Minority-owned Business Certification Form Please enable JavaScript in your browser to complete this form.Select CertificationsMBE (Minority-owned Business Enterprise)WBE (Women-owned Business Enterprise)VOSB (Veteran-owned Small Business)SDVOB (Service-disabled Veteran-owned Business)Name of Corporation, LLC, Partnership or Instrument:Select Entity TypeProfit CorporationNon Profit CorporationLimited Liability CompanyProfessional CorporationProfessional Limited Liability CompanyLimited PartnershipTrustLimited Liability Limited PartnershipFamily Limited PartnershipGeneral PartnershipLimited Liability PartnershipSole Proprietorship/Fictitious NameLast Will and TestamentYear of Entity Formation:State of Incorporation or FormationAlabamaArizonaAlaskaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIndianaIowaIllinoisKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNevadaNebraskaNew YorkNew JerseyNew HampshireNew MexicoNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyomingYour Position in Entity (Check all that apply)ChairmanPresidentOperating ManagerShareholderMemberVice PresidentSecretaryTrusteeBeneficiaryTreasurerWas Entity formed by Spiegel & Utrera, P.A.?YesNoYour Name: *Your Telephone Number: *Your Email Address: *Submit Your Details To Get Started Share this article