Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. Enter the 'Entity Name' in the designated field, which refers to the legal name of the organization submitting the certification.
3. Fill in the 'Date' field with the current date when the form is being completed.
4. Provide the 'Agency/Department Name', specifying the name of the agency or department associated with the grant.
5. Input the 'Name of Chief Executive Officer', ensuring that the correct name of the individual holds this position is entered.
6. Fill out the 'Name of Head of Law Enforcement Agency', indicating the person responsible for the law enforcement aspect of the agency.
7. Review the certification statements regarding participation with the U.S. Department of Homeland Security, confirming that both the Grantee and Agency understand their roles and responsibilities. Ensure all tick boxes are selected or statements acknowledged as required.
8. Finalize all entries and carefully review the document for accuracy. Make sure all required information is complete before proceeding.
9. When satisfied with the form completion, you have various options to save your progress: download the form, print it for physical submission, or use sharing options as needed.

Complete your certifications online today to ensure compliance and maintain eligibility for funding.