Download VA Form 40-0895-7 [PDF].pdf

VA40-0895-7.pdf
Preview of Download VA Form 40-0895-7 [PDF]
🔗 Source: va.gov
📊 Size: 78 KB
👤 Author: Missie Vaccaro-Palomaki
⬇️ Downloads: 82

Summary

Oct. 31, 2026, Respondent Burden: 15 minutes. Certification regarding debarment, suspension, and other responsibility matters for primary covered transactions by State, Tribal, or eligible County government, required by Executive Order 12549 and 38 CFR Part 39. The certification involves statements about not being convicted of or having civil judgments for fraud, antitrust violations, or other offenses, and not being presently indicted or having public transactions terminated for cause or default. The respondent must provide an explanation if unable to certify to any of the statements. The form includes instructions for certification, including the consequences of erroneous certification and the requirement to provide immediate written notice of changes in certification status.

Description

Oct. 31, 2026, Respondent Burden: 15 minutes.

Technical Information

  • File Format: PDF
  • File Size: 78 KB
  • Pages: 2
  • Language: EN
  • Author: Missie Vaccaro-Palomaki
  • Total Downloads: 82
  • Last Updated: 1 month ago

Document Overview

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