To ensure that all documents are completed and included in
the state grantee application package, check off each item as completed
and attach this checklist to the application.
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Application for Federal Assistance, SF 424 (Attachment C) |
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Assurances (Attachment D) |
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Certification Regarding Lobbying; Debarment, Suspension, and Other
Responsibility Matters; and Drug-Free Workplace Requirements (Attachment
E) |
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Disclosure of Lobbying Activities, if applicable (Attachment F) |
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Crime Victim Compensation State Certification Form, FY 2000 payout
(Attachment G) |
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Written documentation of the following: |
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Civil Rights: Each state grantee must provide OVC with the name,
address, and telephone number of the contact person who has lead responsibility
in ensuring that all applicable civil rights requirements are met and
who acts as the liaison in civil rights matters with the Office for Civil
Rights in the Office of Justice Programs. |
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Administrative Funds: State grantees choosing to use a portion of
the award for administrative purposes must report the amount of the total
grant that will be used for administrative funds and certify that these
funds do not supplant other funds available for administration. (NOTE:
This amount cannot exceed 5 percent of the award.) |
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State Grantee Eligibility Requirements: Each state grantee must provide
written, signed certification that it complies with the requirements of
Part II, State Grantee Eligibility Requirements. |
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A copy of the state statute covering the crime victim compensation
program. |
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A letter from the governor designating a new state agency if there
has been a change and OVC has not been notified.
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