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RENEWAL APPLICATION CHECKLIST <br />This checklist is to assist you in the completion of all application documents. Please include it with the <br />submission of your application. <br />RENEWAL APPLICATION DOCUMENTS <br />COMPLETED <br />Applicant Agency Information Page (All Applicants) <br />i►I <br />Budget, as relevant: (All Applicants) <br />• Personnel <br />o Salaries <br />o Benefits <br />• Subgrantees <br />• Consultants <br />• Goods and Services (be sure to complete checkbox at top of page) <br />• Indirect Costs and any applicable documentation: <br />o Approved rate agreement or certification, or <br />o Indirect cost rate proposal, or <br />o MTDC Certification form <br />• Match or Cost Sharing Requirements and Total Budget Summary <br />I•I <br />Attachment A: DOJ Certified Standard Assurances (All Applicants) <br />I•I <br />Attachment B: Statutory Eligibility Requirements (Local Government or Tribal Applicants <br />PI <br />Attachment C: Confidentiality & Privacy Provisions (Non -Profit VS Providers Only) <br />• <br />Attachment D: Report Breach & PII (Non -Profit Victim Services Providers Only) <br />■ <br />Attachment E: STOP Award Conditions (All Applicants) <br />!rI <br />Attachment F: Civil Rights Training (All Applicants) <br />FI <br />Attachment G: Consultation with Victim Services (Criminal Justice Applicants Only) <br />FI <br />Attachment H: CCR Team Participation (One per Team/County) <br />!rI <br />Washington State STOP Formula Grant Program Renewal Application for FFY 2022 27 <br />