WIOA 2018 - Table FFR 3 (Init)

RSD

Box Number

Reporting Item

Instructions

10a

Date Report Submitted (Month, Day, Year)

Enter the date the RSD is submitted to the U.S. Department of Education using the month, day, year format.

10b

Telephone (Area Code, Number and Extension)

Enter the telephone number (including area code and extension) of the individual listed in Line 10d.

10c

E-mail Address

Enter the e-mail address of the individual listed in Line 10d.

10d

Typed or Printed Name

and Title of Authorized Certifying Official

Enter the name and title of the authorized certifying official.

10e

Signature of Authorized Certifying Official

The authorized certifying official must sign here.