Compliance Self-Certification

Complete the required quarterly compliance checklist

Grant Program *

Reporting Period

Compliance Statements

Please read each statement carefully and check those that apply to your organization.

Funds have been used only for approved project purposes as described in our grant agreement.

We have not engaged in any lobbying or electioneering activities using grant funds.

We are in compliance with all anti-terrorism and anti-corruption laws and regulations.

Required insurance coverage has been maintained throughout this reporting period.

All financial and programmatic records are up to date and follow the required retention policy.

All required reports have been submitted (or will be submitted) using official templates.

All required approvals have been obtained for publicity, marketing, or press materials.

We agree to cooperate fully with any monitoring visits or audits requested by the grantor.

Our organization's legal status and structure remain unchanged from the original grant application.

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Certification

By submitting this form, I certify that all statements checked above are true and accurate to the best of my knowledge.

Certified By *

Title / Role