Once you have completed the registration process you have 30 days to complete and submit the application for certification. After 30 days this registration will be deleted

Tax ID:*    DUNS #:   Business Name:* 
Business Email:   Web Site URL: 
Street Address:*
(No PO Box)
County:(WI Only)
select
  City:*    State:* 
select
  Zip:* 
Business Phone:*   Ext:  Fax: 
Certification Applying for:*
Salutation:*
select
First Name:*  Last Name:* 
Street Address:* 
County:
(WI Only)
select
City:*    State:* 
select
  Zip:* 
Email:*
(Login ID) 		 Re-enter Email: 
Telephone:*   Title: 
Password:*  Re-enter Password:* 
Password Reset Question:*  Password Reset Answer:* 
* - Indicates a required field

Enter both the Business and Contact Information before clicking the Submit and Register button

Contact Us  |   Legal Notices   |   Privacy Notice WI Department of Administration, WI Supplier Diversity Program
PO Box 7970, Madison, WI 53707-7970 USA
Phone: 608-267-9550