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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
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Mail
completed applications to:
The
Uniform Certification Agency
P. O. Box 3060
Memphis, TN 38173
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For
Courier or Overnight Deliveries
The
Uniform Certification Agency
158 Madison Avenue, Suite 300 Memphis, TN 38103
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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
ACDBE
Applications
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.
*** If you do not have a PDF reader click on
this link
www.adobe.com and download the free reader (Adobe Reader). |


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