Add Your Business

Fields marked * are required.

You'll need: business name, category, location, phone, email, a short description, your name/email/phone as claimant, your relationship to the business, and at least one qualifying owner record (name, ownership %, role, control role, attestation date). Business contact email and evidence references help verification go faster but are not required to submit.

Business InformationBusiness Name *Category *Location *

Address Line 1CityStatePostal Code

Contact Information

Phone Number *Primary Email Address *Business Contact Email (optional)Website URL (optional)

Claimant Information

Claimant Name *Claimant Email *Claimant Phone *Relationship to Business *Claimant Role / Title

Qualifying Owners

Add every qualifying owner and note which supporting documents show that person's ownership and control.

Owner 1

Owner Name *Ownership Percentage *Role / Title *Control / Management Role *Attestation Date *Owner has completed Black self-attestationOwnership documents for this owner (for example: Document 1, Document 2)Control documents for this owner (for example: Document 1)

Supporting Documents

Add the documents or references that support ownership, control, representative authority, business legitimacy, or Black self-attestation. Use the document number shown on each card when you connect a document to an owner above.

Document 1

Document number

Document 1

Document TypePurposeDocument link or file note (optional, speeds up verification)Owner Name on EvidenceBusiness Name on EvidenceOwnership % on Evidence

Business ProfileDescription *

Logo Upload

Optional. You can submit without an image.

Social MediaFacebook (optional)Twitter/X (optional)