General Statement of Assurance (GSA)

General Statement of Assurance

A General Statement of Assurance guarantees accountability to the United States and the State of Arizona by the recipients of Federal and State assistance grants. Consistent with 34 C.F.R. Section 76-85, the SUBGRANTEE assures, if awarded a grant, subgrant, or contract that the SUBGRANTEE will accept funds in accordance with applicable Federal and State statutes, regulations, program plans, and applications, and administer the programs in compliance with all provisions of such statutes, regulations, applications, policies and amendments.

  • A document required to receive federal and state funding for projects/grants administered by the Arizona Department of Education (ADE)
  • Submitted annually; to be returned by May 31st; reminder email in March
  • Must be signed by Authorized Representatives in Blue Ink
  • Common Logon UserID (Username and Password) is required to access secure Grants Management processes
  • The Grants Management Office published the General Statement of Assurance Guidelines to ensure only authorized users will have access to secure Grants Management Enterprise System. Please review the General Statement of Assurance Guidelines EX-47. (effective 03/18/2009)

    1) FY 2010 General Statement of Assurance.pdf : Fiscal Year 2010 General Statement of Assurance is due May 31, 2009. Please mail a hard-copy directly to the Grants Management Office. All original signatures must be affixed in blue ink. Click here to view the notification memo. Instructional Training Video - FY 2010 GSA Training Module is also available online from Grants Management Training Website .

    Annual General Statement of Assurance’s section A and C can be signed by:

    • Districts: Board President, Superintendent
    • Charters: Charter Contract Signer
    • Other Entities: Comparable authorized official

    FY 2010 GSA submission status can be determined by viewing the FY 2010 General Statement of Assurance Submission Status Report.

    2) Change Form : After submitting annual General Statement of Assurance to ADE Grants Management Office, SUBGRANTEE can use Change Form to add or remove GSA signers or capture only users during the fiscal year. This form requires signatures in Blue Ink from new added GSA signers and requesting person (Requesting Person should be superintendent or business manager for districts / charter holder or contract signer for charters, and GSA signer for other Entity). Please mail a hard-copy directly to the Grants Management Office.

    3) Below are the links for obtaining all information and forms required for establishing a new entity through Arizona Department of Education to receive a grant , adding a new site, or closing a site.

  • How to establish, update, or close a site or entity : In order to establish a brand new site or update / close an existing site, Districts and Charters must submit required documents to its responsible office. Please click here to download the detail information on required documents and main contact information.

  • AZ W - 9 form: New Charter Schools will submit GSA (General Statement Of Assurances) and W-9 form to Arizona State Board for Charter Schools. Any existing entities with change in warrant address should submit a new W-9 form to ADE Grants Management Office. Please note that AZ W-9 form is used to generate your payment from Arizona Department of Education. Payments are normally sent to its warrant address indicated in entity's W-9 form. Any change in W-9 form, entity should submit a new W-9 form to Grants Management Office.

  • General Statement Of Assurance: A brand new entity who wishes to apply for a grant through Arizona Department of Education should submit a General Statement of Assurance to its responsible office. (Arizona State Board for Charter Schools or ADE Grants Management Office)

    * Please note that General Statement of Assurance is annual form. If you wish to apply for FY 2010 grant application during Fiscal Year 2009, the Grants Management Office may request both FY 2009 GSA and FY 2010 GSA. Click here to download FY 2009 General Statement of Assurance and FY 2010 General Statement of Assurance.

  • 4) GSA frequently asked questions: The FAQ's link cover a majority of the questions and answers related to the General Statement of Assurance.


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    Arizona Department of Education
    Grants Management Bin #3
    1535 West Jefferson Street
    Phoenix, Arizona 85007
    Phone: (602) 542-3695
    Fax: (602) 542-4063
    grants@azed.gov