Sworn Affidavit Form – Washington, DC

The Sworn Affidavit Form is the Department of Small and Local Business Development (DSLBD) affidavit in which a business enterprise's authorized representative swears or affirms that the statements and documents in its certification application are true, correct and complete.

The form covers a certification application, a request for upgrade or a joint venture application, with or without a bid or proposal request. The representative swears that the application includes all material information needed to identify and explain the company's operations, identify its ownership and establish its eligibility for certification under the Small, Local, and Disadvantaged Business Enterprise Development and Assistance Act of 2005, as amended, D.C. Official Code § 2-218.01 et seq.

The affidavit also contains three further commitments:

• to report to DSLBD any change of the District principal office address, ownership or other change that may affect the eligibility of the Certified Business Enterprise (CBE);
• to list the chief executive officer and highest level managerial employees with their titles, and to report changes to that list;
• to state that the enterprise and each listed person have not been revoked, suspended or debarred, and have not been convicted of the offenses listed on the form.

The signature must be made before a notary public. The form does not mention a business license, so it is not a license application.

A duly authorized representative of a business enterprise signs this affidavit when the enterprise submits a certification application, a request for upgrade or a joint venture application to DSLBD, with or without a bid or proposal request. The enterprise's name is entered at the top of each paragraph.

Points the form itself makes:

• The person signing must be a duly authorized representative of the business enterprise.
• The list in the middle of the form must name the chief executive officer and the highest level managerial employees, with their titles; the form has three name-and-title rows.
• The statement about revocation, suspension, debarment and convictions covers the enterprise and each person on that list.
• The signature must be made in the presence of a notary public.

The form is not a standalone filing: it refers to "the attached" application, so it is completed only by enterprises that are preparing one of the three DSLBD requests named above. The form says nothing about a general business license.

The affidavit is completed when the business enterprise prepares its certification application, request for upgrade or joint venture application, because the form refers to that application as attached. It prints no separate due date.

The form sets reporting deadlines after signing. If an application, request for upgrade or joint venture application is pending when a change occurs, the enterprise must report the change to DSLBD immediately. After the enterprise becomes a CBE, it must report within thirty (30) days of the date of the change. This applies to a change of the District principal office address, ownership or other change that may affect eligibility, and to any change to the list of the chief executive officer and highest level managerial employees.

For the deadline of the application itself, check the DSLBD certification pages.

The form is submitted as an attachment to the DSLBD application it supports: a certification application, a request for upgrade or a joint venture application. It prints no mailing address, portal or appointment rule of its own.

• Sign first: the form says to sign only in the presence of a notary public. The notary completes the block with the notary's name, city, state, signature, seal and commission expiration date.
• Attach: include the signed and notarized affidavit with the application it supports.
• Find the process: DSLBD publishes the form at https://dslbd.dc.gov/publication/sworn-affidavit-form. Its site menu lists Get Certified pages for New Applicants, Returning Applicants and Joint Venture Certification.

FillingPDF lets you fill out and download the PDF; submission follows the DSLBD channels that apply to your application.