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SBA Form 1624: Certificate Regarding Debar, Etc

SBA Form 1624: Certificate Regarding Debar, Etc-2026

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The document outlines the certification requirements regarding debarment, suspension, ineligibility, and voluntary exclusion for lower tier covered transactions as mandated by Executive Order 12549. It requires prospective participants to certify their eligibility and provides instructions on the implications of erroneous certifications, including potential remedies such as suspension or debarment. The document emphasizes the importance of compliance and the need for immediate notification if a participant's status changes.

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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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Is the SBA form 1624 required?

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 13 CFR Part 145.

What is a debarment certification form?

Debarment certification form means a certification form provided by the Department for execution by the prospective bidder or subcontractor docHubing that he is not, nor has been, debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from certain transactions and has not been

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