Oneida Enterprise / Entity Certification Form

Contact Information

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Entity Services Details

The undersigned, _______, swears that the foregoing statements are true and correct and include all material information necessary to identify and explain the operation of the Oneida entity, _______, as well as management status thereof.
Further, the undersigned agrees to provide complete and accurate information regarding actual work performed on any project, the payment thereof, and any proposed changes, of the foregoing arrangements and to permit the examination of records, files of the firm or affiliate of said firm in connection with certification procedures. Any misrepresentation will be grounds for decertification.
The undersigned agrees to the following:
“By completing this application I hereby affirm, under penalty of perjury, that the statements I have made herein are true and correct. I understand that if I am granted certification by the Indian Preference Office, my certification may be revoked at any time if it is discovered that any statements I have made on this application are false. I further understand that I may be subject to other sanctions if I commit fraud or misrepresentation in completing this application.”