Please download and save your form before editing the form. DCJ accepts electronically signed PDFs (Find instructions here). You do not need to purchase Adobe software, get the free Adobe Reader.
Common Reporting Forms
- Civil Rights Certification of Compliance (DCJ Form 30)
-
Grant Funds Source: Federal
Due Dates: Due to DCJ with signed Grant Agreement
Required Signatures: Project Director, Signature Authority
- Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters; and Drug-Free Workplace Requirements
-
Grant Funds Source: Federal (Recipient receiving > $100,000 in federal funds)
Due Dates: Due with Grant Application or Upon Request
Required Signatures: Signature Authority
- Certification of Match (DCJ Form 32)
-
Certification of Match (DCJ Form 32)
Grant Funds Source: Federal
Due Dates: Due to DCJ with signed Grant Agreement.
Required Signatures: Signature Authority or Controller
- Conference Policy and Certification (DCJ Form 31) - COMING SOON!
-
Conference Policy and Certification (DCJ Form 31)
Grant Funds Source: Federal
Due Dates: Due no later than 120 days prior to the conference
Required Signatures: Project Director
- Consultants/Contracts Certification (DCJ Form 16)
-
Consultants/Contracts Certification (DCJ Form 16)
Grant Funds Source: State, Federal
Due Dates: Prior to contract execution with the contractor [Prior Approval Required]; After contract execution and prior to the disbursement of monies to Consultant/Contractor
Required Signatures: Project Director
- Contract Debarment Certification (DCJ Form 17)
-
Contract Debarment Certification (DCJ Form 17)
Grant Funds Source: State, Federal
Due Dates: Prior to contract execution with the contractor
Required Signatures: Project Director and Contractor
- Equipment Inventory/Retention Certification (DCJ Form 5)
-
Equipment Inventory/Retention Certification (DCJ Form 5)
Grant Funds Source: Federal
Due Dates: Equipment Acquired: due 30 days upon receipt of equipment; Grant Award Period End: due 45 days after the end of the Grant Award Period; Final Disposition: due 45 days after the equipment has reached final disposition.
Required Signatures: Project Director
- Equipment Procurement Certification (DCJ Form 13)
-
Equipment Procurement Certification (DCJ Form 13)
Grant Funds Source: Federal
Due Dates: Prior to any purchase of equipment [Prior Approval Required]
Required Signatures: Project Director
- Financial Report (DCJ Form 1-A)
-
Financial Report (DCJ Form 1-A)
Grant Funds Source: State, Federal
Due Dates: Quarterly due 15 days after the end of each calendar quarter; Final due 45 days after the end of the Grant Award Period.
Required Signatures: Financial Officer, Project Director
- Payment Request (DCJ Form 3)
-
Grant Funds Source: State, Federal
Due Dates: Quarterly due 15 days after the end of each calendar quarter; Final due 45 days after the end of the Grant Award Period; Payment Request frequency other than Quarterly requires Prior Approval.
Required Signatures: Project Director
- Project/Program Income Report (DCJ Form 1-B)
-
Project/Program Income Report (DCJ Form 1-B)
Grant Funds Source: Federal
Due Dates: Quarterly due 15 days after the end of each calendar quarter; Final due 45 days after the end of the Grant Award Period or the required percentage of earned project income is expended, whichever is later.
Required Signatures: Financial Officer, Project Director
Common Modification Forms
- Budget Revision (DCJ Form 4-A)
-
Budget Revision (DCJ Form 4-A)
Grant Funds Source: State, Federal
Due Dates: Due 30 days prior to deviating from the current approved budget [Prior Approval Required]
Required Signatures: Financial Officer, Project Director
- Change in Grant Award Period (DCJ Form 4-C)
-
Change in Grant Award Period (DCJ Form 4-C)
Grant Funds Source: State, Federal
Due Dates: Due No Later than 60 days Prior to the end of the Grant Award Period [Prior Approval Required]
Required Signatures: Project Director
- Change in Project Officials (DCJ Form 4-B)
-
Change in Project Officials (DCJ Form 4-B)
Grant Funds Source: State, Federal
Due Dates: Due 15 days following a change in Project Director, Financial Officer, or Signature Authority
Required Signatures: Project Director or Signature Authority
- Modification of Other Grant Agreement Terms (DCJ Form 4-D)
-
Modification of Other Grant Agreement Terms (DCJ Form 4-D)
Grant Funds Source: State, Federal
Due Dates: Due 30 days prior to deviating from the current approved Grant Agreement [Prior Approval Required]
Required Signatures: Project Director
- Budget Revision Worksheet
-
Budget Revision Worksheet (xlsx) - Note: This worksheet is not a reporting form. It is a tool to assist in developing budget details. Your DCJ grant manager may require this document as a supplement to another form, but the worksheet by itself is not sufficient to request a budget change.
Grant Funds Source: State, Federal
Due Dates: NA
Required Signatures: NA
Program-Specific Reporting Forms
- Narrative Report - Quarterly (JAG, DV, MJ, JABG, Formula)
-
OAJJA Narrative Report - Quarterly (JAG, DV, MJ, JABG, Formula) (DCJ Form 2Q)
Grant Funds Source: State (DV & MJ), Federal (JAG, JABG, Formula)
Due Dates: Quarterly due 15 days after the end of each calendar quarter
Required Signatures: Project Director
- Narrative Report - Final (JAG, DV, MJ, JABG, Formula)
-
OAJJA Narrative Report - Final (JAG, DV, MJ, JABG, Formula) (DCJ Form 2F)
Grant Funds Source: (DV & MJ), Federal (JAG, JABG, Formula)
Due Dates: Final due 45 days after the end of the Grant Award Period
Required Signatures: Project Director
- Narrative Report - Quarterly (NCHIP & COV)
-
OAJJA Narrative Report - Quarterly (NCHIP & COV) (DCJ Form 2Q)
Grant Funds Source: Federal (NCHIP & COV)
Due Dates: Quarterly due 15 days after the end of each calendar quarter
Required Signatures: Project Director
- Narrative Report - Final (NCHIP & COV)
-
OAJJA Narrative Report - Final (NCHIP & COV) (DCJ Form 2F)
Grant Funds Source: Federal (NCHIP & COV)
Due Dates: Final due 45 days after the end of the Grant Award Period
Required Signatures: Project Director
- Coverdell Quarterly Data Report - Quarterly (COV)
-
OAJJA Coverdell Quarterly Data Report - Quarterly (COV)
Grant Funds Source: Federal (COV)
Due Dates: Quarterly due 15 days after the end of each calendar quarter
Required Signatures: Project Director
- Narrative Report - Quarterly (VOCA, VAWA, SASP, State VALE)
-
Grant Funds Source: State, Federal
Due Dates: Quarterly due 15 days after the end of each calendar quarter
Required Signatures: Project Director