"Compliance Review Certification Form" - Virginia

Compliance Review Certification Form is a legal document that was released by the Virginia Department of Human Resource Management - a government authority operating within Virginia.

Form Details:

  • The latest edition currently provided by the Virginia Department of Human Resource Management;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Virginia Department of Human Resource Management.

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Commonwealth of Virginia
James Monroe Building
th
101 N. 14
Street
Department of Human Resource Management
Richmond, Virginia 23219
Office of Equal Employment & Dispute Resolution
(804) 225-2136 (office)
(800) 533-1414 (office)
http://www.dhrm.virginia.gov/equal-employment-opportunity
(804) 371-7401 (fax)
eesvcs@dhrm.virginia.gov
COMPLIANCE REVIEW CERTIFICATION
My signature below indicates that this agency has reviewed the information contained in the
DHRM EEO Assessment Tool for fiscal year _________ and shared this information with the
agency head and human resource director, including any appropriate corrective action(s) that
are recommended and/or have been taken.
Agency/Number: __________________________________________________
Name/Title: ______________________________________________________
Signature:
Date:
Initialed as seen: _____ (Agency Head) - Date: _____________________________
Initialed as seen: _____ (HR Director) - Date: _______________________________
Commonwealth of Virginia
James Monroe Building
th
101 N. 14
Street
Department of Human Resource Management
Richmond, Virginia 23219
Office of Equal Employment & Dispute Resolution
(804) 225-2136 (office)
(800) 533-1414 (office)
http://www.dhrm.virginia.gov/equal-employment-opportunity
(804) 371-7401 (fax)
eesvcs@dhrm.virginia.gov
COMPLIANCE REVIEW CERTIFICATION
My signature below indicates that this agency has reviewed the information contained in the
DHRM EEO Assessment Tool for fiscal year _________ and shared this information with the
agency head and human resource director, including any appropriate corrective action(s) that
are recommended and/or have been taken.
Agency/Number: __________________________________________________
Name/Title: ______________________________________________________
Signature:
Date:
Initialed as seen: _____ (Agency Head) - Date: _____________________________
Initialed as seen: _____ (HR Director) - Date: _______________________________