Free VA Form VA40-0895-15 - Cert of Cemetary Maintained in Accordance with Nat'l Cemetary Admin. Stds. - Federal


File Size: 410.8 kB
Pages: 1
File Format: PDF
State: Federal
Category: Veterans Forms
Word Count: 112 Words, 781 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.va.gov/vaforms/va/pdf/VA40-0895-15.pdf

Download VA Form VA40-0895-15 - Cert of Cemetary Maintained in Accordance with Nat'l Cemetary Admin. Stds. ( 410.8 kB)


Preview VA Form VA40-0895-15 - Cert of Cemetary Maintained in Accordance with Nat'l Cemetary Admin. Stds.
CERTIFICATION OF CEMETERY MAINTAINED IN ACCORDANCE WITH NATIONAL CEMETERY ADMINISTRATION STANDARDS
(As required by 38 CFR 39.31 and 39.81)
CERTIFICATION STATEMENT: I certify that the below named state or tribal government cemetery, assisted by a Department of Veterans Affairs grant, will be operated and maintained in accordance with the operational standards and measures of the National Cemetery Administration.
NAME AND ADDRESS OF STATE OR TRIBAL GOVERNMENT CEMETERY PROJECT FAI (Federal Application Identifier) NO.

NAME OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

TITLE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

SIGNATURE OF AUTHORIZED STATE OR TRIBAL GOVERNMENT OFFICIAL

DATE SIGNED (mm/dd/yyyy)

VA FORM JUL 2009

40-0895-15

Adobe LiveCycle Designer 8.1