Cc428 vendor declaration eligibility form 2026

1. Click ‘Get Form’ to open the cc428 vendor declaration eligibility form in our editor.
2. Begin by filling in your name and title in the designated fields. This identifies you as the officer of the company making the declaration.
3. Next, enter your company's name accurately. Ensure that it matches any official documentation to avoid discrepancies.
4. In the section regarding employee count, affirm that your entire workforce has not exceeded thirty (30) full-time/benefit-earning employees during the past twelve months. This is crucial for maintaining eligibility for exemption.
5. Sign and date the form at the bottom. Your signature confirms that all information provided is accurate and complete.
6. If applicable, ensure to fill out any additional sections required for office use, such as approval signatures from Hennepin County Purchasing/Contract Services.

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