VA Form 26-0967 – Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion

VAFORMS.NETVA Form 26-0967 – Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion – The VA Form 26-0967 is a critical document required for any federal contractor. It serves as an attestation from the contractor that it has not been debarred, suspended, or voluntarily excluded from participation in federal programs and activities. This form is also necessary to demonstrate that the contractor isn’t disqualified due to its involvement in certain unlawful activities. The purpose of this article is to provide a comprehensive overview of VA Form 26-0967 and its importance for federal contractors.

Download VA Form 26-0967 – Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion

Form Number VA Form 26-0967 –
Form Title Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion
Edition Date June 2022
File Size 825 KB

What is a VA Form 26-0967?

VA Form 26-0967 is an important document issued by the U.S. Department of Veterans Affairs (VA) to confirm that a contractor or potential contractor is in compliance with federal regulations regarding debarment, suspension, and ineligibility. The form must be signed by each person applying for a contractor who may be responsible for conducting business activities on behalf of the VA. It certifies that the individual is not excluded from receiving funds or other benefits administered by any federal agency due to past misconduct.

The form also requires contractors to certify that they have not been found ineligible for future participation in a federally-assisted program within the last three years and do not currently have legal proceedings pending against them which could result in such exclusion.

Where Can I Find a VA Form 26-0967?

Finding the right forms for veterans affairs can be tricky. Fortunately, VA Form 26-0967 is an easy form to locate. This important document is a Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion – used as part of the process when a veteran or organization applies for certain services at the Veterans Health Administration (VHA). The form is available directly from the VHA website and other sources that offer electronic or hard-copy versions of federal documents.

Accessing VA Form 26-0967 is simple and straightforward. As long as you have internet access you can visit the VHA website to download or print out a copy of this form. For those without internet access, most public libraries provide free internet access and printing services so you can download and print out copies for free.

VA Form 26-0967 – Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion

The Department of Veterans Affairs (VA) Form 26-0967 is a certification form used by vendors to certify that they are not currently subject to any debarment, suspension, or ineligibility for federal government contracting. This form must be completed when applying for a contract with the VA and is intended to ensure compliance with government regulations and laws regarding the use of contractors.

The form requires applicants to provide information related to past criminal conduct, including any felonies or misdemeanors committed within the last ten years. Additionally, applicants must certify that they have not been found guilty of fraud, bribery, collusion, or any other unfair practice relating to a prior federal contract award. The applicant must also declare that they have not been voluntarily excluded from participating in federal contracts during the relevant time period.

VA Form 26-0967 Example

VA Form 26-0967 - Page 1 VA Form 26-0967a - Page 1

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