BLUE Federal regulations require a) original signatures in ink, and b) signature of the individual meeting the criteria of authorized official. Attach, as an appendix to the application, any documentation for temporary authority (i.e. Acting or temporary assigned personnel). Date is the day, month, and year when the authorized official signed the document. Please complete mandated forms with the appropriate signature, attach, and submit with the application form. OCJA considers applications INVALID when received without the signed certification documents. STANDARD CERTIFIED ASSURANCES - Signed by the Governmental Unit (i.e., Mayor, County Commissioner, City Supervisor) and the Applicant Agency (i.e., Police Chief, Sheriff, District Attorney, State Agency Director) for this Application to be valid. When securing both signatures proves difficult, please incorporate a written statement, as an appendix, in the application certifying the submission of the fully executed document by the requesting agency, on a mutually agreed date, prior to the beginning of the performance period for the award. Failure to submit the fully executed form by the agreed deadline will result in the prorating or cancellation of the award. CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION OTHER RESPONSIBILITY MATTERS; DRUG- WORKPLACE REQUIREMENT EQUAL EMPLOYMENT OPPORTUNITY PLAN FORM CIVIL RIGHTS REQUIREMENTS WAIVER OF PASS THROUGH (for non-profit, if applicable) APPLICATION CHECKLIST
Federal regulations require a) original signatures in BLUE ink, and b) signature of the individual meeting the criteria of authorized official. Attach, as an appendix to the application, any documentation for temporary authority (i.e. Acting or temporary assigned personnel). Date is the day, month, and year when the authorized official signed the document. Please complete mandated forms with the appropriate signature, attach, and submit with the application form. OCJA considers applications INVALID when received without the signed certification documents. STANDARD CERTIFIED ASSURANCES - Signed by the Governmental Unit (i.e., Mayor, County Commissioner, City Supervisor) and the Applicant Agency (i.e., Police Chief, Sheriff, District Attorney, State Agency Director) for this Application to be valid. When securing both signatures proves difficult, please incorporate a written statement, as an appendix, in the application certifying the submission of the fully executed document by the requesting agency, on a mutually agreed date, prior to the beginning of the performance period for the award. Failure to submit the fully executed form by the agreed deadline will result in the prorating or cancellation of the award. CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION OTHER RESPONSIBILITY MATTERS; DRUG- WORKPLACE REQUIREMENT EQUAL EMPLOYMENT OPPORTUNITY PLAN FORM CIVIL RIGHTS REQUIREMENTS WAIVER OF PASS THROUGH (for non-profit, if applicable) APPLICATION CHECKLIST
Edward%20Byrne%20Memoiral%20Justice%20Assistance%20Application%20FY%202018.docx