Welcome to the

VetCert Eligibility Questionnaire

The SBA VetCert Eligibility Questionnaire should be completed by the individual who primary VetCert Program Eligibility will be based upon. It will take approximately 15-30 minutes to complete.

If you find that need additional time to complete the questionnaire you can click the “Save and Continue Later” link at the bottom to save and return at any time up to 30 days.

Upon your submission we will review your responses and follow up to discuss your current state of SBA VetCert Program eligibility and answer any additional questions you might have.

Name of Business*
Enter the full legal name of the business as shown on your State formation documents.
Type of Organization*
You must be a for-profit company.
- Corporation
- S Corporation (S-Corp)
- Limited Liability Company
- Sole Proprietor
- General or Limited Partnership
DBA/fictitious/trade names
Enter any other "Doing Business As" names. Leave blank if not applicable.
Phone Number*
Primary Contact*
First Last
Email address*
Enter the email address of the primary contact.
Principal office address*
Street Address Address Line 2 City State ZIP Code
Do you have a separate mailing address?*
- Yes
- No
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Do you have locations in any other State(s)?*
- Yes
- No
Select all other States that you have a location in*
Date business formed*
Enter or select the month, date and year from your state formation docs.
MM slash DD slash YYYY
State of Formation*
State
Primary NAICS code*
Enter your six (6) digit primary NAICS code.

Please visit the Census Bureau if you do not know your primary NAICS Code. The primary NAICS code is the six digit code in which your business earned its largest segment of revenue in the most recently completed fiscal year.
Unique Entity Identification Number (UEI)*
Enter your UEI.

If you do not know what your UEI number is and are registered in SAM.GOV, please visit this link to lookup your current UEI. Enter N/A if you do not have an active UEI.
Are you registered in SAM.GOV*
SAM.GOV. You must be registered in SAM.GOV to get Veteran certified.
- Yes
- No
Current Number of employees the business has*
Direct employees (W-2 or owners). Not Subcontractors.
2022 Sales*
Enter the exact gross receipts reported on your 2022 year-end Profit & Loss statement or business tax return, if filed.
2021 Sales*
Enter the exact gross receipts reported on your 2021 business tax return. Enter 0 if no taxes were filed.
2020 Sales*
Enter the exact gross receipts reported on your 2020 business tax return. Enter 0 if no taxes were filed.
2019 Sales*
Enter the exact gross receipts reported on your 2019 business tax return. Enter 0 if no taxes were filed.
2018 Sales*
Enter the exact gross receipts reported on your 2018 business tax return. Enter 0 if no taxes were filed.
How many owners, officers, directors, partners, LLC members or key employees does the business have?*
- 1
- 2
- 3
- 4 or more
Since you have more than 4 individuals, please contact us and we will email you a questionnaire to complete offline.
Names of all owners, officers, directors, partners, LLC members and key employees of the business.

Anyone who is an owner, officer, director, partner, LLC member or key employee of the business must listed in your VA VetBiz Application. Key employee is defined as any individual with “critical influence or or substantial control over the operations or management” of the company. (e.g. has the authority to engage in decision making on behalf of the company.)
Individual #1 - Name*
First Last
Percentage of ownership for Individual #1*
Enter a number between 0 and 100.
Title of Individual #1*
- President
- CEO
- Vice President
- Managing Member
- Member
- Director
- Secretary
- Treasurer
- CFO
- CTO
- COO
- Other
Individual #1 - Does this individual work full-time in the business without any outside employment?*
- Yes
- No
US Citizenship for Individual #1*
- Yes
- No
Individual #1 - Is this individual a Veteran or Service Disabled Veteran?*
- Service Disabled Veteran
- Veteran
- Not a Veteran
Enter the Information for Individual #2 below:
Individual #2 - Name*
First Last
Percentage of ownership for Individual #2*
Enter a number between 0 and 100.
Title of Individual #2*
- President
- CEO
- Vice President
- Managing Member
- Member
- Director
- Secretary
- Treasurer
- CFO
- CTO
- COO
- Other
Individual #2 - Does this individual work full-time in the business without any outside employment?*
- Yes
- No
US Citizenship for Individual #2*
- Yes
- No
Individual #2 - Is this individual a Veteran or Service Disabled Veteran?*
- Service Disabled Veteran
- Veteran
- Not a Veteran
Enter the Information for Individual #3 below:
Individual #3 - Name*
First Last
Percentage of ownership for Individual #3*
Enter a number between 0 and 100.
Title of Individual #3*
- President
- CEO
- Vice President
- Managing Member
- Member
- Director
- Secretary
- Treasurer
- CFO
- CTO
- COO
- Other
Individual #3 - Does this individual work full-time in the business without any outside employment?*
- Yes
- No
US Citizenship for Individual #3*
- Yes
- No
Individual #3 - Is this individual a Veteran or Service Disabled Veteran?*
- Service Disabled Veteran
- Veteran
- Not a Veteran
All Other Business Information:
Is the business owned at least 51% by another entity, trust, ESOP or 401(k)?*
- Yes
- No
Is the business part of a franchise?*
- Yes
- No
Is the business involved in a Mentor/Protege Agreement?*
- Yes
- No
Do one (1) or more Veterans unconditionally own at least 51% of each class of member interest?*
- Yes
- No
Are one (1) or more Veterans entitled to receive at least 51% of the annual distributions of profits paid to the owners?*
- Yes
- No
Do one (1) or more Veterans control the day-to-day operations of the business?*
(e.g., sign checks, sign contracts, on bank signature card, sign lease, etc.)
- Yes
- No
Do one (1) or more Veterans have the managerial experience of the extent and complexity needed to run the business?*
- Yes
- No
Do one (1) or more Veterans possess the technical expertise and hold the required license(s)?*
- Yes
- No
Do one (1) or more veterans devote full-time to the business during the normal working hours of firms in the same or similar line of business?*
- Yes
- No
Are one (1) or more veterans engaged in employment or management outside the applicant business?*
- Yes
- No
Does a veteran hold the highest officer position in the business as established by the applicants governing documents?*
- Yes
- No
Do one (1) or more veterans serve as management members with control over all decisions of the company?*
- Yes
- No
Did a non-veteran transfer majority stock ownership or control of the firm to an immediate family member within 2 years prior to the application?*
- Yes
- No
Is a Veteran the highest compensated individual in the business?*
- Yes
- No
Does a non-veteran or entity provide financial support or possess a required license?*
- Yes
- No
Does a business relationship exist with one (1) or more non-veteran or outside entities?*
- Yes
- No
Other than any publicly traded stock, bonds, and mutual funds owned, does any individual you identified have an ownership interest in any other business, and/or are they an officer or director in any other business concern other than the business applying for Veteran Certification? This includes LLC's for holding real estate.*
- Yes
- No
ADDITIONAL INFORMATION NEEDED: Since you indicated that an individual you identified has ownership in another business other than the business that is applying for the Veteran Program, please explain below. Provide the name of the individual you identified above that has ownership interest in another business, the name of the other business and a brief description of what the other business does. Once we know the specifics we will let you know if this will be an issue.
Since you answered YES, please explain below:*
Has any individual you identified ever been debarred, suspended, voluntarily excluded or otherwise the subject of an action that rendered them ineligible for procurement or non-procurement purposes from any department or agency of the Federal Government?*
- Yes
- No
ADDITIONAL INFORMATION NEEDED/POTENTIAL ELIGIBILITY ISSUE: Since you indicated that an individual you identified has been debarred, suspended, voluntarily excluded or otherwise a subject of an action that rendered then ineligible for procurement or non-procurement from any department or agency of the Federal government, please explain below. Include the individuals name and what occurred.

If an applicant or one of the individuals you identified is currently debarred, suspended or voluntarily excluded the firm is ineligible for the Veteran Program.
Since you answered YES, please explain below:*
Does the business have any existing management, joint venture, teaming, Indemnity, outside consulting, distributorship, licensing, trust or franchise agreements?*
- Yes
- No
ADDITIONAL INFORMATION NEED: Since you indicated that your business has existing management, joint venture, teaming, indemnity, outside consulting, distributorship, licensing, trust or franchise agreements the SBA will want to examine these to see if there is any potential for affiliation or control issues. Please provide the details below. If you just have normal contractual or sub contractual agreements please answer "No" to this question.
Since you answered YES, please explain below:*
Does the business have any ownership interest in, or an affiliation with any other business concern?*
- Yes
- No
ADDITIONAL INFORMATION NEEDED: Since you indicated that the business has ownership in, or an affiliation with another business concern, please provide the details below. Once we know the specifics we will let you know if this may be an issue.
Since you answered YES, please explain below:*
Does any other business or other organization have an ownership interest in the business concern?*
- Yes
- No
ADDITIONAL INFORMATION NEEDED/POTENTIAL ELIGIBILITY ISSUE: Since you indicated that another business has ownership in your business concern, please provide the details below. This may be an eligibility issue. Once we know the specifics we will let you know.
Since you answered YES, please explain below:*
Does any outside entity or individual other than the Applicant provide financial or bonding support, licenses or required professional certification, office space or equipment to the applicant business?*
- Yes
- No
POTENTIAL ELIGIBILITY ISSUE: Since an individual you identified, other than a Veteran Applicant, provides financial or bonding support, licenses or required professional certification, office space or equipment to the business, please provide the details below. This may be an eligibility issue. Once we know the specifics we will let you know.
Since you answered YES, please explain below:*
Are you interested in having Cloveer prepare your Veteran Certification Application?*
- Yes
- No

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