Select and print an application or call (901) 525-6512 and request that an application be faxed or mailed. If you have questions regarding the application you may call:

• (901) 525-6512 Ex. 16 for the following industries: Construction, Cleaning/Janitorial Supplies/Services, Landscaping/Lawn Services, Pest/Termite Control and Architecture/Engineering Related Services

• (901) 525-6512 Ex. 12 for the following industries:  Security, Staffing, Couriers, Environmental Consultants, Consulting Services,  Interior Design, Signs, Photography, etc.)

• (901) 525-6512 Ex. 18 for the following industries: Advertising/Marketing/Promotional Services, Communication Equipment/Services,  Finance/Insurance, Industrial Equipment/Supplies, Manufacturer, Products, Retail Wholesale Trade, Transportation, Food Services, Medical Supplies/Services, Printing Supplies/Services, Professional Services
  

M/WBE Applications

• UCA Application Form (M/WBE) ( PDF Format)   The completed application must be notarized and submitted with other requested documentation as outlined in the application.

• Re-Certification M/WBE - Annual Affidavit Update ( PDF Format).  This document must be completed, signed and notarized and returned to the Uniform Certification Agency along with the company’s most recent Tax Return and most current financial statement.   

DBE Applications

• DBE Certification Application (PDF Format)
• DBE Annual Recertification (PDF Format)
• DBE 3 Yr Recertification (PDF Format)

ACDBE Applications

• ACDBE Certification Application (PDF Format)
• ACDBE Annual Recertification (PDF Format)
• ACDBE 3 Yr Recertification (PDF Format)

LSB Applications

• UCA Application Form Local Small Business (LSB) (PDF Format)

• Re-Certification LSB - Annual Local Small Business Affidavit Update (PDF Format).  This document must be completed, signed and notarized and returned to the Uniform Certification Agency along with the company’s most recent Tax Return and most current financial statement.