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Federal Equitable Sharing Agreement Instructions
<br />Law Enforcement Agency: Enter the complete name of your state or local law enforcement agency — e.g., Anytown
<br />Police Department. This must be consistent with the DAG -71. Check the appropriate box to indicate type of agency.
<br />Acronyms should be spelled out. If a task force, provide a list of member agencies, addresses, and lead agency, if designated.
<br />New Participant. Check this box if your agency has never received any cash, proceeds, or property from the equitable
<br />sharing program.
<br />Contact Person: Enter the name of the person who can provide additional information on the sharing agreement form.
<br />E -mail Address: Enter the e -mail address of the contact person or the e-mail address of the agency.
<br />Mailing Address: Enter your agency's complete mailing address (number, street, city, state, and zip code).
<br />Telephone Number: Enter the phone number of the contact person, including area code and extension.
<br />Fax Number. Enter your agency's fax number including area code.
<br />Agency Fiscal Year Ends on: Enter the ending date (month/day) of your agency's fiscal year — e.g., 6/30.
<br />NCIC/ORI Tracking No.: Enter your valid FBI - issued National Crime Information Center (NCIC) /ORI code — e.g.,
<br />CA0000000 — or tracking number assigned by the Asset Forfeiture and Money Laundering Section.
<br />Civil Rights Provision: Police departments, sheriffs' departments, prosecutors' offices, and other law enforcement
<br />agencies that receive federal financial assistance from the Department of Justice (DOJ) are subject to the provisions of: (1)
<br />Title VI of the Civil Rights Act of 1964, which prohibits discrimination on the basis of race, color, or national origin; (2) Title
<br />IX of the Education Amendments of 1972, which prohibits discrimination on the basis of sex in training and educational
<br />programs; (3) Section 504 of the Rehabilitation Act of 1973, which prohibits discrimination on the basis of disability; and (4)
<br />the Age Discrimination Act of 1975, which prohibits discrimination on the basis of age. Federal financial assistance includes
<br />funds, training and technical assistance, logistical support, and property transfers from DOJ including equitable sharing.
<br />Agencies receiving assistance are required to permit DOJ investigators access to records and any other sources of information
<br />as may be necessary to determine compliance with civil rights laws. If the "yes" box is checked in 8a and /or 8b, provide
<br />the following information: the name of the case; a summary of the complaint; and the status of the case — e.g., Jones
<br />v. Anytown Police Department; sex discrimination; settled. Please do not send a copy of the complaint.
<br />Law Enforcement Agency Head: The head of your law enforcement agency must sign and date the form. Name and
<br />title of the signatory must be printed or typed. Examples of law enforcement agency heads include police chief, sheriff,
<br />director, commissioner, superintendent, administrator, chairperson, secretary, city attorney, county attorney, district attorney,
<br />prosecuting attorney, state attorney, commonwealth attorney, and attorney general. For task forces, the law enforcement
<br />agency head is the person who oversees task force operations and may be the chief law enforcement officer of the lead agency
<br />— e.g., police chief or sheriff — or a commander, lieutenant, or captain who oversees task force operations. By signing the
<br />agreement, the signatory certifies that the receiving state or local law enforcement agency is in compliance with the Justice
<br />and Treasury Guides, and agrees to be bound by the statutes and guidelines which regulate the equitable sharing program.
<br />Governing Body Head: The head of your governing body must sign and date the form. Name and title of the signatory
<br />must be printed or typed. For purposes of this form, a governing body is the person or entity that has appropriations authority
<br />over your agency. That is, the governing body has legislative authority to approve your agency's annual budget. Examples
<br />of governing body heads include city manager, mayor, city council chairperson, county executive, county council chairperson,
<br />director, secretary, administrator, commissioner, and governor. In general, a law enforcement official should not sign as
<br />the governing body head. An exception will be granted for law enforcement officials that have appropriations authority over
<br />a task force. For task forces with a governing board, the board chairperson should sign as the governing body head. Task
<br />forces whose budgets are approved in the same manner as a city, county, or state law enforcement agency should obtain the
<br />signature of the appropriate official — e.g., city manager, mayor, etc. By signing the agreement, the signatory certifies that
<br />the receiving state or local law enforcement agency is in compliance with the Justice and Treasury Guides, and a ees to be
<br />bound by the statutes and guidelines which regulate the equitable sharing program.
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