Statement assurance equal blank 2026

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The document is a Statement of Assurance of Compliance with Equal Opportunity Laws, in which the Signatory (an organization or individual) agrees to adhere to various federal laws prohibiting discrimination based on race, color, national origin, handicap, sex, and age in programs receiving federal financial assistance. It outlines the obligations of the Signatory to ensure compliance and the consequences of non-compliance, including potential withholding of assistance and judicial enforcement by the United States.

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Click ‘Get Form’ to open the statement assurance equal blank in the editor.
Begin by entering the name of your organization, institution, or individual in the designated field at the top of the form.
Review the compliance statements carefully. Ensure you understand your obligations under Title VI, Title IX, Section 504, and the Age Discrimination Act.
In the section regarding measures to effect this agreement, outline any specific actions your organization will take to ensure compliance.
Fill in the date and provide a signature from an authorized official. Include their title and mailing address as required.

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