Certification statement
The official certifies having obtained the latest prevailing wage rates from the U.S. Department of Labor for the project and having incorporated them into the construction contract in compliance with the Davis-Bacon Act.
VA40-0895-2
Certification of Compliance with Provisions of the Davis-Bacon Act (40 U.S.C. 3141 - 3148)
- Agency
- VA
- Revision
- September 2023
- Fillable fields
- 5
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form VA40-0895-2: Certification of Compliance with Provisions of the Davis-Bacon Act
VA Form VA40-0895-2 is the U.S. Department of Veterans Affairs Certification of Compliance with Provisions of the Davis-Bacon Act (40 U.S.C. 3141 to 3148). In it, an authorized state, tribal or eligible county government official certifies having obtained the latest prevailing wage rates from the U.S. Department of Labor for the cemetery project and having incorporated them into the construction contract in compliance with the Davis-Bacon Act.
The form is one page: the certification statement, where the cemetery project is located, the project FAI (Federal Application Identifier) number, and the official's name, title, signature and date. It gives 38 U.S.C. 2408 as the statutory authority for a State Cemetery Grant. It has no fields for a Veteran or family member, and VA's form page lists it as related to VACO. You can fill out the PDF free in your browser on this page and download the result without an account.
What's on VA Form VA40-0895-2
Project location and FAI number
Where the state, tribal or eligible county government cemetery project is located, and the project FAI (Federal Application Identifier) number.
Authorized official
The name and the title of the authorized state, tribal or eligible county government official.
Signature and date
The official's signature and the date signed, written as mm/dd/yyyy.
Burden statement
An estimate of 15 minutes, 38 U.S.C. 2408 as the statutory authority for a State Cemetery Grant, and a note that responding to this collection is voluntary.
How to complete VA Form VA40-0895-2
- 1
Read the certification statement
It refers to the latest prevailing wage rates from the U.S. Department of Labor and to the project's construction contract.
- 2
Enter the project details
Give the location of the cemetery project and its FAI number. The VA Form VA40-0895-14 checklist says the FAI number is to be assigned by VA.
- 3
Enter the official's details
Give the name and title of the authorized state, tribal or eligible county government official.
- 4
Sign and date it
The authorized official signs and enters the date signed as mm/dd/yyyy.
- 5
Send it with the preapplication
The VA Form VA40-0895-14 checklist lists this certification among those submitted to VA as part of the Preapplication Phase.
Why fill Form VA40-0895-2 on indox
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Where it goes and edition
Where it goes
Neither the form nor VA's form page prints a mailing address. The VA Form VA40-0895-14 checklist lists it among the certifications submitted to VA as part of the Preapplication Phase.
Not the comments address
The form gives OIRA Desk Officer for VA, 725 17th St NW, Washington, DC 20503 for comments on the burden estimate only, and says not to send applications for a grant there.
Edition
The PDF is dated SEP 2023, matching the September 2023 revision date on VA's form page. It carries OMB Number 2900-0559, Expiration Date: Oct. 31, 2026, and a respondent burden of 15 minutes.
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Who uses VA Form VA40-0895-2?
The form is signed for a state, tribal or eligible county government cemetery project. It has no fields for a Veteran or family member.
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Questions about Form VA40-0895-2
What does VA Form VA40-0895-2 certify?
That the official has obtained the latest prevailing wage rates from the U.S. Department of Labor for the cemetery project and has incorporated them into the construction contract in compliance with the Davis-Bacon Act.
Who signs VA Form VA40-0895-2?
The authorized state, tribal or eligible county government official, who also gives a name and title and the date signed.
Which law does the form refer to?
The Davis-Bacon Act, which the form cites as 40 U.S.C. 3141 to 3148. It gives 38 U.S.C. 2408 as the statutory authority for a State Cemetery Grant.
When is it submitted?
The VA Form VA40-0895-14 checklist lists compliance with VA Form 40-0895-2 as item 25, one of the certifications submitted to VA as part of the Preapplication Phase.
Which edition is current?
The PDF is dated SEP 2023, which matches the September 2023 revision date on VA's form page. Its OMB Number is 2900-0559, with an expiration date of Oct. 31, 2026.