Get Appendix A 320 Pur-dhhrfp- Certification Statement Access

Filling out the Appendix A 320 PUR-DHHRFP- Certification Statement Access form is an essential step in complying with the Request for Proposals process. This guide offers clear instructions to help you navigate each section and ensure accurate completion.

Follow the steps to complete your certification statement online.

1. Click the ‘Get Form’ button to obtain the form and access it in your preferred online editor.
2. Begin by entering the date in the designated field, ensuring that it is the current date on which you are filling out the form.
3. In the Official Contact Name section, print the name of the person you are designating to receive all documents. This should be clearly written to avoid any miscommunication.
4. Fill in the email address of the designated official contact. Make sure it is a valid and regularly monitored email to facilitate effective communication.
5. Provide the fax number, including the area code, if necessary. This will be another method for the Department to reach the official contact.
6. Enter the telephone number with area code for the official contact. This ensures that the Department can communicate directly in case of any inquiries.
7. Complete the street address, including city, state, and zip code for the official contact. Accuracy is key to ensure proper delivery of documents.
8. Review all the filled information for accuracy, ensuring compliance with any mandates specified in the RFP. Make any necessary corrections.
9. Sign the form with an original signature in the Authorized Signature section. Note that electronic or photocopy signatures are not allowed.
10. Print your name and title in the provided fields beneath the signature. This provides context for your role in the submission.
11. Once you have completed the form, you can save your changes, download a copy for your records, print it, or share it as necessary.

Complete your Appendix A 320 PUR-DHHRFP- Certification Statement Access form online today for a smooth submission process.