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3900FMBSDW0084 Rev. 2/2013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF SAFE DRINKING WATER Consumer Confidence Report (CCR) Certification Form Name of CDs: PW SID
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How to fill out ccr certification form

Who needs ccr certification form?
01
Contractors: Contractors who want to bid on federal projects or work with government agencies often need to complete the Central Contractor Registration (CCR) certification form. This form ensures that contractors meet certain standards and qualifications to work with the government.
02
Small Business Owners: Small business owners looking to participate in government contracts also need to fill out the CCR certification form. This allows them to compete for contracts and take advantage of special opportunities set aside for small businesses.
03
Nonprofit Organizations: Nonprofit organizations that receive federal funding or grants may need to complete the CCR certification form. This ensures that they meet the necessary criteria to receive government funds and allows them to participate in the federal grant application process.
04
Minority and Women-Owned Businesses: Minority-owned and women-owned businesses seeking government contracts or grants may be required to complete the CCR certification form. This certification validates their minority or women-owned status and allows them to access certain contract opportunities and set-asides.
05
Veteran-Owned Businesses: Veteran-owned businesses that wish to participate in government contracts or take advantage of special incentives for veteran-owned businesses often need to complete the CCR certification form. This form verifies their veteran-owned status and allows them to compete for contracts specifically set aside for veterans.
How to fill out the CCR certification form:
01
Access the Form: Obtain the CCR certification form from the appropriate government website or agency. This form may also be referred to as the System for Award Management (SAM) registration form.
02
Provide Basic Information: Start by entering your business or organization's name, address, contact information, and other basic details as requested on the form. Be sure to double-check that all information is accurate and up to date.
03
Tax Identification Numbers: Fill in the appropriate tax identification numbers, such as your Employer Identification Number (EIN) or Social Security Number (SSN). These numbers are used to verify your business's identity.
04
DUNS Number: Provide your Dun & Bradstreet (DUNS) number, which is a unique nine-digit identification number assigned to your business. If you don't have a DUNS number, you can apply for one online.
05
Business Size and Type: Indicate the size of your business (small, large, etc.) and the type of business you run (sole proprietorship, corporation, etc.). This information helps categorize your business for contract opportunities.
06
Certifications and Representations: Fill out any certifications or representations required on the form, such as stating your business is minority or women-owned, veteran-owned, or qualified for other special designations. Provide any necessary supporting documentation if requested.
07
Completion and Submission: Review the form to ensure all information is accurate and complete. Once verified, submit the form electronically or by mail, following the instructions provided. Don't forget to retain a copy for your records.
By following these steps, you can successfully fill out the CCR certification form and ensure that your business or organization is eligible to bid on government contracts or receive federal funding. Remember to periodically update your information as needed to maintain an active status.
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