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SSBG-04 (9/2013) Page 1 of 2 NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES SUPER STORM SANDY SOCIAL SERVICES BLOCK GRANT ATTESTATION FORM (Note: All fields are required) Organization Name:
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How to fill out ssbg-04 attestation form:

01
Begin by downloading the ssbg-04 attestation form from the official website or obtaining a physical copy from the relevant authority.
02
Read the instructions carefully to understand the purpose and requirements of the form.
03
Provide your personal information in the designated fields, such as your full name, contact details, and any identification numbers requested.
04
Fill out the specific sections related to the attestation, ensuring you accurately provide the necessary details and information.
05
Double-check your filled-out form for any errors or missing information before submitting it.
06
Sign and date the form in the appropriate sections to validate your attestation.

Who needs ssbg-04 attestation form:

01
Individuals applying for government benefits or assistance programs may be required to fill out the ssbg-04 attestation form to verify their eligibility and compliance with the program's guidelines.
02
Organizations or businesses that receive funding or grants from the government may also need to submit this form as part of their reporting and accountability processes.
03
It is essential to check the specific requirements of the program or funding source to determine if the ssbg-04 attestation form is necessary in your particular case.
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SSBG-04 attestation form is a document used to verify the accuracy and eligibility of the reported data for the Social Services Block Grant (SSBG) program.
Government agencies and organizations receiving SSBG funds are required to file the SSBG-04 attestation form.
To fill out the SSBG-04 attestation form, you need to provide accurate and complete information as requested in the form. This may include details about SSBG-funded activities, expenditures, and outcomes.
The purpose of the SSBG-04 attestation form is to ensure compliance with program regulations and to validate the data reported for the SSBG program.
The SSBG-04 attestation form may require reporting of information such as program activities, expenditures, outcomes, and any other data relevant to the SSBG program.
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