|
Click on the link or the Word or Adobe icons to download the forms. Forms available in Word are fill-in. |
| Minority (MBE), Women (WBE), Veteran (VOBE), & Service Disabled Veteran (SDV) Business Enterprise Certification |
|
All completed certification and recertification applications must either be submitted by mail or hand-delivered. BMWBO cannot accept or process applications submitted by email or fax. |
Certification Application  |  |
Use this application if:
- You are interested in certification as a Minority (MBE), Women (WBE), Minority/Women (MBE/WBE) Business Enterprise, Veteran Owned Business Enterprise (VOBE), or Service Disabled Veteran Owned Business Enterprise (SDV)
|
| Recertification Affidavit | |
Use this application if:
- You are recertifying as a Minority (MBE), Women (WBE), Minority/Women (MBE/WBE) Business Enterprise, Veteran Owned Business Enterprise (VOBE), or Service Disabled Veteran Owned Business Enterprise (SDV)
- You initially applied for certification using the Application for Certification as a Minority or Women Business Enterprise
|
| Specialized Certification Application | |
Use this abbreviated application if:
- You are interested in certification as a Minority (MBE), Women (WBE), or Minority/Women (MBE/WBE) Business Enterprise
- You own a Pennsylvania based company
- You are currently certified through the PA Unified Certification Program (PA UCP), the National Minority Supplier Development Council (MSDC), or the Women's Business Enterprise National Council (WBENC).
|
| Specialized Recertification Affidavit | |
Use this application if:
- You are recertifying as a Minority (MBE), Women (WBE), or Minority/Women (MBE/WBE) Business Enterprise
- You initially applied for certification using the Specialized Application for Certification as a Minority or Women Business Enterprise
- Your certifications are current through both DGS and the PA UCP, MSDC, or WBENC
|
Statement of Policy  | |
A detailed statement defining MBE/WBE certification terms, eligibility, standards, and criteria. |
| Code Change Request Form | |
Currently certified companies may submit a completed Request for Code Changes form to add new codes to their certifications or to remove codes that are no longer applicable. An invoice or contract is required for each new code requested. Please write on each invoice or contract the corresponding commodity code number. |
|
Account Changes
To update your account information, please submit your name, your company name, and the information to be changed, in writing to:
Bureau of Minority & Women Business Opportunities
North Office Building
401 North Street, Room 611
Harrisburg, PA 17120-0500
Phone: (717) 783-3119
FAX: 717-787-7052
Email: gs-bmwbo@pa.gov |
NOTE: A change in the company's physical address must also include a copy of the new lease, deed, or rental agreement. Updates will generally appear within 24 hours after we receive the required information. |
| Forms for State Contracting |
GSMWBE-16 |
(Construction IFBs) |
MBE/WBE Solicitation & Commitment forms document prime bidders' MBE & WBE solicitations when responding to Invitation for Bids (IFB). Please see paragraph B in Part I, Chapter 20 of the Procurement Handbook for details. |
STD-168
(Non-Construction IFBs) |
| Online Quarterly Utilization Report, Prime Contractor & Subcontractor |
Used on current state contracts to record the actual dollar amounts prime contractors pay Small Disadvantaged Businesses and Enterprise Zone Small Businesses (for contracts awarded through the Request for Proposal (RFP) or Solicitation for Proposal (SFP) processes). |
| Quarterly Utilization Report, Prime Contractor |
| Quarterly Utilization Report, Subontractor |
