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DFA Illegal Immigrant Contractor Disclosure Certification Form

Vendor Name:
Tax ID:
Disclosure Statement:
E-mail Address:
According to Arkansas law (A.C.A. §19-11-105), state agencies are not allowed to enter into contracts for professional, technical or general services, or any category of construction with any contractor who employs persons who are illegal immigrants. Nor may agencies renew any existing contract with such a contractor. Before entering into a contract with a state agency, a prospective contractor must certify that the contractor does not employ or contract with persons who are illegal immigrants. Likewise, if a contractor uses a subcontractor, the subcontractor must also certify they don't employ illegal immigrants.