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

Important Note:

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.
DBE Initial Application Form DBE Initial Application Form (Spanish)
DBE PNW Statement DBE Initial Application Form (Korean)
DBE Annual Affidavit Form DBE Initial Application Form (Chinese Mandarin)
DBE Notice of Change
Interstate Certification Affidavit
NAICS Code Modification Form