Government of the District of Columbia
Office of the Chief Financial Officer
Office of Tax and Revenue
Citywide Clean Hands (CCH)
I am hereby requesting a Clean Hands Certificate for the following entity:
If this is a third-party request, please submit a Power of Attorney with this request form. Should you have additional questions, please contact Rhonda Lycorish at (202) 442-6815 or via email Rhonda.Lycorish@dc.gov.
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Alcohol and Beverage Regulation Administration (ABRA)
Department of Consumer and Regulatory Affairs (DCRA)
Department of Employment Services (DOES)
Department of Health, Health Professional Licensing Administration (DOH-HPLA)
Department of Insurance Security and Banking (DISB)
Department of Mental Health (DMH)
Department of Motor Vehicle (DMV)
District of Columbia Lottery and Charitable Games Control Board (DCLCGCB)
Office of Contract and Procurement (OCP)
If other; Please specify:
How would you like to receive your certification?
CCH requests will be held for thirty (30) days from the date completed. If requests are not picked up within the allotted timeframe you must reapply.
How many copies of the certificate are being requested?