drop down
menu)

Yes, No, Text

Radio Button + Text Field

Yes, No, Text

Radio Button + Text Field

Common Qualifying Owner
Are you, or is any member of your household, an SBA employee?

Yes, No

Radio Button

Common Qualifying Owner
Is any member of your household a federal employee in a GS-13 position or
above?

Yes, No

Radio Button

Common Qualifying Owner
Do you have ownership in another business?

Yes, No, Text

Radio Button + Text Field

More Information:
If yes, please provide your title/role with the other business, business name, UEI (if
applicable), NAICS/primary industry, ownership percentage, and whether the
company has employees
Common Qualifying Owner
Are you engaged in outside obligations such as holding another job?
Yes, No, Text

Radio Button + Text Field

Common Other IndividualIs the information displayed correct?

Yes, No, Text

Radio Button + Text Field

Text
Yes, No

Text Field
Radio Button

Yes, No, Text

Radio Button + Text Field

- Full name
- DOB
- Country of birth
- Email
- Phone Number
- Home Address
- Ownership percentage of applicant
- Job title in applicant
- Owner type
Common Qualifying Owner
Please input your SSN or ITIN
Common Qualifying Owner
Are you currently debarred, suspended, voluntarily excluded, or otherwise
rendered ineligible for assistance by any department or agency of the Federal
government?

- Full name
- DOB
- Country of birth
- Email
- Phone Number
- Home Address
- Ownership percentage of applicant
- Job title in applicant
- Owner type
Please input your SSN or ITIN
Common Other IndividualAre you currently debarred, suspended, voluntarily excluded, or otherwise
rendered ineligible for assistance by any department or agency of the Federal
government?
Common Other IndividualAre you currently past due on any federal taxes (or failed to file), subject to any
federal liens, or past due on any federally-backed loans?
a. Yes
a. If yes, please provide the following details and upload supporting
documentation for EACH delinquency:
i. Type of Delinquency
ii. Status of Delinquency (e.g. dismissed, satisfied)
iii. Proof of Compliance with repayment plan if applicable
iv. Evidence of Deferred payment status if applicable
b. No

30 of 32

SBA Unified Certification Questions
Entity-Owned Businesses
Common Other IndividualHave you ever received an SBA loan?
a. Yes
a. If yes, is that loan current, discharged, forgiven, or paid in full (drop down
menu)

Yes, No, Text

Radio Button + Text Field

Common Other IndividualAre you, or is any member of your household, an SBA employee?

Yes, No

Radio Button

Common Other IndividualIs any member of your household a federal employee in a GS-13 position or
above?

Yes, No

Radio Button

Common Other IndividualDo you have ownership in another business?

Yes, No, Text

Radio Button + Text Field

More Information:
If yes, please provide your title/role with the other business, business name, UEI (if
applicable), NAICS/primary industry, ownership percentage, and whether the
company has employees
Describe
Text
Program Specific Qualifying
Owner your managerial experience and qualifications to run or control this
business? Please include any relevant educational background or experience
that contributed to your ability to run or control the business.
Please
provide your previous employment experience. Only include work history Text
Program Specific Qualifying
Owner
that is directly relevant to your current role.
Claim Business
Who is preparing the application?
a. I am an owner of the applicant business
b. I am an authorized delegate of the applicant business
Claim Business
"Is the applying business registered in the Federal System for Award Management Yes, No
(SAM.gov)?
a. Yes, I have a Unique Entity ID (UEI) and my SAM.gov registration is current and
active.

Claim Business
Claim Business
Claim Business

Claim Business
Claim Business

Claim Business EO
Claim Business

Please provide the UEI assigned to the applicant (12 characters, no spaces or
dashes). 
Please provide the CAGE code associated with the UEI listed above.
Please provide the TIN associated with the UEI listed above.
For sole proprietorships: You can use your Social Security Number (SSN) for
business purposes. However, it is highly recommended that businesses obtain an
Employer Identification Number (EIN). Applying for an EIN is simple and using your
SSN for business can pose security and privacy risks. Please visit irs.gov to apply
for an EIN.
SAM.gov Bank Account Number (Enter this exactly as shown in SAM.gov for
associated CAGE)
Is the information above/below correct?
a.Yes
b.No
Small Business Eligibility - Are the NAICS Codes, industries, and size statuses
shown above/below correct?
SBA Current Program Participation – Please confirm the following certification
information is correct:

Text Field

Text Field
Radio Button

Radio Button

Text

Text Field

Text
Text

Text Field
Text Field

Text

Text Field

Yes, No

Radio Button

Yes, No

Radio Button

Yes, No

Radio Button

(display current certifications for this UEI with entry and exit dates, as applicable)
Claim Business

Claim Business

Please confirm your business’ legal structure. The legal structure of your business
is reflected in the filings you submitted to your state when you established your
business.
a.Sole Proprietorship
b.Partnership (General Partnership or Limited Partnership)
c.Limited Liability Company (LLC)
d.Corporation
Legal structure is not necessarily the same as your tax filing status. The legal
structure of your business is established in the documentation filed with the state
at time of formation.

