Paperwork Certification
1110-0015_Certification Statement.pdf
Hate Crime Incident Report
Paperwork Certification
OMB: 1110-0015
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1110-0015 can be found here:
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| File Type | application/pdf |
| Author | DOJ |
| File Modified | 2014-01-03 |
| File Created | 2014-01-03 |