The following forms apply to the Residential Substance Abuse Treatment (RSAT) program.

FY21 RSAT Forms

FY21 Standard Conditions
 

FY20 Standard Conditions (Revised 03/20/2022)

 

Equipment Disposition Form
Lobbying, Suspension, Debarment, and Drug Free Workplace Certification 
Single Audit Exemption Form
Sole Source Justification Approval Form
Subaward Management Questionnaire (SMQ) (Revised July 26, 2022)
Subrecipient vs. Contractor Determination Checklist (Revised July 26, 2022)
Suitability to Work and/or Interact with Minors Certification (SWIMC)
Suitability to Work and/or Interact with Minors Tracking Sheet (SWIMT) 
Telecommunications and Video Surveillance Services or Equipment Certification (TVS)
Telecommunications FAQ
Third-Party Contract Compliance Checklist

RSAT Performance Questionnaire
All recipients receiving funding under the RSAT program must submit quarterly performance metrics defined by the U.S. Department of Justice. This form must be submitted to the assigned grant manager by January 15, April 15, July 15, and October 15 each year the award is open.

RSAT Performance Questionnaire 

Tiered Subrecipients
The following forms apply to recipients who have entered into a pass-through entity/tiered subrecipient relationship with a third-party. Additional forms may be required based on the tiered subaward project. Please contact your OCJG grant manager with any questions regarding what additional forms may be required.

Third-Party Certificate of Subaward (Revised July 26, 2022)
Third-Party Subaward Compliance Checklist (Revised July 26, 2022)
Third-Party Subaward Risk Assessment 
Third-Party Monitoring Questionnaire (Revised July 26, 2022)
Third-Party Subaward Certification of Audit Exemption