Complete all fields of this application form. Please attach a substitute form W-9 before submission. Additional information about the program is available on the Consulting Services Program website.

Consulting firm general information

    Contact information

    Who has authority to sign contracts for your firm?

    Who can the county contact with billing questions?

    Who can the county contact for liability insurance information?

    Work type

    Select all the types of work your firm is qualified and available to perform for Hennepin County. For a detailed definition of each work type read “What are the current work types?” section of the Consulting Services Program website.