OCFS-4641. Domestic Violence Recertification

Form OCFS-4641 is a Domestic Violence Recertification form used by the New York State Office of Children and Family Services. The purpose of this form is to allow organizations currently receiving funding for domestic violence programs to apply for recertification to continue receiving funding.

The form consists of sections where the organization provides updated information about their program's activities, achievements, and challenges since the last certification. The form may also require a detailed description of how the funding has been utilized and the outcomes achieved during the funding period.

Important fields in this form include accurate and up-to-date information about the organization's activities and the impact of their domestic violence program. Recertification is crucial for organizations to continue receiving funding and maintain their ability to provide vital services to survivors of domestic violence.

Application Example: A domestic violence shelter that has been previously certified and received funding from the Office needs to complete this form to apply for recertification. The shelter will provide data on the number of survivors served, the types of services provided, and any changes or improvements made since the last certification.

No additional documents are mentioned in the form, but the organization may need to submit financial reports, program data, and any relevant updates on policies or procedures related to the domestic violence program.

Related Form: OCFS-4642. This form might be used for reporting on the outcomes and impact of the domestic violence program during the recertification period, providing evidence of the program's continued effectiveness.