ver 6.15.2017

Become a Certified M/WBE with Suffolk County

To become certified as an M/WBE with Suffolk County, businesses must first fill out a Certification Application. This form must be completed in full, then signed, notarized, and mailed in to the Suffolk County Office of Minority Affairs. To download application, please fill out the required information below, and click "Download Application".

Applications should be mailed to:
Suffolk County Office of Minority Affairs
100 Veterans Memorial Highway, 3rd Floor
P.O. Box 6100
Hauppauge, New York 11788-0099

The contact information provided will be kept in the strictest confidence until your application has been approved, and your business entry is added to the Suffolk County M/WBE directory.

Note: Certification with Suffolk County does not certify your business with any other governmental entity. For information about becoming certified with the State of New York, please visit Empire State development here.

Contact Information

Company Name
Contact Person/Owner
First Name
Last name
Address
City
State
Zip Code
Email
Telephone (Area Code-999-9999)

I would like to Certify as a(n)

Certification
Minority Business Enterprise(MBE)
Women Business Enterprise(WBE)