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SBA Form 1624: Certificate Regarding Debar, Etc-2026
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- Click ‘Get Form’ to open SBA Form 1624 in the editor.
- Begin by entering your Business Name in the designated field. This identifies the entity submitting the certification.
- Next, fill in the Date field to indicate when you are completing this form. Accurate dating is crucial for compliance.
- In the section labeled 'By', provide the Name and Title of the Authorized Representative who is certifying on behalf of your business.
- Finally, ensure that the Authorized Representative signs in the Signature field. This signature validates your certification regarding debarment and eligibility.
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This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 13 CFR Part 145.
Instructions For Completing Debarment Certification. Please complete the following SBA Self-Certification Form to determine that you have in effect a