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EEO 5/2015Georgia Department of TransportationPrime Contractor BE JOINT CHECK AFFIDAVITDate: Project: County: I, as the authorized representative of am I requesting BE credit for joint check purchases
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How to fill out dbe joint check affidavit
How to fill out dbe joint check affidavit
01
Read the instructions carefully.
02
Fill out the heading of the form with the required information.
03
Provide the names of the contractor, subcontractor, and joint payee.
04
Include the project information such as the project name, location, and contract number.
05
Clearly state the amount of the joint check.
06
Indicate the date the joint check was issued.
07
Sign and date the affidavit.
08
If required, have the joint payee also sign and date the affidavit.
09
Submit the completed form to the appropriate party.
Who needs dbe joint check affidavit?
01
Contractors who are working with Disadvantaged Business Enterprises (DBEs) and need to issue joint checks to them.
02
Subcontractors who are receiving payments from contractors and DBEs as part of a joint check agreement.
03
Joint payees who are receiving payments from contractors and DBEs through joint checks.
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