Loading
Get Va 10-0143 2023-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the VA 10-0143 online
The VA 10-0143 form is required to certify compliance with drug-free workplace requirements for grantees other than individuals. This guide provides clear, step-by-step instructions to help you complete this form online efficiently.
Follow the steps to complete the VA 10-0143 form online.
- Press the ‘Get Form’ button to access the VA 10-0143 form and open it in your preferred editing interface.
- Fill in the organization name in the designated field to identify the entity seeking the grant.
- Enter the grant number or name associated with the specific funding request to ensure proper identification and processing.
- In the section labeled 'Places of Performance,' provide the street address, city, county, state, and zip code for the location(s) where the work related to the grant will be performed.
- Complete the name and title of the authorized representative who will verify the information provided in the certification.
- Date the form by entering the current date to confirm when the certification is completed.
- Have the authorized representative sign the form to validate the certification of a drug-free workplace.
- Once all fields are accurately filled, save the changes, and choose to download, print, or share the completed VA 10-0143 form as needed.
Complete your VA 10-0143 form online today!
In most cases, we pay non-VA providers and pharmacies directly for care and prescriptions you receive in the community. In some cases, we may pay you back for cost of emergency prescriptions or care.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.