Cleaning Supplies Self-Certification Agreement
I understand, as a provider, that this self-certification form is a requirement to receive CSCP funds, supplies, or both to serve essential workers and/or at-risk populations during the COVID-19 pandemic. As stated on this form, my program currently is open or will be open by the date specified and the funds and/or supplies will be used solely for these restricted purposes.
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Document Name: Cleaning Supplies Self-Certification Agreement
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