HomeMy WebLinkAboutAttachment RATTACHMENT R
FOR GOVERNMENT ENTITIES ONLY Semi -Annual Employee
Certification for Supportive Housing Programs
Agency:
Project Number:
Project Name:
Period Covered:
**This form is to be submitted to the
Miami -Dade County Homeless Trust every six months.
FL14B
The following employee/s worked solely on SHP project
Employee Name/Names:
Name
Signature Date
Name
Signature Date
Name
Signature Date
Name
Signature Date
By signing, I hereby certify that I have worked 100% of the time on the above
referenced SHP project during the period specified above.
Supervisor Certification
Name - Title
Signature Date
I hereby certify as the supervisor of the above named individuals that they have
worked solely on the above referenced grant during the above referenced time
period
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