Get Executive Directorcertification Form

Filling out the Executive Director certification form online is a straightforward process that ensures your agency's compliance with the Statewide Standards of Payment. This guide provides clear, step-by-step instructions to assist you in accurately completing and submitting the form.

Follow the steps to complete the Executive Director certification form online

1. Click ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by entering your name as the Executive Director in the designated field, ensuring that it is clearly printed to avoid any confusion.
3. Next, input your agency's name in the corresponding field. This information is crucial for identifying your submission.
4. Fill in your agency's street address, followed by the city, state, and zip code. Accuracy in this section helps ensure proper correspondence.
5. In the 'Re' section, indicate the version number of the SSOP electronic submission you are certifying. This is important for record-keeping.
6. Read through the certification agreement carefully. Ensure you understand the implications of each statement regarding late submissions and the requirements of the final CPA report.
7. After reviewing, provide your signature as the Executive Director in the space provided. This signature serves as your formal acknowledgment of the certification.
8. Print your official title beneath your signature, followed by the date you are signing the certification.
9. Finally, save your changes, and consider downloading or printing the completed form for your records. Ensure that you share the form with the relevant parties as needed.

Complete your Executive Director certification form online today to ensure timely and accurate submission.