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Affirmation disclosure

Affirmation disclosure form 2026

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The document is a Standard Affirmation and Disclosure Form related to Executive Order 2011-12K, which mandates that all public funds for services must be spent within the United States. Contractors must provide details about their business locations and any subcontractors involved, affirming compliance with the order. They are also required to disclose any changes in service locations during the contract period, with potential sanctions for non-compliance.

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Click ‘Get Form’ to open the affirmation disclosure form in the editor.
Begin by filling in the principal location of your business. Enter the address, city, state, and zip code in the designated fields.
If applicable, provide the name and location of any subcontractors. Ensure you include their addresses as well.
Next, indicate where services will be performed by entering the relevant address details for both your business and any subcontractors.
Complete the section regarding where state data will be stored or accessed. Fill in all required address fields accurately.
Finally, sign the form by affixing your signature, printing your name, title, and date to confirm your understanding and agreement with the terms outlined.

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Affirmation disclosure form 2026

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