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Olympia, WA 98504-2560
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LFPA Forms for Lead Agencies and Sub Agencies

Agreement Eligibility and Other Required Documents

Lead Agency Sub Agency
AGR-2383 FA Accounting System and Financial Capability Questionnaire AGR-2241 Alternate 501(c)(3) Church Verification Form
AGR-2384 FA Suspension and Debarment Certification    
AGR-2385 Lead Agency Site List AGR-2387 Sub Agency Site List
AGR-2325 FA Request for Alternate Language Approval AGR-2325 FA Request for Alternate Language Approval
AGR-8220 FA Federal Funding Accountability and Transparency Act (FFATA) Compliance AGR-8220 FA Federal Funding Accountability and Transparency Act (FFATA) Compliance

Audit & Accounting

Lead Agency Sub Agency
AGR-2206 Accounting System Verification Form AGR-2206 Accounting System Verification Form
AGR-2207 Single Audit Exemption Form - Lead Agencies AGR-2217 Audit Requirement Form for Sub Agencies

Equipment and Capital Improvement Management

Equipment Procedures Capital Improvement Procurement
AGR-454 Equipment and Equipment Repairs Procurement Guidelines AGR-898 Capital Improvement Procurement Guidelines
AGR-2204 Equipment Procurement Request/Approval Form AGR-2308 Capital Improvement Procurement Request/Approval Form
AGR-2615 Equipment Repair Request/Approval Form    
Equipment Disposition Capital Improvement Disposition
AGR-452 Equipment Disposition Guidelines AGR-978 Capital Improvement Disposition Guidelines
AGR-2203 Equipment Disposal/Request Approval Form AGR-2613 Capital Improvement Disposition Request/Approval Form
Equipment - Annual Reporting Capital Improvement - Annual Reporting
AGR-2201 Annual Inventory Report Form AGR-2614 Annual Capital Improvement Form

Invoices

AGR-2546 LFPA Lead Agency Invoice Workbook
AGR-2546A LFPA Plus Lead Agency Invoice Workbook
AGR-2546E LFPA Gap Enhanced Lead Agency Invoice Workbook

Participant Forms and Publications

AGR-10017
8.5x11		 Partnerships with Faith-Based and Neighborhood Organizations Final Rule Written Notice of Beneficiary/Client Rights
[Chinese] [Korean] [Russian] [Somali] [Spanish] [Tagalog] [Ukrainian] [Vietnamese]
AGR-10017
11x17		 Partnerships with Faith-Based and Neighborhood Organizations Final Rule Written Notice of Beneficiary/Client Rights
[Chinese] [Korean] [Russian] [Somali] [Spanish] [Tagalog] [Ukrainian] [Vietnamese]

Program Infographic

AGR-2503-006 LFPA in WA Infographic: Program Impact 2022-2024

Reporting

AGR-2395A LFPA Project Work Plan Budget Estimate and Target Indicators
AGR-2395 LFPA Project Work Plan Narrative
  LFPA Quarterly Progress Report
AGR-2385 Lead Agency Site List
AGR-1113 Photo/Video Release Statement [Dzongkha] [Hmong] [Central Khmer] [Spanish]

Sub Agency Agreements

AGR-8008 Sub Agency Agreement Amendment Template
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