Project details
Project description, project location and FAI number.
10-0388-12
Certification Regarding Debarment, Suspension, Ineligibility, Voluntary Exclusion—Lower Tier Transactions
- Agency
- VA
- Revision
- July 2013
- Fillable fields
- 8
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 10-0388-12: Debarment and Suspension Certification, Lower Tier Transactions
VA Form 10-0388-12 is the U.S. Department of Veterans Affairs Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Lower Tier Covered Transactions. VA's forms feed lists it under the Veterans Health Administration. The form says the certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 38 CFR Part 44.510, Participants' Responsibilities.
By submitting the proposal, the prospective lower tier participant certifies that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in the transaction by any Federal department or agency. Page 1 holds the project fields, the certification and the company's signature block, and page 2 holds the instructions. It is completed by a company, not by individual Veterans.
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What's on VA Form 10-0388-12
Statement (1): the certification
That neither the participant nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded by any Federal department or agency.
Statement (2): explanations
Where the participant is unable to certify to any of the statements, it attaches an explanation to the proposal.
Company signature block
Name of company, company tax identification number, name and title of the authorized representative, signature and date as mm/dd/yyyy.
Page 2: Instructions for certification
Nine numbered instructions covering what signing means, the effect of an erroneous certification, written notice of changes, defined terms and the clause to include in lower tier transactions.
Paperwork Reduction Act notice
OMB Number 2900-0661, an estimated burden of 1 hour, and the authority of 38 U.S. Code Sections 8133(a) and 8135(a).
How to complete VA Form 10-0388-12
- 1
Read the page 2 instructions
Instruction 2 says the certification is a material representation relied on when the transaction is entered into.
- 2
Identify the project
Enter the project description, project location and FAI number.
- 3
Enter the company details
Enter the name of the company and the company tax identification number.
- 4
Attach an explanation if needed
The form says a participant unable to certify to any of the statements attaches an explanation to the proposal.
- 5
Sign and date
The authorized representative enters a name and title, signs and dates the certification.
- 6
Report later changes
Instruction 3 says the participant gives immediate written notice if it learns its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
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Where it goes
Recipient
The certification goes with the proposal to the person to whom the proposal is submitted. The form prints no address.
Lower tier clause
Instruction 6 says the participant includes the clause titled Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower Tier Covered Transactions, without modification, in all lower tier covered transactions and solicitations for them.
Edition
The July 2013 edition, marked VA FORM JUL 2013. It carries OMB Number 2900-0661.
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Who uses VA Form 10-0388-12?
The form and its instructions describe who certifies and who relies on the certification.
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Questions about Form 10-0388-12
What does VA Form 10-0388-12 certify?
That neither the prospective lower tier participant nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from the transaction by any Federal department or agency.
Who signs VA Form 10-0388-12?
The company's authorized representative, with the company name and the company tax identification number.
What if the company cannot certify?
The form says a prospective participant unable to certify to any of the statements attaches an explanation to the proposal.
What happens if the certification is wrong?
Instruction 2 says that if the participant knowingly rendered an erroneous certification, the department or agency with which the transaction originated may pursue available remedies, including suspension and/or debarment, in addition to other remedies available to the Federal Government.
Which rule requires this certification?
The form cites the regulations implementing Executive Order 12549, Debarment and Suspension, 38 CFR Part 44.510, Participants' Responsibilities.
Is checking the Nonprocurement List required?
Instruction 7 says each participant may, but is not required to, check the Nonprocurement List.