Your application must be in the form of a written petition which is served and filed in accordance with § 134.204. It must contain the following information:

A statement that OHA has jurisdiction over the case pursuant to § 134.102(g);

Identification of the administrative proceeding for which you are seeking an award;

A statement that you have prevailed, and a list of each issue in which you claim the position of SBA was not substantially justified;

Your status as an individual, owner of an unincorporated business, partnership, corporation, association, organization, or unit of local government;

Your net worth and number of employees as of the date the administrative proceeding was initiated, or a statement that one or both of these eligibility requirements do not apply to you;

The amount of fees and expenses you are seeking, along with the invoice or billing statement from each service provider;

A description of any affiliates (as that term is defined in § 134.608), or a statement that no affiliates exist;

A statement that the application and any attached statements and exhibits are true and complete to the best of your knowledge and that you understand a false statement on these documents is a felony punishable by fine and imprisonment under 18 U.S.C. 1001; and

Your name and address;

Your signature, or the signature of either a responsible official or your attorney; and

The address and telephone number of the person who signs the application.

You should follow this chart to determine which further documents must be included with your application: