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STATE OF WASHINGTON <br />DEPARTMENT OF COMMERCE <br />Office of Civil Rights Compliance Checklist <br />JUSTICE ASSISTANCE GRANT <br />FORM 11 <br />A. Federally -Mandated Activities: Equal Opportunity Program <br />1. <br />EEOP total exemption criteria: <br />Yes <br />No <br />Yes <br />No <br />N/A <br />a. <br />Recipient agency (total agency/jurisdiction, not just applying <br />component) has less than 50 employee <br />b. <br />Recipient agency is an educational institution <br />c. <br />Recipient agency is an Indian Tribe <br />d. <br />Recipient agency is a medical institution <br />e. <br />Recipient agency is a non-profit organization <br />f. <br />Recipient agency's award is less than $25,000 <br />g• <br />Recipient agency's award is less than $500,000 <br />Totally Exempt? Is any complete exemption factor above (la. thru 1f) a <br />"Yes"? In comments enter "EEOP Total Exemption" or " EEOP Required" <br />2. <br />If totally EEOP exempt recipient agency has certified it is so exempt and that it <br />will comply with applicable Federal civil rights laws that prohibit discrimination in <br />employment and in the delivery of services <br />Not Totally Exempt: <br />3. <br />If the award is for $500,000 or more, EEOP submission made to the USDOJ <br />Office of Civil Rights <br />4. <br />Was the EEOP submitted to COMMERCE <br />5. <br />Approval and Expiration dates <br />Effective: Expiration: <br />6. <br />EEOP is available for review <br />7. <br />If the award is for less than $500,000 EEOP Certification Form has been <br />submitted to COMMERCE <br />8. <br />EEOP has been formulated and signed into effect within the past two (2) years <br />Generic Civil Rights Compliance (Non-EEOP): <br />9. <br />How does the agency notify program participants and beneficiaries that it <br />does not discriminate on the basis of race, color, national origin, religion, <br />sex, sexual orientation, gender identity, disability, and age in the delivery <br />of services (e.g. posters, inclusion in brochures or other program <br />materials, etc.) <br />Job Announcements <br />Web Site <br />Posters <br />Other (specify): <br />27 <br />