Jump to navigation
Please download and save your form before editing the form. DCJ accepts electronically signed PDFs (Find instructions here). You do not need to purchase Adobe software; get the free Adobe Reader.
Certification of Compliance with Regulations - Office of Civil Rights, Department of Justice (DCJ Form 30) (PDF)
Grant Funds Source: Federal
Due Dates: Due to DCJ with signed Grant Agreement
Required Signatures: Project Director, Signature Authority
Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements (PDF)
Grant Funds Source: Federal (Recipient receiving > $100,000 in federal funds)
Due Dates: Due with Grant Application or Upon Request
Required Signatures: Signature Authority
Certification of Match (DCJ Form 32) (PDF)
Due Dates: Due to DCJ with signed Grant Agreement.
Required Signatures: Signature Authority or Controller
Conference Policy and Certification (DCJ Form 31) (PDF)
Due Dates: Due no later than 120 days prior to the conference
Required Signatures: Project Director
Consultants/Contracts Certification (DCJ Form 16) (PDF)
Grant Funds Source: State, Federal
Due Dates: Prior to contract execution with the contractor [Prior Approval Required]; After contract execution and prior to the disbursement of monies to Consultant/Contractor
Equipment Inventory/Retention Certification (DCJ Form 5) (PDF)
Due Dates: Equipment Acquired: due 30 days upon receipt of equipment; Grant Award Period End: due 45 days after the end of the Grant Award Period; Final Disposition: due 45 days after the equipment has reached final disposition.
Equipment Procurement Certification (DCJ Form 13) (PDF)
Due Dates: Prior to any purchase of equipment [Prior Approval Required]
Financial Report (DCJ Form 1-A) (PDF)
Due Dates: Quarterly due 15 days after the end of each calendar quarter; Final due 45 days after the end of the Grant Award Period.
Required Signatures: Financial Officer, Project Director
Payment Request (DCJ Form 3) (PDF)
Due Dates: Quarterly due 15 days after the end of each calendar quarter; Final due 45 days after the end of the Grant Award Period; Payment Request frequency other than Quarterly requires Prior Approval.
Project/Program Income Report (DCJ Form 1-B) (PDF)
Due Dates: Quarterly due 15 days after the end of each calendar quarter;Final due 45 days after the end of the Grant Award Period or the required percentage of earned project income is expended, whichever is later.
Budget Revision (DCJ Form 4-A) (PDF)
Due Dates: Due 30 days prior to deviating from the current approved budget [Prior Approval Required]
Change in Grant Award Period (DCJ Form 4-C) (PDF)
Due Dates: Due No Later than 60 days Prior to the end of the Grant Award Period [Prior Approval Required]
Change in Project Officials (DCJ Form 4-B) (PDF)
Due Dates: Due 15 days following a change in Project Director, Financial Officer, or Signature Authority]
Required Signatures: Project Director or Signature Authority
Modification of Other Grant Agreement Terms (DCJ Form 4-D) (PDF)
Due Dates: Due 30 days prior to deviating from the current approved Grant Agreement [Prior Approval Required]
OAJJA Narrative Report - Final(JAG, DV, MJ, NCHIP, COV, JABG, Formula) (DCJ Form 2F) (PDF)
Due Dates: Final due 45 days after the end of the Grant Award Period
OAJJA Narrative Report - Quarterly (JAG, DV, MJ, NCHIP, COV, JABG, Formula) (DCJ Form 2Q) (PDF)
Due Dates: Quarterly due 15 days after the end of each calendar quarter
Crime Victims Services Fund (CVS) Narrative Report - Quarterly (VOCA, VAWA, SASP, State VALE) (DCJ Form CVS-2) (PDF)
