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Staff Instruction 17781 Exhibit C Page 1EMERGENCY COMMUNITY WATER ASSISTANCE GRANTS (EC WAG): Combined Assurances and Certification (Standard Form 424D) Some following assurances may not be applicable
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Obtain the USDA is an equal form from the official USDA website.
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Fill in your personal information, such as your name, address, and contact details.
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Provide information about the equality issue you want to address with USDA.
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Anyone who has experienced or witnessed discrimination or unequal treatment related to USDA programs, activities, or services may need to fill out USDA is an equal form.
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This form is designed to gather information about such incidents and help investigate and resolve any issues of inequality.
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USDA is an acronym for United States Department of Agriculture.
Any entity or individual who receives payments or benefits from USDA programs may be required to file USDA Form AD-855 Equal Opportunity Public Notification Poster.
The USDA Form AD-855 Equal Opportunity Public Notification Poster can be filled out online or by hand, following the instructions provided on the form.
The purpose of USDA Form AD-855 Equal Opportunity Public Notification Poster is to inform program participants and the public about their rights under equal opportunity laws and regulations.
The USDA Form AD-855 Equal Opportunity Public Notification Poster must include information about non-discrimination and equal opportunity policies, contact information for filing complaints, and instructions for requesting accommodation.
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