2. Contact Us

   You may use this form to submit written comments about your experiences with the Unified Government. Please provide details of your experiences, doing business or attempting to do business with the Unified Government, its prime contractors/vendors, or in the private sector marketplace. Please be specific in your comments regarding entities involved, as well as time and location for the experiences that you share.

4. Name*
6. Company Name
8. Phone
10. Email*
12. Address 1
14. Address 2
16. City
17. State
18. Zip
20. Company's Primary Line of Business
22. Company Owner's Ethnicity

    1. African American/Black
    2. Asian-American or Pacific Islander

    1. White/Non-Hispanic
    2. Hispanic American or Latino

    1. Native American
    2. Other
24. Please specify:
26. Company Owner's Gender

    1. Male
    2. Female
    3. Prefer Not to Answer
    4. Not Applicable
28. Certifications (if applicable)

    Check all that apply

    1. Small Business Enterprise (SBE)
    2. Minority Business Enterprise (MBE)
    3. Woman Business Enterprise (WBE)
    4. Disadvantaged Business Enterprise (DBE)
    5. Veteran Business Enterprise (VBE)
30. Comments
32. Business owners may be contacted to provide feedback through invitation-only interviews and/or surveys.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field