VA Form 40-0895-12 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions

VA Form 40-0895-12 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions

What Is VA Form 40-0895-12?

This is a legal form that was released by the U.S. Department of Veterans Affairs on October 1, 2010 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 40-0895-12?
A: VA Form 40-0895-12 is a form used to certify regarding debarment, suspension, ineligibility, and voluntary exclusion for lower tier covered transactions.

Q: What does the form certify?
A: The form certifies that the individual or organization is not currently debarred, suspended, or otherwise ineligible to participate in lower tier covered transactions.

Q: What are lower tier covered transactions?
A: Lower tier covered transactions are contracts, grants, loans, cooperative agreements, or other forms of financial assistance that have federal funds or are conducted under a federal program.

Q: Who needs to fill out this form?
A: Any individual or organization that is involved in lower tier covered transactions and is required to certify their eligibility.

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Form Details:

  • Released on October 1, 2010;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 40-0895-12 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 40-0895-12 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions

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  • VA Form 40-0895-12 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions, Page 1
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