Supplier Certification Document Checklist

Download Word DOC version.

Required of ALL applicants:

Completed on-line application and $300 non-refundable processing fee submitted at the time of application submission

Payment by credit card is preferred but checks may be made payable to Disability:IN (Payment by check may delay application review.)

Documents of Business/Enterprise Owner(s):

  • Proof of U.S. Citizenship or Permanent Resident Status:
    • Passport
    • Birth Certificate
    • Green Card
  • Government Issued Picture ID
    • Passport
    • Driver’s License
    • State ID Card
  • Disability Status (see Appendix A)

Business Enterprise Documents

(Please submit all documents listed for the applicable business structure.)

  • Brief history of business (startups submit brief business plan)
  • Resume of owner(s) including owner(s) with disability
  • Form 1120 Schedule G
  • Certificate of incorporation
  • Articles of Incorporation
  • Minutes of first board meeting establishing current ownership (proprietary information may be redacted)
  • Minutes from most recent meeting of shareholders (proprietary information may be redacted)
  • Minutes from most recent meeting of the Board (proprietary information may be redacted)
  • Corporate bylaws
  • Copies of stock certificates (both sides) or proof of stock purchase or equity agreement by owner(s) with a disability and/or currents stock transfer ledger

  • Brief history of business (startups submit brief business plan)
  • Resume of owner(s) including owner(s) with disability
  • Form 1120s Schedule K
  • Certificate of incorporation
  • Articles of Incorporation
  • Minutes of first board meeting establishing current ownership (proprietary information may be redacted)
  • Minutes from most recent meeting of shareholders (proprietary information may be redacted)
  • Minutes from most recent meeting of the Board (proprietary information may be redacted)
  • Corporate bylaws
  • Copies of stock certificates (both sides) or proof of stock purchase or equity agreement by owner(s) with a disability and/or currents stock transfer ledger

  • Brief history of business (startups submit brief business plan)
  • Resume of owner(s) with a disability
  • Articles of organization
  • Certificate of organization (for businesses in states which issue certificates)
  • LLC regulations/operating agreement
  • Form 1065 Schedule C, Form 1120 Schedule G, OR 1120s Schedule K-1

  • Brief history of business (startups submit brief business plan)
  • Resume of owner(s) with a disability
  • Articles of organization
  • Certificate of organization (for businesses in states which issue certificates)
  • LLC regulations/operating agreement
  • Form 1065 K-1s (for each owner), Form 1120 Schedule G, OR Form 1065 Schedule K-1 (for each owner)

  • Brief history of business (startups submit brief business plan)
  • Resume of owner(s) with a disability
  • Partnership agreements
  • Proof of capital investment by LGBT partners
  • Limited partnership agreements
  • Profit sharing agreements
  • Form 1065 K-1s (for each owner), Form 1120 Schedule G, OR Form 1065 Schedule K-1 (for each owner)

  • Brief history of business (startups submit brief business plan)
  • Resume of owner with a disability
  • Form 1040 Schedule C
  • Applicable operating business license and/or permits
  • Assumed name documents (if applicable)

Other Required Documents as Applicable

  • Operating business license and/or permits
  • Previous year financial statement (profit & loss statement and balance sheet; startups provide opening balance sheet)
  • 3 years of most recent federal tax returns (signed copies)
    • Start-ups shall provide personal federal tax returns in lieu of business returns for any years in which business returns were not filed.
    • If you have not met the income threshold for filing for any of the three (3) years, please provide your SSD, SSI benefit statements for those years.
  • Most recent itemized payroll records listing all full/part-time employees
  • Contract or work history for the past three years (include contact name, and type of work performed or type of contract received)
  • Third party agreements such as:
    • Management agreements
    • Real estate lease agreements
    • Service agreements
    • Affiliate/subsidiary agreements
    • Equipment rental and purchase agreements
  • Proof of bonding capacity
  • Documentation from the secretary certifying the names of all current members of the board of directors
  • Voting agreements and other equity interests including stock options, warrants, buy/sell agreements, and right of first refusal
  • Proof of authority to do business in all states where authority has been granted
  • Schedule of advances made to corporation for the preceding three years

Already WBENC, NGLCC, or NaVOBA Certified?

  • Government Issued Picture ID
  • Passport
  • Driver’s License
  • State ID Card
  • Disability Status (see Appendix A)
  • WBENC, NGLCC, or NaVOBA Certificate (must be valid and active)
    • If within 90 days of expiring, we will request updated certificate once received.

Already VA Verified SDVOSB?

  • Government Issued Picture ID
    • Passport
    • Driver’s License
    • State ID Card
  • Proof of U.S. Citizenship or Permanent Resident Status:
    • Passport
    • Birth Certificate
    • Green Card
  • Disability Status:
    • Department of Defense Form 214 (DD214)
    • Disability Ratings Letter from the Veterans Administration.
  • Brief history of business (startups submit brief business plan)
  • Most recent year Financial Statement
    • Profit & Loss statement matching most recent year of federal tax return filed (start-ups provide an opening balance sheet)
  • One (1) Year completed signed Federal Tax Return
    • Include Schedule C, K or applicable schedule(s) based on business legal structure
    • Start-ups shall provide personal federal tax returns in lieu of business returns for any years in which business returns were not filed.
    • If you have not met the income threshold for filing for any of the three (3) years, please provide your SSD, SSI benefit statements for those years.
  • VA Verification Letter