City of Tacoma
Community& Economic Development
Office of Small Business Enterprise
747 Market Street, Room 900
Tacoma, WA 98402
253-591-5224 or 253-573-2435
PERSONNEL INVENTORY FORM
This form is to be completed and signed by a responsible official of the company and included in the submittal package .
Specification Number_____________________________ Specification Title ____________________________________________
Company Name ______________________________________________________ Date __________________________________
Street Address/City/State/Zip ___________________________________________________________________________________
Telephone __________________________________ EMail Address ___________________________________________________
Job Categories
(Specify)
Total
Employees
Non
Minority
Total
Minorities
Asian or
Pacific
American
Indian or
Hispanic
Type or Print Name of Responsible Officer / Title Signature of Responsible Officer Date
Comments:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
SEE INSTRUCTIONS ON REVERSE SIDE
CCD/SBE/FORMS revised June 2013