SBA Form 1010 Representative Form 1010 Business

What Is SBA Form 1010?

SBA Form 1010, Representative Form 1010 Business is a form used by businesses to inform the Small Business Administration (SBA) of the representatives hired and compensation paid for assistance with an initial application for the 8(a) Business Development Program. The SBA 8a Program was designed for supporting small and disadvantaged businesses in the Federal marketplace.

The SBA released the latest version of the form on February 22, 2017. An up-to-date SBA Form 1010 PDF version is available for download through the link below.

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REPRESENTATIVES AND FEES
Important! It is not necessary to hire and pay another person to prepare this or any other 8(a) BD Program application.
The SBA District Offices and SCORE Counselors, Small Business Development Centers, Women’s Business Centers,
Veteran’s Business Outreach Center and Procurement Technical Assistance Centers offer assistance to 8(a) applicants.
However, if the applicant firm does pay another person, the fees paid must be reasonable in light of the services performed.
See 13 CFR § 124.4. The fee charged by any agent or representative for assisting the applicant in obtaining 8(a) BD
Program certification cannot be contingent upon the applicant receiving certification. The agent or representative may be
excluded under 13 CFR Part 103, or suspended or debarred under 2 CFR Part 180 or 48 CFR Subpart 9.4. For good cause
(as defined at 13 CFR § 103.4), the AA/BD may initiate proceedings to suspend or revoke a packager's, ag ent's or
representative's privilege to assist applicants obtain 8(a) certification, assist Participants obtain 8(a) contracts, or any other
assistance to support program participation. The AA/BD may send a show cause letter requesting the agent or
representative to demonstrate why the agent or representative should not be suspended or proposed for revocation, or may
immediately send a written notice suspending or proposing revocation, depending upon the evidence in the administrative
record.
List the names of attorneys, accountants, appraisers, agents or other representatives who assisted in the preparation or
filing of the application. Indicate the amount of fees, bonuses, commissions or expenses paid or due. SBA reserves the
right to require, at a later date, a full itemization by representatives of actual services rendered. Attach additional pages if
necessary.
NAME AND OCCUPATION
DESCRIPTION OF SERVICES
TOTAL FEES
OF REPRESENTATIVE
PAID OR DUE
CERTIFICATION: By signing this form, we certify under penalty of criminal prosecution that all information
on this form and any attached additional pages, and all responses on the application, including all supporting
documents, is true and complete to the best of our knowledge, and that we understand that SBA is relying on this
information in making its determination of the reasonableness of the fees charged and the applicant business
concern’s eligibility for 8(a) BD Program certification.
Applicant:
___________________________
____________________________
_______________________
Signature
Print Name
Date
(Individual holding the highest position for the firm)
Representative(s)
1) ___________________________ ____________________________
_______________________
Signature
Print Name
Date
Name of Employer _____________________________________________________________________
2) ___________________________ ____________________________
_______________________
Signature
Print Name
Date
Name of Employer _____________________________________________________________________
3) ___________________________ ____________________________
_______________________
Signature
Print Name
Date
Name of Employer _____________________________________________________________________
SBA Form 1010- Business
REPRESENTATIVES AND FEES
Important! It is not necessary to hire and pay another person to prepare this or any other 8(a) BD Program application.
The SBA District Offices and SCORE Counselors, Small Business Development Centers, Women’s Business Centers,
Veteran’s Business Outreach Center and Procurement Technical Assistance Centers offer assistance to 8(a) applicants.
However, if the applicant firm does pay another person, the fees paid must be reasonable in light of the services performed.
See 13 CFR § 124.4. The fee charged by any agent or representative for assisting the applicant in obtaining 8(a) BD
Program certification cannot be contingent upon the applicant receiving certification. The agent or representative may be
excluded under 13 CFR Part 103, or suspended or debarred under 2 CFR Part 180 or 48 CFR Subpart 9.4. For good cause
(as defined at 13 CFR § 103.4), the AA/BD may initiate proceedings to suspend or revoke a packager's, ag ent's or
representative's privilege to assist applicants obtain 8(a) certification, assist Participants obtain 8(a) contracts, or any other
assistance to support program participation. The AA/BD may send a show cause letter requesting the agent or
representative to demonstrate why the agent or representative should not be suspended or proposed for revocation, or may
immediately send a written notice suspending or proposing revocation, depending upon the evidence in the administrative
record.
List the names of attorneys, accountants, appraisers, agents or other representatives who assisted in the preparation or
filing of the application. Indicate the amount of fees, bonuses, commissions or expenses paid or due. SBA reserves the
right to require, at a later date, a full itemization by representatives of actual services rendered. Attach additional pages if
necessary.
NAME AND OCCUPATION
DESCRIPTION OF SERVICES
TOTAL FEES
OF REPRESENTATIVE
PAID OR DUE
CERTIFICATION: By signing this form, we certify under penalty of criminal prosecution that all information
on this form and any attached additional pages, and all responses on the application, including all supporting
documents, is true and complete to the best of our knowledge, and that we understand that SBA is relying on this
information in making its determination of the reasonableness of the fees charged and the applicant business
concern’s eligibility for 8(a) BD Program certification.
Applicant:
___________________________
____________________________
_______________________
Signature
Print Name
Date
(Individual holding the highest position for the firm)
Representative(s)
1) ___________________________ ____________________________
_______________________
Signature
Print Name
Date
Name of Employer _____________________________________________________________________
2) ___________________________ ____________________________
_______________________
Signature
Print Name
Date
Name of Employer _____________________________________________________________________
3) ___________________________ ____________________________
_______________________
Signature
Print Name
Date
Name of Employer _____________________________________________________________________
SBA Form 1010- Business

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SBA Form 1010 Instructions

The SBA 8(a) Form 1010 requires the business owner (Applicant) to list the names of any attorneys, accountants, appraisers, or other professionals (Representatives) who assisted in the preparation or filing of the 8(a) Program application. Applicants are required to list all paid and due compensation. The SBA will use the information gathered via the SBA 1010 to determine the Applicant's of eligibility for 8(a) Program certification.

The SBA may later require the Representatives to provide a full itemization of the actual services provided. The SBA 1010 is signed by the Applicant and all Representatives. By signing this form all parties certify under penalty of prosecution that all provided information is complete and true.

SBA Form 1010 Related Publications

  1. SBA Form 1010B-ANC, 8(a) Business Development (BD) Program Application Alaskan Native Corporation-Owned Concern is a form filed by representatives of Alaskan Native Corporation-owned business applying for the 8(a) Business Development Program with the Small Business Administration (SBA).
  2. SBA Form 1010-NHO, 8(a) Business Development (BD) Program Application Native Hawaiian Organization-Owned Concern is a form completed by representatives of Native Hawaiian Organizations that own the businesses of 8(a) Business Development Program applicants.
  3. SBA Form 1010B-AIT 8(a) Business Development (BD) Program Application American Indian - Tribally-Owned Concern is a form completed by American Indian Tribes that owns 51% or more of a small business applying for the 8(a) Business Development Program.
  4. SBA Form 1010B-IND, 8(a) Business Development (BD) Program Application Individual Information is a form filled out by each individual owning more than 10% of a business applying for the 8(a) Program.
  5. SBA Form 1010B-CDC, 8(a) Business Development (BD) Program Application Community Development Corporation-Owned Concern is a form filed by the Certified Development Company (CDC) that owns the business of an 8(a) Business Development program applicant.

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