If you are seeking to designate a joint venture with a certification, please return to
the MySBA home page to proceed.
Is the applicant business 51% or more owned by an American Indian Tribe (AIT), Yes, No
Alaska Native Corporation (ANC), Native Hawaiian Organization (NHO),
Community Development Corporation (CDC), or Agricultural Cooperative
a. Yes, my business is 51% or more owned by an AIT, ANC, NHO, CDC, or
Agricultural Co-op.
b. No

31 of 32

Radio Button

Radio Button

SBA Unified Certification Questions
HUBZone Program
Section
Ordinal Section
Principal
33
Office
Principal
Office
34
Principal
35
Office
Principal
Office
36
Principal
37
Office
Principal
38
Office
Principal
Office
39
Principal
40
Office
Principal
Office
41
Principal
42
Office

Question
Does your business own or lease your principal office located? at [generate PO address as determined by
HUBZone Calculator]?
Is the principal office located at or within a residence?
es the deed identify the physical address of the principal office?
Enter the start and end dates of the term of the lease as they appear in the lease agreement.
Does the lease/deed list the firm’s full legal name or the majority owner’s full legal name as being the lessee
or owner of the property?
Is the lease month-to-month?
Has the lease been amended?
Does the lease provide that utilities are included in the rent?

Answer Choices
a. Own
b. Lease
a. Yes
b. No
a. Yes
b. No

a.
b.
a.
b.
a.
b.
a.
b.

Yes
No
Yes
No
Yes
No
Yes
No

Enter the service dates of the utility bill.
Is the lessor a business owned in whole or in part by an owner of the applicant business?

43

Payroll

Does your business have payroll records?

44

Payroll

45

Payroll

Are there any owners or officers of the business that do not appear on the payroll records?
Were any of the applicant business's employees obtained from a temporary employee agency, from a leasing
company or through a union agreement, or co-employed pursuant to a professional employer organization

