0877-2026

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The document outlines the VETBIZ Vendor Information Pages Verification Program, which is designed to verify the eligibility of veteran-owned and service-disabled veteran-owned small businesses under Public Law 109-461. It includes a privacy statement regarding the collection of personal information, instructions for consent and affirmation by business owners, and details on ownership requirements. The form must be completed by each owner or stockholder, providing their veteran status and ownership percentage, with a warning about the consequences of false statements.

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Click ‘Get Form’ to open the 0877 in the editor.
Begin with Part I, where each veteran owner or stockholder must provide consent for record verification. Fill in the names and ensure you check the appropriate boxes indicating veteran status.
Move to Part II, where you will affirm ownership details. Each owner must indicate their percentage of ownership, ensuring it totals between 99-100%. Include your Social Security Number or VA Claim number if applicable.
In Part III, provide detailed information about each business owner or stockholder. Ensure all fields are accurately filled out before proceeding.
Once completed, electronically sign the form and either fax it to (202) 303-3330 or submit it directly through our platform. Remember not to mail or email the form.

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