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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 COMPLETED <br /> Applicant Agency Information Page(All Applicants) m <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) m <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 /> Attachment A: DOJ Certified Standard Assurances(All Applicants) m <br /> Attachment B: Statutory Eligibility Requirements(Local Government or Tribal Applicants m <br /> Only) <br /> Attachment C:Confidentiality&Privacy Provisions(Non-Profit VS Providers Only) ❑ <br /> Attachment D: Report Breach & P11 (Non-Profit Victim Services Providers Only) ❑ <br /> Attachment E:STOP Award Conditions(All Applicants) m <br /> Attachment F:Civil Rights Training(All Applicants) m <br /> Attachment G:Consultation with Victim Services(Criminal Justice Applicants Only) m <br /> Attachment H:CCR Team Participation(One per Team/County) m <br /> Washington State STOP Formula Grant Program Renewal Application for FFY 2022 27 <br />