32 of 32

a. Yes
b. No

a. Yes
b. No (mostly-applies to
sole proprietorships)
a. Yes
b. No
a. Yes
b. No

Description
Upload a copy of the certificate or certification letter
Upload supporting documentation.
Upload your franchise agreement.
Upload a copy of the written agreement (executory agreement, voting trust, or other arrangements) with conditions.
When signed and dated, these legally serve as evidence of important actions such as: Election or appointments of officers, Adoption/implementation of
bylaws and voting agreements, Business decisions, Voting
Fictitious Name Certificate or Certificate of Trade Name, as applicable.
Fictitious Name Certificate or Certificate of Trade Name, as applicable.
TPC Certificate
Passport, Birth Certificate, or Naturalization paperwork of applicant
1040 Schedule C, or IRS SS4 TIN issuance letter with correct name and EIN
The articles of incorporation - or a certificate of incorporation - is a comprehensive legal document that lays out the basic outline of your business. It's required
by every state when you incorporate. The most common information included is the company name, business purpose, number of shares offered, value of
shares, directors, and officers.
Bylaws (called resolutions for nonprofits) are the internal governance documents of a corporation. They define how key business decisions are made, as well
as officer and shareholders' duties, powers, and responsibilities. It's widely recommended to create one to protect yourself and your business, even if your
state doesn't mandate it.
A stock ledger lists all share-related transactions for a company. It states the name of the owner of each block of shares, as well as the number of shares
owned by each investor, the type of shares purchased, and the date of each purchase and the amount paid.
An operating agreement describes the structure of your company's financial and functional decisions. It defines how key business decisions are made, as well
as each member's duties, powers and responsibilities. It's widely recommended to create one to protect yourself and your business, even if your state doesn't
mandate it.
Articles of organization is a simple document that describes the basics of your LLC. It includes business information like the company name, address, member
names, and the registered agent.
Transfer Asset Agreement of Ownership (if applicable) within last 2 years.
A limited partnership agreement is an internally binding document between all partners that defines how business decisions get made, each partner's duties,
powers, and responsibilities. It's widely recommended to create one to protect yourself and your business, even if your state doesn't mandate it.
Business Management Experience
Technical Experience
Business' Current Finances
History of Business Performance
Performance on Contracts
A business is not eligible for the 8(a) Program if 50% or more of their assets are from a former 8(a) Particiapnt.
Upload a signed Representatives and Fees Form and consulting agreement.
Legal Separation Documentation
Proof of compliance with repayment plan if applicable.
Evidence of deferred payment status if applicable.
The Federal Acquisition Regulation Subpart 3.6 places restrictions on Federal Government employees which may prevent your business from acquiring
contracts or create conflicts of interest. In addition, there are limitations on SBA�s ability to provide assistance to government employees. Reference 13 CFR
105.301.
Proof of Ownership document
Upload Federal Tax Returns for the past 3 years.
Upload Year-To-Date Financial Statements
Executory agreement, voting trust, or other arrangements, plus conditions.
Upload all applicable details of the sale, including: the terms and conditions of the transaction; a copy of the agreement; an explanation of the calculation of
the sale price; evidence of compliance with the payment terms of the sales agreement.
Upload evidence of the current status of the charges.
Upload an explanation including the current status of any charges.
Upload details including dates, locations, fines, sentences (misdemeanor or felony), dates of parole/probation, unpaid fines or penalties, name(s) under
which charged, and any other pertinent information. Include expunged records.
HUBZone Calculator Data and document upload storage question.
Upload property tax bill and/or insurance policy showing the physical address of the principal office.
Upload lease addendum.
Upload attestation from the landlord and proof of payment for three months leading up to the application date.
Upload proof of rent payment for three months before application date.
Upload most recent utility bill.
Upload a copy of the master lease or deed, as applicable.
Supporting documents
Upload your individual Income Tax Returns for the last three completed tax years. Include all Schedules and attachments.
Upload your Wage and Tax Statements (W-2s) for the last three years. If you filed your tax return jointly with a spouse, upload your spouse's W-2s for the last
three years as well.
This may be a bank statement or IRS Tax Account Transcript.
Upload information on the terms and restrictions of the account(s). Supplying the most recent account statement from your IRA provider will suffice in most
cases. SBA will not include the funds in calculating your net worth if the statement indicates that the funds are not available until retirement age without a
significant penalty.
Upload information on the terms and restrictions of the account(s). Supplying the most recent account statement from your provider will suffice in most cases.
SBA will not include the funds in calculating your net worth if the statement indicates that the funds are not available until retirement age without a significant
penalty.

Short Title
Third Party Certification or Certification Letter
Prior Ownership Documentation
Franchise Agreement
Written Agreement
Minutes Demonstrating Current Operating Practices
Fictitious Name Certificate
Fictitious Name Certificate
Third Party Certification or Certification Letter
Proof of U.S. Citizenship or Naturalized Citizen
1040 Schedule C, or IRS SS4 TIN
Articles of Incorporation

Current Bylaws and Related Amendments
Stock Ledger
Operating Agreements
Articles of Organization or Certificate of Organization/Formation
Transfer Asset Agreement of Ownership
Partnership Agreement
Evidence of Substantial Business Management
Evidence of Technical Experience in its Primary Industry
Current Financial Position Evidence
Evidence of Successful History of Performance in its Primary Industry
Past Performance Evidence
Business Assets and Name of the Prior 8(a) Participant
Signed Representatives and Fees Form and Consulting Agreement
Legal Separation Documentation
Proof of Compliance with a Repayment Plan
Evidence of Deferred Payment Status
Letter of No Objection from the Ethics Official
Proof of Ownership
Federal Tax Returns
Year to Date Financial Statements
Written Executory Agreement with Conditions
Details of the Sale
Evidence of the Current Status of Charges
Explanation of Current Status of Charges
Document Containing Conviction Details
HUBZone Calculator Documentation
Property Tax Bill and/or Insurance Policy
Lease Addendum
Attestation from the Landlord and Proof of Payment
Proof of Rent Payment
Utility Bill
Master Lease or Deed
Immediate Family Member Asset Transfer
Tax Returns
Wage and Tax Statements (W-2s)
Evidence of Payment for Owed Taxes
Roth IRA Account Statement(s)

Other Retirement Account(s) Statements


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File Modified2024-07-31
File Created2024-07-26

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