Reminder! - Please do not use your browser's "back" button during the data entry process.

You must click on either the 'Save Page and Continue' or the 'Save Changes and Exit' button at the bottom of each page within 2 hours of opening the page or you will be timed out and will lose all entered information on the page.

Required fields are indicated below in Red.

Login Name and Password
Before you can start the application process you need to create and enter a user Login Name and Password. Your Login Name and Password will be needed If you wish to update or edit your application in the future.

Please create and enter a Login Name (maximum of 7 characters) and Password (maximum of 12 characters) below:

Login Name
ReType Password

General Business Information
Use the following form to submit general information about your business:

**Legal Name of Applicant Business**
Doing Business As (If different from Legal)
Business Contact Person
Business Contact Phone
Legal Business Address:
**Street Address**
Street Address 2
Street Address 3
**Zip Code (9 digit)**
Mailing Address (If different from above):
Street Address
Street Address 2
Street Address 3
Zip Code (9 digit)
**Business Telephone Number**
Business Fax Number
**Contact E-mail Address**
WEB Address
**Washington State UBI Number**
Seattle Business License Number
Check which organizational structure your business is registered as (for US businesses only) :
Sole Proprietorship
Limited Liability Company
In which state/province is your company registered?   
Does your business qualify as a Small Business under the Small Business Administration (SBA) Guidelines for each category you are applying for?
Yes    No
If your business is certified by the Washington State Office of Minority and Women's Business Enterprises (OMWBE), enter your OMWBE certification number in the appropriate box.
Minority Business Enterprise (MBE)
Women's Business Enterprise (WBE)
Minority Woman Business Enterprise (MWBE)
Combined Business Enterprise (CBE)
Disadvantaged Business Enterprise (DBE)
If your business is Not Washington State WMBE or DBE Certified, please SELECT ONE ownership category that BEST describes the ownership of your business:
At least 51% owned by one or more women (WBE)
At least 51% minority owned (MBE)
At least 51% owned by minority women (MWBE)
50% owned by minority men & 50% owned by non-minority women (CBE)
Ethnic Code (check all that apply):
African American
Hispanic American
Asian American
Native American

If all of the above information is accurate and complete you may submit this form and continue on to the next part of the application by clicking the "Save Page and Continue" button below: