Dd Form 2051 - Request For Assignment Of A Commercial And Government Entity (Cage) Code
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2Form Approved
REQUEST FOR ASSIGNMENT OF A COMMERCIAL AND GOVERNMENT ENTITY (CAGE) CODE
OMB No. 0704-0225
(See Instructions on back)
Expires Oct 31, 2007
The public reporting burden for this collection of information is estimated to average 7 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0225). Respondents should be aware
that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB
control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. SEND COMPLETED FORM TO ADDRESS ON BACK.
SECTION A - TO BE COMPLETED BY INITIATOR
1. REQUESTING GOVERNMENT AGENCY/ACTIVITY
a. NAME
b. ADDRESS
STREET
2. TYPE CODE REQUESTED (X one)
3. EXCEPTION CODES
CITY
STATE
ZIP CODE
a. TYPE A
a. CAO
b. TYPE F
b. ADP
4. INITIATOR
a. TYPED NAME (Last, First, Middle Initial)
b. OFFICE SYMBOL
c. SIGNATURE
d. TELEPHONE NO.
(Include area code)
SECTION B - TO BE COMPLETED BY FIRM TO BE CODED
5. FIRM
a. NAME (Include Branch of, Division of, etc.)
b. ADDRESS
STREET
c. CAGE CODE (If previously assigned)
CITY
STATE
ZIP CODE
6. IF FIRM PREVIOUSLY OPERATED UNDER OTHER NAME(S) OR
7. PARENT COMPANY AND AFFILIATED FIRMS (X one, and complete
OTHER ADDRESS(ES) SPECIFY THE PREVIOUS NAME(S) AND/OR
as applicable)
ADDRESS(ES) (Use separate sheet of paper, if necessary)
a. NONE
b. CURRENTLY AFFILIATED WITH OTHER FIRMS (List name(s) and
address(es) of such firms on a separate sheet of paper)
c. PREVIOUSLY AFFILIATED WITH OTHER FIRMS (List name(s) and
address(es) of such firms on a separate sheet of paper)
10. NUMBER OF EMPLOYEES
8. PRIMARY BUSINESS CATEGORY (X one)
9. SMALL DISADVANTAGED BUSINESS
STATUS (X one)
a. MANUFACTURER
11. WOMEN-OWNED BUSINESS CONCERN
b. DEALER/DISTRIBUTOR
a. APPROVED BY SMALL BUSINESS ADMINIS-
(X one)
TRATION (SBA) FOR SECTION 8(a) PROGRAM
c. CONSTRUCTION FIRM
a. YES
b. NO
d. SERVICE COMPANY
12. NORTH AMERICAN INDUSTRY CLASSI-
b. OTHER SMALL DISADVANTAGED BUSINESS
FICATION SYSTEM (NAICS) CODES
CONCERN
e. SALES OFFICE
f. OTHER (Specify)
a. PRIMARY
c. NOT SMALL DISADVANTAGED BUSINESS
CONCERN
b. OTHER (Specify)
13. REMARKS
14. FIRM OFFICIAL
a. TYPED NAME (Last, First, Middle Initial)
b. DATE SIGNED
c. SIGNATURE
d. TELEPHONE NO.
(YYYYMMDD)
(Include area code)
DD FORM 2051, FEB 2005
PREVIOUS EDITION IS OBSOLETE.
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Parent category: Business