Uniform Certification Application-annotated



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uniform-certification-application 2.8.2021
AFFIDAVIT & SIGNATURE
The Affidavit of Certification must accompany your application. Carefully read the attached affidavit in its entirety. Fill in the required information for each blank space, and sign and date the affidavit in the presence of a Notary Public, who must then notarize the form. US. DOT Uniform DBE / ACDBE Certification Application • Page 4 of 15



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