VA40-0895-13

Certification Regarding Documents and Information Required for State or Tribal Government Cemetery Construction Grants—Post Grant Requirements

Agency
VA
Revision
February 2025
Fillable fields
7
Pages
1
Official source
VA form page
Checked
October 20, 2026
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Page 1 of form VA40-0895-13

VA Form VA40-0895-13: Cemetery Construction Grants, Post Grant Requirements

VA Form VA40-0895-13 is the U.S. Department of Veterans Affairs Certification Regarding Documents and Information Required for State, Tribal or Eligible County Government Cemetery Construction Grants, Post Grant Requirements. It lists the steps to close out a construction grant project and ends with a certification signed by an authorized State, Tribal or eligible County Government official. It is a grant form, not a benefits form.

The form lists eight steps, from a written request for a final grant program review to a final grant reconciliation report. Its note says the final payment will be authorized when all closeout requirements are met. The certification states that the information submitted to the Department of Veterans Affairs is true and correct to the best of the signer's knowledge and ability.

The form is one page, and VA's form page offers the PDF only. You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of VA Form VA40-0895-13: Cemetery Construction Grants, Post Grant Requirements, as printed by VA

What's on VA Form VA40-0895-13

Respondent burden notice

OMB Approved No. 2900-0559, expiration date 10/31/2026, an estimated burden of 2 hours and the statutory authority 38 U.S.C. 2408.

Steps 1 and 2: review request and equipment

A written request asking VA to schedule a final grant program review, with the local point of contact's name and phone number, and the project equipment list or a statement that there is none.

Step 3: closing statement

A statement added to the SF 271 and to the Health and Human Services final reimbursement request, agreeing that the project will be considered terminated upon payment of the voucher.

Steps 4 to 7: audit and project records

Evidence of Single Audit Act compliance under 2 CFR Part 200 Subpart F, the Final Master Plan if appropriate, As Built Drawings, and the Custody and Transfer Receipt Final Release of Claims Final Invoice if appropriate.

Step 8: reconciliation report

A final grant reconciliation report from the grant Recipient's financial accounting system that tracks all expenditures under 2 CFR 200, including 2 CFR 200.302(a).

Certification and grant fields

The official's name and title, Project FAI (Federal Application Identifier) number, date grant awarded, amount of Federal assistance, signature and date.

How to complete VA Form VA40-0895-13

  1. 1

    Request a final review

    Send a written request to the Director, Veterans Cemetery Grants Program (41C), asking VA to schedule a final grant program review. Include the local point of contact's name and phone number.

  2. 2

    Gather the closeout records

    Prepare the equipment list, Single Audit Act evidence, Final Master Plan if appropriate, As Built Drawings and the Custody and Transfer Receipt Final Release of Claims Final Invoice if appropriate.

  3. 3

    Add the closing statement

    Add the step 3 statement to the SF 271, Outlay Report and Request for Reimbursement for Construction Programs, and to the Health and Human Services final reimbursement request.

  4. 4

    Prepare the reconciliation report

    The form says the report can be any existing report from the grant Recipient's financial accounting system, provided it has the detail needed for 2 CFR 200 Financial Management requirements.

  5. 5

    Complete and sign the certification

    Enter the official's name and title, the Project FAI number, the date grant awarded (MM/DD/YYYY) and the amount of Federal assistance, then sign and date it.

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Where it goes and getting help

Final review request

Director, Veterans Cemetery Grants Program (41C), 810 Vermont Avenue, N.W., Washington, D.C. 20420. The form prints no separate address for the completed certification.

Questions

The note says to contact the Director, Veterans Cemetery Grant Program (41C).

Final payment

The form says the final payment will be authorized when all closeout requirements are met.

Comments only

The burden notice lists the OIRA Desk Officer for VA, 725 17th St NW, Washington, DC 20503, and says SEND COMMENTS ONLY. Please do not send applications for a grant to this address.

Edition

The footer reads VA FORM FEB 2025 40-0895-13, and VA's form page lists a revision date of February 2025. OMB Approved No. 2900-0559 has an expiration date of 10/31/2026.

Related forms

Who uses VA Form VA40-0895-13?

  • An authorized government official

    The name, title and signature fields are for the authorized State, Tribal or eligible County Government official, who certifies the information submitted to VA.

  • The grant Recipient

    Steps 4 and 8 ask for evidence of the grant Recipient's Single Audit Act compliance and a final grant reconciliation report from its financial accounting system.

  • Veterans Cemetery Grants Program

    Step 1 sends a written request for a final grant program review to the Director, Veterans Cemetery Grants Program (41C). The note names the Director as the contact for questions.

  • The state cemetery

    Steps 5 and 6 ask for the Final Master Plan, if appropriate, and the As Built Drawings, each with one copy for the State Cemetery Grant Program and one copy for the state cemetery.

  • Not a Veteran or family form

    The form has no fields for a Veteran, a claimant or a family member. Its fields cover the grant project and the signing official.

The form is used to close out a cemetery construction grant, not by individual Veterans.

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Questions about Form VA40-0895-13

What is VA Form VA40-0895-13 for?

It lists the steps to close out a State, Tribal or eligible County Government cemetery construction grant project, and ends with a certification by an authorized government official.

Who signs VA Form VA40-0895-13?

An authorized State, Tribal or eligible County Government official, who gives their name and title and certifies that the information submitted to VA is true and correct to the best of their knowledge and ability.

When is the final payment authorized?

The form's note says the final payment will be authorized when all closeout requirements are met.

What statement goes on the SF 271?

Step 3 gives it: It is hereby agreed that the monetary commitment of the Federal Government will have been met and the project will be considered terminated upon payment of this voucher.

What if the grant involved no equipment?

Step 2 says to make a statement to that effect in the request for a final grant program review.

Can an existing accounting report serve as the reconciliation report?

Step 8 says that, to reduce administrative burden, it can be any existing report in the grant Recipient's financial accounting system, provided it has the detail needed for 2 CFR 200 Financial Management requirements.

Who do I contact with questions?

The note says to contact the Director, Veterans Cemetery Grant Program (41C).