Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the form and open it in your online editing tool.
2. Fill in the 'School/Office Name' field with the name of your institution or office.
3. Enter the applicable 'Program Name(s)' and 'Program Code(s)' to identify the relevant funding source.
4. If applicable, provide the 'Cost Objective Name' you've been assigned, such as 'Title I Schoolwide plan (SWP)'.
5. Select one option under 'CHECK ONE ONLY' to specify whether this is a 'Periodic Certification' or a 'Training, Occasional or Substitute Assignment Certification'.
6. Indicate the 'Fiscal Year' and the 'Period Covered' for which this certification applies.
7. Record the 'Date(s) Worked', which should not exceed six months as per the guidelines.
8. Input the total 'Hour(s) Worked' during the specified dates in this section.
9. Provide a brief 'Description of Activity' that defines the nature of the work performed.
10. If multiple employees from the same cost center are certified, attach the relevant sign-in sheet and agenda that include training description, funding source(s), employee names, employee numbers, signatures, hours worked, and dates of training.
11. List the names and positions of the individuals certifying their work along with the certification statement.
12. Ensure the supervising official signs the form, providing their name, title, and date to affirm knowledge of the work performed.
13. After completing all sections, save your changes, and if necessary, download, print, or share the form to finalize submission.

Complete your documentation online now to ensure compliance and accuracy.