Ref-04107 Application for Recertification DEO Form 7102 2  

73c 1.001 reference material   4/9/2014

Form 7102-2 - The form is missing the effective date (there is a blank where the date should be filled in). The effective dates of the forms on page 3 are missing. Page 7 of the form refers to information in Tabs 5-6 which were removed from the form (see page 4); it appears that the Department forgot to update this page. Similarly, page 8 of the form refers to information in Tab 7; it appears that the reference should be to Tab 5.   6/24/2014

Mission statement updated, and staff name removed that's no longer with agency.   4/29/2016

Added DEO header, removed redundant text out of box.   5/10/2016

remove name of former employee on page 7   5/10/2016

Former Department employee's name removed from the mailing address on page 7. Replaced with "Black Business Loan Program."   5/19/2016