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The Disparity Impact Statement A Condition of Award for SAMOSA Grantees A Nonsupport Aide Submitted by Samosas Office of Behavioral Health Equity October 2020 What is the Purpose of the Disparity
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To fill out a form disparity impact statement, follow these steps:
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Open the form disparity impact statement document.
03
Read the instructions carefully to understand the purpose and requirements of the statement.
04
Enter the relevant information about the project or program for which the statement is being prepared.
05
Provide a detailed analysis of the potential disparities or unequal impacts that may result from the project or program.
06
Include data, facts, and evidence to support the claims made in the statement.
07
Describe any measures or strategies that will be implemented to mitigate the identified disparities or impacts.
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Include any additional information or supporting documentation that may be required by the form.
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Review the completed statement for accuracy and completeness.
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Who needs form disparity impact statement?

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Form disparity impact statements are typically needed by government agencies and organizations involved in projects or programs that may have differential impacts on various groups of people.
02
Examples of entities that may require a form disparity impact statement include government departments, planning commissions, grantors, and institutions responsible for implementing policies, programs, or development projects.
03
The purpose of the statement is to assess the potential disparities and ensure that equitable outcomes are achieved or measures are taken to address any identified disparities.
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Form disparity impact statement is a document that assesses and reports the impact of disparities on certain groups within a given population.
Certain organizations or entities are required to file form disparity impact statement, depending on the regulations and requirements set forth by the governing body.
Form disparity impact statement can be filled out by providing detailed information on the impact of disparities, following the guidelines and instructions provided by the governing body.
The purpose of form disparity impact statement is to identify and address disparities within a population and take steps to reduce or eliminate them.
Form disparity impact statement typically requires reporting on demographic data, disparities in access to services, and measures taken to address disparities.
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